Secondary alveolar bone grafting was first popularised due to work by Boyne and Sands
40 years ago.
1
Stabilisation of the premaxillary segment in bilateral cases during bone grafting
can be difficult, particularly after being repositioned. Occlusal wafers and arch
bars constructed to the final position of the maxillary segment are widely used although
some authors advocate miniplates,
2
placement of which has the potential to harm developing teeth if the screws are placed
incorrectly. Mucosal stripping to make space for the plates may also compromise the
vascular supply to the premaxilla through its labial pedicle. We present a simple
new method to provide additional stability to the premaxillary segment using a Kirschner
wire.Keywords
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References
- Secondary bone grafting of residual alveolar and palatal clefts.J Oral Surg. 1972; 30: 87-92
- Surgical repositioning of the premaxilla with bone graft in 50 bilateral cleft lip and palate patients.J Oral Maxillofac Surg. 2009; 67: 760-766
- Alveolar bone grafting.in: Langdon J. Patel M. Ord R. Brennan P. Operative oral and maxillofacial surgery. 2nd ed. Hodder Arnold, London2011 ([chapter 9.5])
- Premaxillary osteotomy and guided tissue regeneration in secondary bone grafting in children with bilateral cleft lip and palate.Cleft Palate Craniofac J. 2007; 44: 469-475
- Comparison of radiation dose for implant imaging using conventional spiral tomography, computed tomography, and cone-beam computer tomography.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107: 559-565
Article info
Publication history
Published online: January 27, 2012
Accepted:
December 31,
2011
Identification
Copyright
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
