Pilot study of pre-maxilla replacement and bone graft in a patient with lip and palate clefts: transforaminal relationship between upper canines and bone graft

Authors

  • João Luis Carlini Federal University of Paraná
  • Danielle Del Santo Federal University of Paraná
  • Kesia Keiko Asami University of Pittsburgh

DOI:

https://doi.org/10.5195/d3000.2015.36

Keywords:

lip and palate cleft, bone graft, upper canines, dental eruption, pre-maxilla

Abstract

Objective: The aim of this study was to assess patients subjected to replacement surgery of the pre maxilla with bone graft, having as donor area the iliac crest and chin, and the relation with upper canines erupted in grafted areas. Materials and Methods: 54 records were evaluated from cleft patients that were under treatment at CAIF - Center of Attention to Clefts in Curitiba, PR, Brazil, both sexes, with unilateral and bilateral lip and palate clefts. Patients younger than fourteen years old, both sexes, that lost the surgical segment or did not continue the treatment at same welcoming institution, were excluded.  The surgical segment average was 5.72 years. Results: Using both descriptive and chi-square statistics, we observed a statistically significant distinction regarding the eruption of upper canines in the region of secondary bone grafts when using iliac crest and chin grafts, which 62.8% of the sample that was treated with chin grafts happened to have an eruption of upper canines, and 37.2% were successful with iliac crest grafts (value-p 0.028). Conclusions: It is necessary to carry out a study with a larger sample size and where the samples are paired in order to confirm the superiority the iliac crest donor area as the gold standard for this surgical procedure.

Author Biographies

João Luis Carlini, Federal University of Paraná

Chief of Stomatology Departament

Kesia Keiko Asami, University of Pittsburgh

Oral Biology Department

References

Prevalência de fissuras orais de 1975 a 1994. Prevalence of oral clefts from 1975 to 1994, Brazil. Loffredo LCM, Freitas JASF, Grigolli AAG. Rev Saúde Pública vol.35 no.6 São Paulo Dec. 2001.

Prevalence of kinds of cleft lip and palate at a Pediatric Hospital in Northeast of Brazil. Cymrot M; Sales FCD; Teixeira FAA; Teixeira Jr. FAA; Teixeira GSB; Filho JFC; Oliveira NH. Rev. Bras. Cir. Plást. (Impr.) vol.25 no.4 São Paulo Oct./Dec. 2010.

A proposed modification for the classification of cleft lip and cleft palate. Spina V. Cleft Palate J. 1973 Jul;10:251-2. No abstract available. PMID: 4513915

Enxertia óssea alveolar: uma conduta para todas as fissuras alveolares. Roça GB, Freitas RS, Rodrigues LK, Busato LS, Canan L. Rev. Bras. Cir. Plást. 2010; 25(supl): 1-102.

Autogenous cancellous bone and marrow transplants. Boyne PJ. Clin Orthop Relat Res. 1970 Nov-Dec;73:199-209. No abstract available. PMID: 4920990

Secondary bone grafting of alveolar clefts. A surgical/orthodontic treatment enabling a non-prosthodontic rehabilitation in cleft lip and palate patients. Abyholm FE, Bergland O, Semb G. Scand J Plast Reconstr Surg. 1981;15(2):127-40. No abstract available. PMID: 7041248

Alternative donor site for alveolar bone grafting in adults with cleft lip and palate. So LL, Lui WW. Angle Orthod. 1996;66(1):9-16. Review. PMID: 8678350

Implications and Treatment of Cleft Lip and Palate in Patients with an Autognenous Bone Graft. Rodrigues APGM; Castro HCBC; Reher P. Rev Bras de Cir Bucomaxilofac v. 10 n. 1 p. 91-6, 2010.

Surgical repositioning of the premaxilla with bone graft in 50 bilateral cleft lip and palate patients. Carlini JL, Biron C, Gomes KU, Da Silva RM. J Oral Maxillofac Surg. 2009 Apr;67(4):760-6. doi: 10.1016/j.joms.2008.07.013. PMID: 19304031

Management of the prominent premaxilla in bilateral cleft lip and palate. Aburezq H, Daskalogiannakis J, Forrest C. Cleft Palate Craniofac J. 2006 Jan;43(1):92 PMID: 16405381

O impacto na qualidade de vida após o reposicionamento cirúrgico da pré-maxila em portadores de fissura lábio palatal bilateral - estudo de 50 casos. The life quality impact after surgical pre maxilla repositioning in patients with bilateral lip palatal cleft - study of 50 cases. Gomes KU; Rapoport A; Lehn CN; Denardin OVP; Carlini JL.. Rev. Col. Bras. Cir. vol.35 no.6 Rio de Janeiro Nov./Dec. 2008.

An orthodontic and cephalometric study on the results of the combined surgical-orthodontic approach of the protruded premaxilla in bilateral clefts. Heidbuchel KL, Kuijpers-Jagtman AM, Freihofer HP. J Craniomaxillofac Surg. 1993 Mar;21(2):60-6. PMID: 8450075

Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report. da Silva Filho OG, Teles SG, Ozawa TO, Filho LC. Angle Orthod. 2000 Apr;70(2):174-8. Review. PMID: 10833007

Secondary bone grafting of residual alveolar and palatal clefts. Boyne PJ, Sands NR. J Oral Surg. 1972 Feb;30(2):87-92. PMID: 4550446

Bone grafting of alveolar clefts. Bertz JE. J Oral Surg. 1981 Nov;39(11):874-7. No abstract available. PMID: 7026745

O reposicionamento cirúrgico da pré-maxila como determinante da inclusão e integração social, em portadores de fissura lábio palatal bilateral: Estudo de 50 casos. Gomes, K.U. Dissertação (Mestrado em Ciências da Saúde) Hospital Heliópolis – HOSPHEL São Paulo. 63 fls, 2008

Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Bergland O, Semb G, Abyholm FE. Cleft Palate J. 1986 Jul;23(3):175-205. PMID: 3524905

Iliac versus cranial bone for secondary grafting of residual alveolar clefts. Cohen M, Figueroa AA, Haviv Y, Schafer ME, Aduss H. Plast Reconstr Surg. 1991 Mar;87(3):423-7; discussion 428. PMID: 1998013

Late secondary autogenous bone grafting in cleft patients comparing mandibular (ectomesenchymal) and iliac crest (mesenchymal) grafts. Koole R, Bosker H, van der Dussen FN. J Craniomaxillofac Surg. 1989 Dec;17 Suppl 1:28-30. PMID: 2606985

Implantes dentários contemporâneos. Misch, C. E. Segunda edição. São Paulo: Santos, 2000.

Secondary bone grafting and orthodontic treatment in patients with bilateral complete clefts of the lip and palate. Bergland O, Semb G, Abyholm F, Borchgrevink H, Eskeland G. Ann Plast Surg. 1986 Dec;17(6):460-74. PMID: 3548551

Reconstruction of alveolar cleft with allogenous bone graft: clinical considerations. Filho OGS; Ozawa TO; Bachega C; MA Bachega.. Dental Press J. Orthod. vol.18 no.6 Maringá Nov./Dec. 2013.

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Published

2015-09-29

Issue

Vol. 3 No. 1 (2015)

Section

Development of Craniofacial Structures

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