Early versus late alveolar bone grafting in unilateral cleft lip and palate: Dental arch relationships in pre-adolescent patients.

Siegenthaler, Marina; Bettelini, Lisa; Brudnicki, Andrzej; Rachwalski, Martin; Fudalej, Piotr (2018). Early versus late alveolar bone grafting in unilateral cleft lip and palate: Dental arch relationships in pre-adolescent patients. Journal of cranio-maxillo-facial surgery, 46(12), pp. 2052-2057. Elsevier 10.1016/j.jcms.2018.09.031

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OBJECTIVE To evaluate the dental arch relationship in preadolescent children with complete unilateral cleft lip and palate after early secondary alveolar bone grafting (E-ABG) by comparing to late bone grafting (L-ABG). MATERIAL AND METHODS Two raters blindly assessed the dental arch relationship with the modified Huddart-Bodenham (HB) Index for 2 groups: E-ABG group (36 children, mean age 9.6 years) and L-ABG group (56 children, mean age 11.1 years). The groups differed with respect to age at which alveolar bone grafting was performed: between 1.4 and 4.1 years (mean 2.2 years, E-ABG group) and after 8 years (L-ABG group). T-test was run to compare scores between 2 groups. Regression analysis was carried out to evaluate gender, age at cleft repair, age at ABG, and age at assessment with the HB index. RESULTS The overall HB scores were -6.77 and -4.25 in the E-ABG and L-ABG groups, respectively (p = 0.025). Regression analysis showed that only the age at cleft repair influenced the HB scores. CONCLUSION ABG carried out between 2 and 4 years of age does not seem to negatively affect the dental arch relationship at the age of 10 years in comparison to L-ABG.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Fudalej, Piotr

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-5182

Publisher:

Elsevier

Language:

English

Submitter:

Renate Imhof-Etter

Date Deposited:

19 Mar 2019 14:19

Last Modified:

19 Mar 2019 14:19

Publisher DOI:

10.1016/j.jcms.2018.09.031

PubMed ID:

30416034

Uncontrolled Keywords:

Alveolar bone grafting Cleft lip Cleft palate Dental arch relationship One-stage repair

BORIS DOI:

10.7892/boris.124122

URI:

https://boris.unibe.ch/id/eprint/124122

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