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Effectiveness of maxillary cortical bone graft chips harvested by bone scraper, covered with platelet-rich fibrin (PRF), in reconstruction of alveolar clefts: comparative study

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Abstract

Purpose

The aim of this study is to assess the effectiveness of maxillary cortical bone graft chips harvested by bone scraper, covered with platelet-rich fibrin (PRF) in alveolar clefts.

Patients and methods

Seventy-two cleft patients were examined for their eligibility to be part in this comparative study; they were randomly divided into group A, thirty-six patients had received cancellous bone chips from iliac crest; group B, thirty-six had received cortical bone chips harvested from maxilla using a curved bone scraper, covered with PRF. The clinical success over the follow-up period was evaluated on the basis of elimination of the oronasal fistula, radiographic assessment of bone graft volume, achievement of the osseous continuity of the alveolar arch, and the extent of the vertical bone height.

Results

The mean of volume gained in group A was 0.8053 ± 0.9682, while for group B was 0.7397 ± 0.7703. The amount of vertical bone loss between groups was registered, and the chi-square test revealed insignificant differences between study groups (p = 0.547). The result of the frequency of fistula development after grafting in both groups was insignificant (p = 0.074). Also, for the continuity of the maxilla as a one piece, the results were insignificant differences between study groups (p = 0.058).

Conclusion

In conclusion of our study, intraoral harvesting of maxillary cortical chips by bone scraper covered with PRF is able to achieve a valid functional and aesthetic support in alveolar cleft patients, meeting the reconstructive goals.

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Data availability

The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. College of Dentistry, Al-Muthanna University, Samawa, Iraq

    Osamah Mohammed Aldaghir, Ahmed Rafea Naje, Ahmed Talib Ghadhban, Hayder Saad hanfoosh Al atabi & Osamah Mohammed Aldaghir

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  1. Osamah Mohammed Aldaghir
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  2. Ahmed Rafea Naje
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  3. Ahmed Talib Ghadhban
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  4. Hayder Saad hanfoosh Al atabi
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Contributions

All authors contributed to the study conception and design.

Material preparation, data collection, and analysis were performed by Osamah Mohammed Aldaghir, Ahmed Rafea Naje, and Ahmed Talib Ghadhban.

The first draft of the manuscript was written by Osamah Mohammed Aldaghir and Ahmed Rafea Naje.

Figures and tables were arranged by Ahmed Talib Ghadhban and Hayder Saad hanfoosh Al atabi.

All authors read and approved the final manuscript.

Corresponding author

Correspondence to Osamah Mohammed Aldaghir.

Ethics declarations

Ethics approval

This study was approved by the local ethical committee of the College of Dentistry/Al-Muthanna (no. 2016-Surg-25). Also, it had followed the recommendations of the Declaration of Helsinki.

Consent to participate

Informed consent was obtained from the parents of the patients included in this study.

Consent for publication

The authors affirm that the parents provided informed consent for publication of their images and data.

Conflict of interest

The authors declare no competing interests.

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Aldaghir, O.M., Naje, A.R., Ghadhban, A.T. et al. Effectiveness of maxillary cortical bone graft chips harvested by bone scraper, covered with platelet-rich fibrin (PRF), in reconstruction of alveolar clefts: comparative study. Oral Maxillofac Surg 28, 205–216 (2024). https://doi.org/10.1007/s10006-022-01128-0

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