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Alveolar Bone Grafting

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Surgical Atlas of Cleft Palate and Palatal Fistulae

Abstract

Alveolar bone grafting (ABG) is used to obliterate the alveolar gap in the maxillary bone in cleft lip and palate patients. This procedure is performed in mixed dentition stage, usually at 8–9 years of age. Majority of the surgeons use autogenous bone from iliac crest, calvarium, mandibular symphysis, and tibia. Iliac crest is still the most commonly used donor site. Some centers have used artificial bone to fill the alveolar cleft.

Role of orthodontist is very much important in this procedure. Basic concept is to move the teeth into the new bone (formed) in the alveolar cleft, by orthodontist. Management of pain is an essential element in postoperative protocol.

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References

  • Andlin-Sobocki A, Eliasson LA, Paulin G (1995) Periodontal evaluation of teeth in bone grafted regions in patients with unilateral cleft lip and cleft palate. Am J Orthodont Dentofacial Orthop 107:144–152

    Article  CAS  Google Scholar 

  • Bender SA, Rogalski JB, Mills MP et al (2005) Evaluation of demineralized bone matrix paste and putty in periodontal intraosseous defects. J Periodontol 76:768–777

    Article  PubMed  Google Scholar 

  • Bergland O, Semb G, Abyholm FE (1986) Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate Craniofac J 23:175–205

    CAS  Google Scholar 

  • Boyne PJ (2001) Application of bone morphogenetic proteins in the treatment of clinical oral and maxillofacial osseous defects. J Bone Joint Surg Am 83:S146–S150

    Article  PubMed  Google Scholar 

  • Boyne PJ, Sands NR (1972) Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg 30:87–92

    CAS  PubMed  Google Scholar 

  • Boyne PJ, Sands NR (1976) Combined orthodontic-surgical management of residual palato-alveolar cleft defects. Am J Orthod 70:20–37

    Article  CAS  PubMed  Google Scholar 

  • Boyne PJ, Nath R, Nakamura A (1998) Human recombinant BMP-2 in osseous reconstruction of simulated cleft palate defects. Br J Oral Maxillofac Surg 36:84–90

    Article  CAS  PubMed  Google Scholar 

  • Clark J, Zeitler DL (1996) Outcome of alveolar grafting in cleft patients of different ages. J Oral Maxillofac Surg 54:117

    Google Scholar 

  • Cutting CB, McCarthy JG, Knize DM (1990) Repair and grafting of bone. In: McCarthy JG (ed) McCarthy plastic surgery: general principles. WB Saunders, Philadelphia, p 583

    Google Scholar 

  • Drachter R (1914) Die Gaumenspalte und deren operative Behandlung. Dtsch Z Chir 131:1–89

    Article  Google Scholar 

  • Eldeeb ME, Messer LB, Lehnert MW et al (1982) Canine eruption into grafted bone in maxillary alveolar cleft defects. Cleft Palate Craniofac J 19:9–16

    CAS  Google Scholar 

  • Enemark H, Sindet-Pedersen S, Bundgaard M (1987) Long-term results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 45:913–919

    Article  CAS  PubMed  Google Scholar 

  • Gomes KU, Carlini JL, Biron C et al (2008) Use of allogeneic bone graft in maxillary reconstruction for installation of dental implants. J Oral Maxillofac Surg 66:2335–2338

    Article  PubMed  Google Scholar 

  • Gray H, Lewis WH (1918) Anatomy of the human body, 21st edn. Lea & Febiger, Philadelphia. Retrieved from: Bartleby.com

    Google Scholar 

  • Hall HD, Posnick JC (1983) Early results of secondary bone grafts in 106 alveolar clefts. J Oral Maxillofac Surg 41:289–294

    Article  CAS  PubMed  Google Scholar 

  • Hawkins J (2000) Secondary bone grafting for unilateral alveolar clefts. Grand Rounds, University of Illinois, Chicago

    Google Scholar 

  • Hudak KA, Hettinger P, Denny AD (2014) Cranial bone grafting for alveolar clefts: a 25-year review of outcomes. Plast Re-constr Surg 133:662e–668e

    Article  CAS  Google Scholar 

  • Jia YL, James DR, Mars M (1998) Bilateral alveolar bone grafting: a report of 55 consecutively-treated patients. Eur J Orthod 20:299–307

    Article  CAS  PubMed  Google Scholar 

  • Jolleys A, Robertson NRE (1972) A study of the effects of early bone grafting in complete clefts of the lip and palate: 5-year study. Br J Plast Surg 25:229–237

    Article  CAS  PubMed  Google Scholar 

  • Kalaaji A, Lilja J, Friede H et al (1996) Bone grafting in the mixed and permanent dentition in cleft lip and palate patients: long-term results and the role of the surgeon’s experience. J Craniomaxillofac Surg 24:29–35

    Article  CAS  PubMed  Google Scholar 

  • Kang NH (2017) Current methods for the treatment of alveolar cleft. Arch Plast Surg 44:188

    Article  PubMed  PubMed Central  Google Scholar 

  • Kazemi A, Stearns JW, Fonseca RJ (2002) Secondary grafting in the alveolar cleft patient. Oral Max Sur Clin 14:477–490

    Google Scholar 

  • Kindelan JD, Nashed RR, Bromige MR (1997) Radiographic assessment of secondary autogenous alveolar bone grafting in cleft lip and palate patients. Cleft Palate Craniofac J 34:195–198

    Article  CAS  PubMed  Google Scholar 

  • Klokkevold PR, Jovanovic SA (2002) Advanced implant surgery and bone grafting techniques. In: Newman MG, Takei HM, Carranza FA (eds) Carranza’s clinical periodontology, 9th edn. W.B. Saunders, Philadelphia, pp 907–908

    Google Scholar 

  • Kosowski TR, Weathers WM, Wolfswinkel EM, Ridgway EB (2012) Cleft palate. Semin Plast Surg 26:164–169

    Article  PubMed  PubMed Central  Google Scholar 

  • Kruyt MC, van Gaalen SM, Oner FC et al (2004) Bone tissue engineering and spinal fusion: the potential of hybrid constructs by combining osteoprogenitor cells and scaffolds. Biomaterials 9:1463–1473

    Article  CAS  Google Scholar 

  • Lee C, Crepeau RJ, Williams HB et al (1995) Alveolar cleft bone grafts: results and imprecisions of the dental radiograph. Plast Reconstr Surg 96:1534–1538

    Article  CAS  PubMed  Google Scholar 

  • Lexer E (1908) Die Verwendung der freien knochenplastik nebst versucher uber gelenkversteinfung und gelenktransplantation. Arch Klin Chir 86:939–943

    Google Scholar 

  • Long RE Jr, Spangler BE, Yow M (1995) Cleft width and secondary alveolar bone graft success. Cleft Palate Craniofac J 32:420–427

    Article  PubMed  Google Scholar 

  • Longacre JJ, DeStefano GA (1957) Further observations of the behavior of autogenous split-rib grafts in reconstruction of extensive defects of the cranium and face. Plast Reconstr Surg 20:281–296

    Article  CAS  Google Scholar 

  • Macisaac ZM, Rottgers SA, Davit AJ 3rd et al (2012) Alveolar reconstruction in cleft patients: decreased morbidity and improved outcomes with supple-mental demineralized bone matrix and cancellous allograft. Plast Reconstr Surg 130:625–632

    Article  CAS  PubMed  Google Scholar 

  • Manson PN (1994) Facial bone healing and bone grafts. A review of clinical physiology. Clin Plast Surg 21:331–348

    Article  CAS  PubMed  Google Scholar 

  • Marx RE, Snyder RM, Kline SN (1979) Cellular survival of human marrow during placement of marrow-cancellous bone grafts. J Oral Surg 37:712–718

    CAS  PubMed  Google Scholar 

  • Mayer M, Hollinger J, Ron E, Wozney J (1996) Maxillary alveolar cleft repair in dogs using recombinant human bone morphogenetic protein-2 and a polymer carrier. Plast Reconstr Surg 98:247–259

    Article  CAS  PubMed  Google Scholar 

  • Nanci A (2017) Embryology of the head, face, and oral cavity. In: Ten Cate’s oral histology. Development, structure, and function, 9th edn. Elsevier, pp 107–110

    Google Scholar 

  • Nique T, Fonseca RJ, Upton LG, Scott R (1987) Particulate allogeneic bone grafts into maxillary alveolar clefts in humans: a preliminary report. J Oral Maxillofac Surg 45(5):386–392

    Article  CAS  PubMed  Google Scholar 

  • Nordin KE, Johanson B (1955) Freie Knochentrans- plantation bei Defekten im Alveolarkamm nach Kie- ferortopadischer Einstellung der Maxilla bei Lippen- Kiefer-Gaumenspalten. Fortschr Kiefer Gesichts- Chir 1:168

    Google Scholar 

  • Pieske O, Wittmann A, Zaspel J et al (2009) Autologous bone graft versus demineralized bone matrix in internal fixation of ununited long bones. J Trauma Manag Outcomes 3:11

    Article  PubMed  PubMed Central  Google Scholar 

  • Pikos MA (2005) Mandibular block autografts for alveolar ridge augmentation. Atlas Oral Maxillofac Surg Clin North Am 13:91–107

    Article  PubMed  Google Scholar 

  • Posnick J (2000) The staging of cleft lip and palate reconstruction: infancy through adolescence. In: Rose A, Ross A (eds) Craniofacial and maxillofacial surgery in children and young adults. WB Saunders, Philadelphia, pp 785–815

    Google Scholar 

  • Proff P, Bayerlein T, Fanghänel J et al (2006) The application of bone graft substitutes for alveolar ridge preservation after orthodontic extractions and for augmentation of residual cleft defects. Folia Morphol (Warsz) 65:81–83

    CAS  Google Scholar 

  • Pruzansky S (1968) Presurgical orthopedics and bone grafting for infants with cleft lip and palate: a dissent. Cleft Palate J 1964(1):229–237

    Google Scholar 

  • Ramstad T, Semb G (1997) The effect of alveolar bone grafting on the prosthodontic/reconstructive treatment of patients with unilateral complete cleft lip and plate. Int J Prosthodont 10:156–163

    CAS  PubMed  Google Scholar 

  • Schuchardt K, Pfeifer G (2002) Experiences with primary bonetransplantations in harelip and cleft palate. LangenbecksArch Klin Chir Ver Dtsch Z Chir 295:881–884

    Google Scholar 

  • Stassen L (1999) Alveolar bone grafting: how I do it. In: Booth P, Schendel S, Hausamen J (eds) Oral and maxillofacial surgery. Churchill-Livingstone, New York, pp 1047–1057

    Google Scholar 

  • Stratoudakis AC (1997) Principles of bone transplantation. In: Georgiade GS, Riefkohl R, Levin LS (eds) Georgiade plastic, maxillofacial and reconstructive surgery, 3rd edn. Williams & Wilkins, Baltimore, p 39

    Google Scholar 

  • Tan AES, Brogan WF, Mccomb HK et al (1996) Secondary alveolar bone grafting-five-year periodontal and radiographic evaluation in 100 consecutive cases. Cleft Palate Craniofac J 33:513–518

    CAS  PubMed  Google Scholar 

  • Thuaksuban N, Nuntanaranont T, Pripatnanont P (2010) A comparison of autogenous bone graft combined with depro-teinized bovine bone and autogenous bone graft alone for treatment of alveolar cleft. Int J Oral Maxillofac Surg 39:1175–1180

    Article  CAS  PubMed  Google Scholar 

  • Toriumi DM, O’Grady K, Horlbeck DM, Desai D, Turek TJ, Wozney J (1999) Mandibular reconstruction using bone morphogenetic protein 2: longterm follow-up in a canine model. Laryngoscope 109:1481–1489

    Article  CAS  PubMed  Google Scholar 

  • Trindade IK, Mazzottini R, Da Silva Filho OG et al (2005) Long-term radiographic assessment of secondary alveolar bone grafting outcomes in patients with alveolar clefts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:271–272

    Article  PubMed  Google Scholar 

  • Troxell JB, Fonseca RJ, Osborn DB (1982) A retrospective study of alveolar cleft grafting. J Oral Maxillofac Surg 40:721–725

    Article  CAS  PubMed  Google Scholar 

  • Vaccaro AR (2002) The role of the osteoconductive scaffold in synthetic bone graft. Orthopedics 25:S571–S578

    Article  PubMed  Google Scholar 

  • von Eiselsberg F (1901) Zur technik der uranoplastik. Arch Klin Chir 64:509–529

    Google Scholar 

  • Witherow H, Cox S, Jones E et al (2002) A new scale to assess radiographic success of secondary alveolar bone grafts. Cleft Palate Craniofac J 39:255–260

    Article  CAS  PubMed  Google Scholar 

  • Wolfe SA, Berkowitz S (1983) The use of cranial bone grafts in the closure of alveolar and anterior palatal clefts. Plast Reconstr Surg 72(5):659–671

    Article  CAS  PubMed  Google Scholar 

  • Wolfe SA, Kawamoto HK (1968) Taking the iliac bone graft. J Bone Joint Surg Am 60:411

    Article  Google Scholar 

  • Zeitler D (2000) Alveolar cleft grafts. In: Fonseca R (ed) Oral and maxillofacial surgery. WB Saunders, Philadelphia, pp 75–86

    Google Scholar 

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Haider, S.M. (2022). Alveolar Bone Grafting. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_43-1

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  • DOI: https://doi.org/10.1007/978-981-15-3889-6_43-1

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  • Print ISBN: 978-981-15-3889-6

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