Methods of Upper Jaw Plastic Surgery for Congenital Cleft Lip and Palate

Clicks: 343
ID: 275774
2022
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Abstract
Alveolar cleft is a tornado-shaped bone defect in the maxillary arch. The treatment goals for alveolar cleft are stabilization and provision of bone continuity to the maxillary arch, permitting support for tooth eruption, eliminating oronasal fistulas, providing an improved esthetic result, and improving speech. Treatment protocols vary in terms of the operative time, surgical techniques, and graft materials. Early approaches including boneless bone grafting (gingivoperiosteoplasty) and primary bone graft fell into disfavor because they impaired facial growth, and they remain controversial. Secondary bone graft (SBG) is not the most perfect method, but long-term follow-up has shown that the graft is absorbed to a lesser extent, does not impede facial growth, and supports other teeth. Accordingly, SBG in the mixed dentition phase (6–11 years) has become the preferred method of treatment. The most commonly used graft material is cancellous bone from the iliac crest. Recently, many researchers have investigated the use of allogeneic bone, artificial bone, and recombinant human bone morphogenetic protein, along with growth factors because of their ability to decrease donor-site morbidity. Further investigations of bone substitutes and additives will continue to be needed to increase their effectiveness and to reduce complications.
Reference Key
I.2022internationalMethods Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Tojiev F. I.;Azimov A. M.;Karimov Sh. I.;Xasanov SH. M.;Sharopov S. G.;
Journal International Journal of Health Systems and Medical Sciences
Year 2022
DOI
348
URL
https://inter-publishing.com/index.php/IJHSMS/article/view/348
Keywords
alveolar bone grafting alveolar process congenital cleft lip and palate nutrient foramen ulna clinical importance foraminal index

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