Reconstruction of residual alveolar cleft defects with one-stage mandibular bone grafts and osseointegrated implants

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
J JensenH Enemark

Abstract

This study evaluates a treatment regimen for reconstruction of residual maxillary alveolar cleft defects consisting of mandibular bone grafting and immediate implant installation. Sixteen cleft patients (five female and 11 male) had residual cleft defects of the alveolar ridge reconstructed with bone grafts from the mandibular symphyseal region. The bone graft was pretapped at the donor site before fixation in the residual ridge with Brånemark implants. Twenty implants were installed according to this concept. The period of observation ranged from 36 to 69 months, with a mean of 48 months after implant installation. Five patients developed wound dehiscenses that resulted in total or partial bone graft sequestration. Two implants were lost, one due to sequestration and the other due to mobility at the abutment procedure; 18 implants were still well functioning at the end of the observation period. However, all patients showed significant periimplant bone resorption after this one-stage treatment. Because of the observed complication rate, the one-stage procedure may not be optimal for reconstructing residual cleft defects.

References

Jul 1, 1991·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·R A BraganzaS M Pransky
Jul 1, 1993·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·T W Lund, M Wade

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Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Richard A SmithAnthony G Sclar
Nov 11, 2008·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Ali HassaniHamed Vaziri
Nov 11, 1999·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·C M Misch
Jun 5, 1999·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·C M Misch
Apr 11, 2001·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·H EnemarkC Bosch
Sep 10, 2004·Clinical Oral Implants Research·M S CuneR Koole
May 24, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Jorge Francisco Fiamengui Filho, Ana Lúcia Pompéia Fraga de Almeida
Jul 12, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Constantin A LandesRobert Sader
Dec 19, 1998·Journal of Orofacial Orthopedics = Fortschritte Der Kieferorthopädie : Organ/official Journal Deutsche Gesellschaft Für Kieferorthopädie·H Friede, C Katsaros
Jul 5, 2007·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Yoshiro MatsuiHajime Miyashita
Apr 25, 2013·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Constantin A LandesRobert Sader
Nov 2, 2019·Journal of Stomatology, Oral and Maxillofacial Surgery·I Saint-SurinL Lauwers

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