Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Analysis of Repeated Bone Graft after Secondary Bone Graft in Children with Alveolar Cleft

치조열에서 재 시행한 골이식의 분석

  • Koh, Kyung Suck (Department of Plastic Surgery, University of Ulsan, College of Medicine) ;
  • Lee, Sung Wook (Department of Plastic Surgery, University of Ulsan, College of Medicine) ;
  • Choi, Jong Woo (Department of Plastic Surgery, University of Ulsan, College of Medicine) ;
  • Lee, Young Kyoo (Department of Periodontology, University of Ulsan, College of Medicine) ;
  • Kwoun, Soon Man (Eastman Orthodontic Clinic)
  • 고경석 (울산대학교 의과대학 서울아산병원 성형외과학교실) ;
  • 이성욱 (울산대학교 의과대학 서울아산병원 성형외과학교실) ;
  • 최종우 (울산대학교 의과대학 서울아산병원 성형외과학교실) ;
  • 이영규 (울산대학교 의과대학 서울아산병원 치과학교실) ;
  • 권순만 (이스트만 치과)
  • Received : 2007.12.12
  • Published : 2008.05.10
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Abstract

Purpose: The most widely accepted protocol for alveolar cleft reconstruction is to repair it during the mixed dentition stage. There were lower resorption rate (about 88%) at this stage. However we found some cases that need repeated bone grafting. Therefore we sought to analyze the cause of repeated alveolar bone grafting in connection with other factors. Methods: From January 2000 to January 2006, thirty-nine secondary alveolar bone grafts with iliac crest spongiosa were carried out. In 39 patients, 5 patients who had significant bone graft resorption received repeated alveolar bone graft. In all the cases, the causes of repeated bone grafts were dental root exposure(angulation), and the deficiency of the bony support for lateral incisor or canine eruption. In 3 cases, there was deficiency of the alveolar bone at the cleft side. There was the need of repeated bone grafts for orthodontic treatment in 2 cases and for application of dental implants in 1 case. Results: During the follow-up period, the clinical and radiologic examinations showed that repeated alveolar bone grafts were maintained successfully without any complications. The volume of the repeated bone graft was sufficient for orthodontic treatment and implantation. Conclusion: The essential conditions for successful alveolar bone grafting includes the status of cleft sided teeth, further treatment and planed schedule, as well as canine eruption. Alveolar bone grafting has to be performed with difference of each case in mind.

Keywords

References

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