Article Data

  • Views 661
  • Dowloads 148

Original Research

Open Access

Alternative Approaches to Managing the Cleft Alveolus

  • Sabarinath VP1,*,
  • Vasant Radhakrishnan2
  • Hazarey PV3
  • Sreeja Ravindran4

1Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia

2Charles Pinto Cleft Center, Jubilee Mission Hospital,Trichur, Kerala

3Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College, Wardha

4Ibn Sina National College for Medical Studies, Jeddah ,Saudi Arabia

DOI: 10.17796/jcpd.38.1.n152280p45mj53m2 Vol.38,Issue 1,January 2014 pp.89-93

Published: 01 January 2014

*Corresponding Author(s): Sabarinath VP E-mail: sabari23@rediffmail.com

Abstract

The cleft alveolus component of the oral cleft deformity is addressed with a separate surgical stage. Several host and operator related factors affect the surgical outcome. When factors that increase the likelihood of secondary alveolar bone graft failure are identified, alterative methods like dentoalveolar distraction (DAD) may be employed. In infants, molding of the alveolar segments is possible and when a synergistic surgical approach is used, the possibility of successful alveolar cleft repair is increased. The authors present two case reports wherein the use of nasoalveolar molding (NAM) and DAD helped to tackle the alveolar cleft deformity.

Keywords

Cleft palate, cleft alveolus, maxillary distraction, nasoalveolar molding, children

Cite and Share

Sabarinath VP,Vasant Radhakrishnan,Hazarey PV,Sreeja Ravindran. Alternative Approaches to Managing the Cleft Alveolus. Journal of Clinical Pediatric Dentistry. 2014. 38(1);89-93.

References

1. Rosenstein SW, Dado DV. Early Bone Grafting with the Functional Cleft Lip Repair. Semin Plast Surg 19:302–312, 2005.

2. Berkowitz S. A comparison of treatment results in complete bilateral cleft lip and palate using a conservative approach versus Millard-Latham PSOT procedure. Semin Orthod 2:169-184, 1996.

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

4. Abyholm F, Bergland O, Semb G. Secondary bone grafting of alveolar clefts. Scand J Plast Reconstr Surg 15:127–140,1981.

5. Eppley BL, Sadove AM. Management of alveolar cleft bone grafting--state of the art. Cleft Palate Craniofac J 37:229-233,2000.

6. Long RE, Paterno M, Vinson B. Effect of cuspid positioning in the cleft at the time of secondary alveolar bone grafting on eventual graft success. Cleft Palate J 33:225–230, 1996.

7. Williams A, Semb G,Bearn D, Shaw W, Sandy J.Prediction of outcomes of secondary alveolar bone grafting in children born with unilateral cleft lip and palate. Eur J Orthod 25:205-11,2003.

8. Long RE, Spangler BE, Yow M. Cleft width and secondary alveolar bone graft success. Cleft Palate J 35:420–426,1995.

9. van der Meij AW, Baart JA, Prahl-Andersen B, Kostense PJ, van der Sijp JR, Tuinzing DB Outcome of bone grafting in relation to cleft width in unilateral cleft lip and palate patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96:19-25, 2003.

10. Aurouze C, Moller KT, Bevis RR, Rehm K, Rudney J. The presurgical status of the alveolar cleft and success of secondary bone grafting. Cleft Palate Craniofac J 37: 179-184, 2000.

11. Liou EJ, Chen PK, Huang CS, Chen YR. Interdental distraction osteogenesis and rapid orthodontic tooth movement: a novel approach to approximate a wide alveolar cleft or bony defect. Plast Reconstr Surg 105:1262- 1272, 2000.

12. Sakamoto T, Ishii T, Mukai M, Ueki A, Sueishi K, Suga K, Nakano Y, Uchiyama T. Application of interdental distraction osteogenesis to unilateral cleft lip and palate patients. Bull Tokyo Dent Coll 52 :103-112, 2011.

13. Yen SL, Gross J, Wang P, Yamashita DD. Closure of a large alveolar cleft by bony transport of a posterior segment using orthodontic archwires attached to bone: report of a case. J Oral Maxillofac Surg 59:688-691, 2001.

14. Sitzman TJ, Girotto JA, Marcus JR. Current surgical practices in cleft care: unilateral cleft lip repair. Plast Reconstr Surg 121 :261-270,2008.

15. Grayson B, Santiago PE, Brecht LE, Cutting CB. Presurgical Nasoalveolar Molding in Infants with Cleft Lip and Palate. Cleft Palate Craniofac J 36: 486–98, 1999.

16. Santiago PE, Grayson BH, Cutting CB, Gianoutsos MP, Brecht LE, Kwon SM. Reduced need for alveolar bone grafting by presurgical orthopedics and primary gingivoperiosteoplasty. Cleft Palate Craniofac J 35 :77-80,1998.

17. Hsieh CH, Ko EW, Chen PK, Huang CS. The effect of gingivoperiosteoplasty on facial growth in patients with complete unilateral cleft lip and palate.Cleft Palate Craniofac J 47:439-446, 2010.

18. Lilja J. Alveolar bone grafting. Indian J Plast Surg 42:110-115, 2009.

19. Dolanmaz D, Karaman AI, Durmus E, Malkoc S.Management of alveolar clefts using dento-osseous transport distraction osteogenesis. Angle Orthod 73:723-729, 2003.

20. Radhakrishnan V, Sabarinath VP, Thombare P, Hazarey PV, Bonde R, Sheorain A. Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants. J Clin Pediatr Dent 34:267-274, 2010.

21. Sabarinath VP, Thombare P, Hazarey PV, Radhakrishnan V, Agrekar S. Changes in maxillary alveolar morphology with nasoalveolar molding. J Clin Pediatr Dent35:207-212, 2010.

22. Huang CS, Cheng HC, ChenYR, Noordhoff MS. Maxillary dental arch affected by difference sleep positions in unilateral complete cleft lip and palate infants. Cleft Palate Craniofac J 31: 179–184, 1994.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

PubMed (MEDLINE) PubMed comprises more than 35 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web sites.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top