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Alveolar Bone Graft Stabilization with Custom Maxillary Splints.

Erinn N Kim1,2, Emily M Graham1,2, Fatma B Tuncer1

  • 1Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.

Plastic and Reconstructive Surgery. Global Open
|December 10, 2020
PubMed
Summary

A custom maxillary splint aids healing after secondary alveolar bone grafting in cleft patients. This device stabilizes the palate and protects surgical sites, improving bone graft success.

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Area of Science:

  • Craniofacial Surgery
  • Oral and Maxillofacial Surgery
  • Pediatric Plastic Surgery

Background:

  • Secondary alveolar bone grafting is crucial for cleft palate patients.
  • Challenges include fistulas, wide clefts, and bilateral defects, requiring extensive soft tissue mobilization.
  • High micro-motion and tensionless repair are critical factors affecting bone graft success.

Purpose of the Study:

  • To describe the manufacture and placement of a custom postoperative maxillary splint.
  • To evaluate the splint's utility in secondary alveolar bone grafting for cleft patients.
  • To enhance bony and soft tissue healing environments post-surgery.

Main Methods:

  • Custom maxillary splints were manufactured for patients undergoing secondary alveolar bone grafting.
  • Splints were designed to encompass the palate and alveolus.
  • The splints were placed postoperatively to stabilize the maxillary arch and protect incision lines.

Main Results:

  • The custom splint provides stabilization of the maxillary arch.
  • The splint protects critical incision lines during the healing phase.
  • The device serves as a useful adjunct in facilitating postoperative healing.

Conclusions:

  • Custom postoperative maxillary splints are beneficial following secondary alveolar bone grafting.
  • The splint aids in creating an optimal environment for graft take and healing.
  • This method offers a valuable approach for managing complex cleft cases.