Alveolar cleft bone grafting: factors affecting case prognosis
Basel Mahardawi1, Kiatanant Boonsiriseth1, Verasak Pairuchvej1
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
|December 30, 2020
Summary
Alveolar cleft bone grafting success is significantly impacted by cleft type and size. Larger clefts (over 10 mm) and bilateral clefts increase complication and failure risks, requiring careful patient counseling.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Plastic Surgery
Background:
- Alveolar cleft bone grafting is a critical procedure in managing cleft lip and palate deformities.
- Predicting and mitigating complications is essential for successful outcomes.
Purpose of the Study:
- To identify key factors influencing the success of alveolar cleft bone grafting.
- To analyze the impact of cleft characteristics and surgical techniques on graft outcomes.
Main Methods:
- Retrospective review of 67 patient records and radiographic assessments.
- Analysis of factors including cleft type, size, patient sex, age, and surgical flap type.
- Classification of patients into groups based on complication severity and graft failure (Bergland scale).
Main Results:
- Cleft type and size were significantly associated with complications (OR=5.118) and severe outcomes (OR=6.000).
- Cleft type was also linked to graft failure (OR=4.833).
- Age, sex, and flap type did not show statistical significance in this study.
Conclusions:
- Cleft size exceeding 10 mm and bilateral clefts are critical factors impacting bone grafting outcomes.
- Clinicians must consider these factors and inform patients about potential risks.
