Postoperative Assessment of Secondary Alveolar Bone Grafting Using a Combination of β-Tricalcium Phosphate and Chin...

Secondary alveolar bone grafting (sABG) is crucial for the treatment of alveolar clefts. However, postoperative bone formation using a graft material comprising a mixture of beta-tricalcium phosphate (β-TCP) and chin bone has been previously evaluated only 2-dimensionally, using plain radiographic images. In this study, the authors aimed to retrospectively and 3-dimensionally assess bone formation following sABG in patients with an alveolar cleft, using a mixture of β-TCP and chin bone. Thirty-eight patients with unilateral cleft lip and alveolus (CLA, n=13) or unilateral cleft lip and palate (CLP, n=25) who underwent sABG at our hospital were recruited. The grafted material was replaced with normal bone structure within 6 months postsurgery. The authors conducted a 3-dimensional evaluation utilizing cone-beam computed tomography images taken before surgery and at 1 week, 6 months, and 12 months postsurgery. Bone survival rates inside and outside the dental arch were 56.3% and 4.6%, respectively. No patients exhibited complete resorption of the material. This combination of β-TCP and chin bone demonstrated favorable bone formation following sABG in patients with unilateral CLA and CLP.