Evaluation of proximal tibial bone graft in alveolar cleft patients | ||
| Al-Azhar Assiut Dental Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 10 October 2025 | ||
| Document Type: Review Article | ||
| DOI: 10.21608/aadj.2025.416761.1218 | ||
| Authors | ||
| Zaid Mohamed Abdelnaby* 1; Mohamed Abdelsalam Khalil2; Ahmad Mohamed Mostafa El-far3; Gamal Attia El-sawy4 | ||
| 1Faculty of denal medicine Cairo,boys,Alazhar uni. | ||
| 2Professor of oral and maxillofacial surgery Faculty of Dental Medicine boys cairo Alazhar university | ||
| 3Lecturer of oral and maxillofacial surgery Faculty of Dental Medicine boys cairo Alazhar university | ||
| 4Lecturer of orthopedic faculty of medicine boys cairo Alazhar university | ||
| Abstract | ||
| Objective: This study was designed as a single-arm clinical study and received ethical approval. Patients and methods: Ten patients with alveolar clefts were randomly selected. Under general anesthesia, cancellous bone grafting was performed using the proximal tibia. At the recipient site, alveolar cleft exposure was achieved. Following decortication, the harvested bone was packed into the defect until slight overfilling, and the flaps were advanced and closed with 4-0 absorbable sutures. CBCT was performed one week preoperatively, on the second postoperative day, and at six months to assess alveolar ridge dimensions and bone gain. Results: Bone Defect Volume: Decreased significantly from 6.16 ± 0.84 mm³ preoperatively to 4.17 ± 0.91 mm³ postoperatively (p ≤ 0.001), indicating physiological remodeling. Bone Density: Increased significantly from 55.70 ± 22.58 units to 499.50 ± 41.74 units over time (p ≤ 0.001), suggesting rapid mineralization and integration. Conclusion: Proximal tibial bone grafting had the upper hand such as a simple approach , dependable, easy and effective donor site for autogenous cancellous bone in secondary alveolar cleft grafting with satisfactory wound healing. | ||
| Keywords | ||
| Tibia; Autogenous; grafting | ||
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