Efficacy of Sticky Bone (Combined Autologous Fibrin Glue with Bovine Bone) in Secondary Cleft Alveolar Bone Grafting | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 11, Volume 47, Issue 3, July 2023, Page 221-229 PDF (18.25 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.321763 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| SAMIR ELBOROLOSY* 1; Moataz Rizk2; Hamada A Mahran3; Mohamed Abdelfattah4; Mohammed N A Mohammed5; Mohamed M El Shamaa1 | ||||
| 1The Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Beni-Suef University | ||||
| 2Oral & Maxillofacial Surgery Department, Alexandria University | ||||
| 3General Surgery Department, Faculty of Medicine, Assiut University | ||||
| 4Oral Biology Department, Faculty of Dentistry, Beni-Suef University & Oral Biology Department, Faculty of Dentistry, Newgiza University4 | ||||
| 5Oral & Maxillofacial Surgery Department, Faculty of Dentistry, Assiut University | ||||
| Abstract | ||||
| Background: Bone grafting of the cleft maxilla before eruption of the permanent cuspid has become an accepted part of the management of patients with clefts involving the maxillary alveolus. The reasons for performing a bone graft are to stabilize the maxillary segments and provide bony support for the teeth adjacent to the cleft. Objective: The aim of the present study is clinical and radiographic evaluation of the outcome and efficacy of sticky bone (mixture of autologous fibrin glue (AFG) and bovine bone graft) as a bone substitute for the treatment of alveolar cleft. Patients and Methods: 41 patients with a total of 58 alveolar clefts, 17 bilateral and 24 unilateral clefts, treated by alveolar bone grafts using sticky bone. Their age ranged from 6 to 18 years with a mean of 11.6. The follow-up was up to one year. Results: From a total number of 58 alveolar clefts. Adequate healing was resented in 47 of them [30 of them were class I (51.7%) and 17 were class II (17%)]. Inadequate bone healing occurred in 11 clefts [6 of them were class III (10.3%) and 5 were class IV (8.6%)]. Conclusions: Bone grafting of alveolar clefts is a mandatory step in the management of cleft lip and palate patients, sticky bone could be considered as promising and effective bony substitute and could be used efficiently for the treatment of cleft alveolus as an alternative to autogenous bone grafts to avoid harvesting bone of the patient and its complications and the earlier the grafting producers are done, the better quality of grafted bone. | ||||
| Keywords | ||||
| Alveolar cleft; Alveolar bone grafts; Bone substitute; Cleft lip and palate; Sticky bone | ||||
| References | ||||
|
Gillras T.J., MacDonald J.P., Mossey P.A. and Welbury R.R.: The impact of alveolar bone grafting on cleft lip and palate: A literature review. South Eur. J. Orthod. Dentofac. Res., 1: 19-22, 2014. 2- Boyne P.J.: Secondary bone grafting of residual alveolar and palatal clefts. J. Oral Surg., 30: 87-92, 1972. 3- Kaura A.S., Srinivasa D.R. and Kasten S.J.: Optimal timing of alveolar cleft bone grafting for maxillary clefts in the cleft palate population. J. Craniofac. Surg., 29: 1551-7, 2018. 4- Fahradyan A., Tsuha M., Wolfswinkel E.M., Mitchell KA. S., Hammoudeh J.A. and Magee W. 3rd.: Optimal timing of secondary alveolar bone grafting: A literature review. J. Oral Maxillofac. Surg., 77: 843-49, 2019. 5- Sharma S., Schneider L.F., Barr J., Aarabi S., Chibbaro P., Grayson B. and Cutting C.B.: Comparison of minimally invasive versus conventional open harvesting techniques for iliac bone graft in secondary alveolar cleft patients. Plast. Reconstr. Surg., 128: 485-491, 2011. 6- Davies D.: The one stage repair of unilateral cleft lip and palate: A preliminary report. Plast. Reconstr. Surg., 38: 129-136, 1966. 7- Hudak K.A., Hettinger P. and Denny A.D.: Cranial bone grafting for alveolar clefts: A 25-year review of outcomes. Plast. Recnstr. Surg., 133: 662e-668e, 2014. 8- Walia A.: Secondary alveolar bone grafting in cleft of the lip and palate patients. Contemp Clin. Dent., 2: 146-54, 2011. Egypt, J. Plast. Reconstr. Surg., July 2023 229 9- Misch C.E. and Dietch F.M.: Keys to bone grafting and bone grafting materials. In: Misch C.E., ed. Contemporary Implant Dentistry. St. Louis, MO: Mosby Elsevier, 839- 868, 2008. 10- Su-Gwan K., Hak-Kyun K. and Sung-Chul L.: Combined implantation of particulate dentine, plaster of Paris and a bone xenograft (Bio-Oss) for bone regeneration in rats. J. Craniomaxillofac. Surg., 29: 282-288, 2001. 11- Rychlik D. and Wojcicki P.: Bone graft healing in alveolar osteoplasty in patients with unilateral lip, alveolar process and palate clefts. J. Craniofac., 23: 118-123, 2012. 12- Kim J.: Utilization of autologous concentrated growth factors (CGF) enriched bone graft matrix (sticky bone) and CGF-Enriched fibrin membrane in implant dentistry, 7: 11-28, 2015. 13- Sohn D.S., Huang B., Kim J., Park W.E. and Park C.C.: Utilization of autologous Concentrated Growth Factors (CGF) enriched bone graft matrix (sticky bone) and CGFenriched fibrin membrane in implant dentistry. J. Implant Adv. Clin. Dent., 7: 11-29, 2015. 14- Abyholm F.E., Bergland O. and Semb G.: Secondary bone grafting of alveolar clefts. A surgical/orthodontic treatment enabling a non-prosthodontic rehabilitation in cleft lip and palate patients. Scand J. Plast. Reconstr. Surg., 15: 127-40, 1981. 15- Yoshida S., Suga K., Nakano Y., Sakamoto T., Takaki T. and Uchiyama T.: Postoperative evaluation of grafted bone in alveolar cleft using three-dimensional computed tomography data. Cleft Palate Craniofac. J., 50: 671-7, 2013. 16- Rosenstein S.W., Long R.E. Jr., Dado D.V., Vinson B. and Alder M.E.: Comparison of 2-D calculations from periapical and occlusal radiographs versus 3-D calculations from CAT scans in determining bone support for cleftadjacent teeth following early alveolar bone grafts. Cleft Palate Craniofac. J., 34: 199-205, 1997. 17- Boyarskiy S., Choi H.J. and Park K.: Evaluation of alveolar bone support of the permanent canine in cleft and noncleft patients. Cleft Palate Craniofac J., 43: 678-682, 2006. 18- Samman N., Cheung L.K. and Tideman H.: A comparison of alveolar bone grafting with and without simultaneous maxillary osteotomies in cleft palate patients. Int. J. Oral Maxillofac. Surg., 23: 65-70, 1994. 19- Dissaux C., Bodin F., Grollemund B., Bridonneau T., Kauffmann I., Mattern J-F. and Bruant-Rodier C.: Evaluation of success of alveolar cleft bone graft performed at 5 years versus 10 years of age. J. Cranio-Maxillofac. Surg., 44: 21-6, 2016. 20- Abramowicz S., Katsnelson A., Forbes P.W. and Padwa B.L.: Anterior versus posterior approach to iliac crest for alveolar cleft bone grafting. J Oral Maxillofac. Surg., 70: 211-5, 2012. 21- Dottore A.M., Kawakami P.Y., Bechara K., Rodrigues J.A., Cassoni A., Figueiredo L.C., Piattelli A. and Shibli J.A.: Stability of implants placed in augmented posterior mandible after alveolar osteotomy using resorbable nonceramic hydroxyapatite or intraoral autogenous bone: 12- month follow-up. Clin. Implant Dent Relat. Res., 16: 330- 6, 2014. 22- Oberoi S., Chigurupati R., Gill P., Hoffman W.Y. and Vargervlk K.: Volumetric assessment of secondary alveolar bone grafting using cone beam computed tomography. Cleft Palate Craniofac. J., 46: 503-11, 2009. 23- Cohen M., Figueroa A.A., Haviv Y., Schafer M.E. and Aduss H.: Iliac versus cranial bone for secondary grafting of residual alveolar clefts. Plast. Reconstr. Surg., 87: 423- 7, 1991. 24- Orsini G., Scarano A., Degidi M., Caputi S., Iezzi G. and Piattelli A.: Histological and ultrastructural evaluation of bone around Bio-Oss particles in sinus augmentation. Oral Dis., 13: 586-93, 2007. 25- Jeevan Kumar K.A., Rao J.B., Pavan Kumar B., Mohan A.P., Patil K. and Parimala K.: A prospective study involving the use of platelet rich plasma in enhancing the uptake of bone grafts in the oral and maxillofacial region. J. Maxillofac. Oral Surg., 12: 387-394, 2013. 26- Foster T.E., Puskas B.L., Mandlebaum B.R., Gerhardt M.B. and Rodeo S.A.: Platelet-rich plasma: From basic science to clinical applications. Am. J. Sport Med., 37: 2259-72, 2009. 27- Kim Y.J., Lee J.Y., Kim J.E., Park J.C., Shin S.W. and Cho K.S.: Ridge preservation using demineralized bone matrix gel with recombinant human bone morphogenetic protein-2 after tooth extraction: A randomized controlled clinical trial. J. Oral Maxillofac. Surg., 72: 1281-90, 2014. 28- Alonso N., Tanikawa D.Y., Freitas R.D., Canan L., Ozawa T.O. and Rocha D.L.: Evaluation of maxillary alveolar reconstruction using a resorbable collagen sponge with recombinant human bone morphogenetic protein-2 in cleft lip and palate patients. Tissue Eng Part C Methods, 16: 1183-89, 2010. 29- Witherow H., Cox S., Jones E., Carr R. and Waterhouse N.: A new scale to assess radiographic success of secondary alveolar bone grafts. Cleft Palate Craniofac. J., 39: 255- 60, 2002. 30- Mikoya T., Inoue N., Matasuzawa Y., Totsuka Y., Kajii T.S. and Hirosawa T.: Monocortical mandibular bone grafting for reconstruction of alveolar cleft. Cleft Palate Craniofac. J., 47: 454-68, 2010. | ||||
|
Statistics Article View: 140 PDF Download: 291 |
||||
