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Journal of Oral Surgery Jan 1951
Topics: Alveoloplasty; Jaw
PubMed: 14784885
DOI: No ID Found -
Periodontology 2000 Jun 2018Crown lengthening is one of the most common surgical procedures in periodontal practice. Its indications include subgingival caries, crown or root fractures, altered... (Review)
Review
Crown lengthening is one of the most common surgical procedures in periodontal practice. Its indications include subgingival caries, crown or root fractures, altered passive eruption, cervical root resorption and short clinical abutment, and its aim is to re-establish the biologic width in a more apical position. While the procedure in posterior areas of the dentition has been thoroughly investigated, crown lengthening performed for esthetic reasons in the anterior areas is still a matter of debate and an evidence-based technique is not available. This paper provides accurate descriptions of the surgical and restorative phases of the esthetic crown-lengthening procedure by answering the following questions: what is the ideal surgical flap design? how much supporting bone should be removed? how should the position of the flap margin relate to the alveolar bone at surgical closure? and how should the healing phase be managed in relation to the timing and the position of the provisional restoration with respect to the gingival margin?
Topics: Alveolectomy; Alveoloplasty; Crown Lengthening; Dental Restoration, Temporary; Esthetics, Dental; Humans; Surgical Flaps; Wound Healing
PubMed: 29493814
DOI: 10.1111/prd.12208 -
Anales de Pediatria Sep 2020To compare the results of secondary alveoloplasty performed in one Hospital when osteosynthesis material was used and when the bone graft does not require this material,... (Comparative Study)
Comparative Study
OBJECTIVES
To compare the results of secondary alveoloplasty performed in one Hospital when osteosynthesis material was used and when the bone graft does not require this material, and relating them to factors such as gender and age.
MATERIAL AND METHODS
A retrospective study was conducted from the years 2014 to 2019 in this Hospital on the selected patients who met the inclusion criteria. Two periods of ages, period A: ages between 5-12 years (mixed secondary alveoloplasty) and period B: greater than 12 years (late secondary alveoloplasty). Autologous bone from the iliac crest or parietal calotte was used for the bone graft. The patients were divided into 2 groups: group I: patients with alveoloplasties that required osteosynthesis material. Group II: patients who did not require osteosynthesis material. Parameters evaluated: the success criteria for alveoloplasty were assessed according to the clinical parameters described by Precious. Alveoloplasty was successful if they met all the criteria of Precious in the year of intervention. Postoperative complications in both groups were evaluated. The statistical analysis was performed using the exact Fisher test for qualitative variables.
RESULTS
Alveoloplasty was successful in 89.4% of patients in group I, while it was 90.3% in group II. Alveoloplasty was successful in 87.5% of females compared to 91.17% of males. The intervention was a success in 91.48% of patients in group A, compared to 66.6% in group B. The osteosynthesis material in two patients of group I was not degraded in the annual assessment. There were no significant differences in any of the comparisons.
CONCLUSIONS
The use of osteosynthesis material does not alter the integration of the bone graft in patients that undergo alveoloplasty. Factors such as gender or age do not influence the results of the interventions.
Topics: Age Factors; Alveolar Process; Alveoloplasty; Bone Transplantation; Child; Child, Preschool; Cleft Lip; Cleft Palate; Female; Humans; Male; Retrospective Studies; Sex Factors
PubMed: 32094091
DOI: 10.1016/j.anpedi.2020.01.009 -
International Journal of Oral and... Jan 2024This study aimed to evaluate the effectiveness of autologous platelet derivatives (APD), specifically platelet-rich plasma (PRP) or platelet-rich fibrin (PRF), combined... (Meta-Analysis)
Meta-Analysis Review
This study aimed to evaluate the effectiveness of autologous platelet derivatives (APD), specifically platelet-rich plasma (PRP) or platelet-rich fibrin (PRF), combined with autogenous iliac crest bone grafts in secondary alveoloplasty for patients with cleft lip and palate. Electronic databases, relevant journals, and reference lists of included studies were searched until July 2022. Best-evidence synthesis was performed to draw conclusions. After the search strategies, 12 randomized controlled trials were included that provided data on six outcomes: newly formed bone, mean bone loss in height and width, bone density, functionality, and postoperative complications. Two authors independently assessed the risk of bias, and the certainty of evidence was assessed using the GRADE approach. The pooled results suggest that there is uncertainty as to whether the combination of APDs with autogenous iliac crest bone grafts improves the percentage of newly formed bone, as the certainty of the evidence was assessed as very low. It may slightly improve the functionality of patients (with low certainty of the evidence) and probably slightly reduces the incidence of postoperative complications (with moderate certainty of evidence). Further randomized clinical trials with standardized methodologies are required to validate these findings.
Topics: Humans; Cleft Lip; Alveoloplasty; Cleft Palate; Bone Transplantation; Postoperative Complications
PubMed: 37730524
DOI: 10.1016/j.ijom.2023.08.008 -
Revue de Stomatologie, de Chirurgie... Nov 2014
Topics: Adolescent; Alveolar Process; Alveoloplasty; Child; Child, Preschool; Cleft Lip; Cleft Palate; Humans; Infant; Maxillofacial Abnormalities; Terminology as Topic
PubMed: 25241078
DOI: 10.1016/j.revsto.2014.08.001 -
Journal of Oral Rehabilitation Aug 2006Autologous iliac crest bone is used to close the residual alveolar bone defect in cleft palate patients during late mixed dentition. Surgery involves physical and... (Review)
Review
Autologous iliac crest bone is used to close the residual alveolar bone defect in cleft palate patients during late mixed dentition. Surgery involves physical and anaesthesiologic risks, long-time hospitalization, high costs and not always good results (15% failure rate). Alternatives to iliac crest bone grafting are going to be evaluated: synthetic, xenograft and allograft matrices combined with platelet-rich plasma or recombined bone morphogenic proteins for osteoinductivity are commercially available. These alternatives have not yet been determined to be equivalent to the previous treatment. A new field of research is represented by stem cells, which have been also used to regenerate ischaemic cardiac tissue after heart attack, to treat hypophosphatasia and osteoporosis. Our aim was to use osteoblasts from stem cells to close the residual palate cleft in association with a suitable carrier. Stem cells are expanded in the Aastrom bioreactor, differentiated into osteoblasts and positioned in the bone defect by means of a Spongostan scaffold. This scaffold has the best characteristics as commercial availability, low cost, good manageability, absence of allergic reactions or other side effects on patient, biocompatibility, imbibition, radiotransparency, reabsorbability and osteoinductivity. Previous studies encourage Spongostan scaffold application.
Topics: Alveoloplasty; Animals; Bone Transplantation; Cleft Palate; Fibrin Foam; Humans; Ilium; Rats; Stem Cell Transplantation
PubMed: 16856961
DOI: 10.1111/j.1365-2842.2005.01594.x -
Nihon Shika Ishikai Zasshi 1971
Topics: Alveoloplasty; Humans; Malocclusion; Methods; Tooth Extraction
PubMed: 5284866
DOI: No ID Found -
The Journal of Prosthetic Dentistry May 1951
Topics: Alveolectomy; Alveoloplasty; Dental Prosthesis; Humans; Prostheses and Implants
PubMed: 14832855
DOI: 10.1016/0022-3913(51)90058-3 -
Oral Surgery, Oral Medicine, and Oral... Oct 1966
Topics: Alveoloplasty; Denture, Complete, Immediate; Electrosurgery; Humans
PubMed: 5222996
DOI: 10.1016/0030-4220(66)90422-1 -
Clinics in Plastic Surgery Oct 1985Clefts of the secondary palate, either isolated or accompanying a cleft lip, are characterized by a defect in the palate of varying extent and by abnormal insertion of...
Clefts of the secondary palate, either isolated or accompanying a cleft lip, are characterized by a defect in the palate of varying extent and by abnormal insertion of the levator veli palatini muscles. Repair of the palate should be carried out in one stage, shortly before or after 1 year of age, and should include intravelar veloplasty. The technique of von Langenbeck palatoplasty with intravelar veloplasty has been described. This technique should provide velopharyngeal competency in 80 to 90 per cent of patients with clefts of the secondary palate.
Topics: Airway Obstruction; Alveoloplasty; Cleft Lip; Cleft Palate; Humans; Infant; Palate, Soft; Postoperative Complications; Surgical Flaps; Surgical Instruments; Suture Techniques; Velopharyngeal Insufficiency; Wound Healing
PubMed: 3905173
DOI: No ID Found