J Craniomaxillofac Surg. 2018 Dec;46(12):2052-2057. doi: 10.1016/j.jcms.2018.09.031. Epub 2018 Sep 29.
Siegenthaler M(1), Bettelini L(2), Brudnicki A(3), Rachwalski M(4), Fudalej PS(5).
Author information:
(1) Private Practice, Diemtigtalstrasse 15, 3753 Oey, Switzerland.
(2) Private Practice, Winkelstrasse 22, 1716 Plaffeien, Switzerland.
(3) Department of Paediatric Surgery (Head of the Department: Prof. Ewa Sawicka), Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland.
(4) Department of Maxillofacial and Plastic Surgery (Head of the Department: Prof. Arnaud Picard), National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, 149 Rue de Sèvres, 75015 Paris, France.
(5) Department of Orthodontics (Head of the Department: Doc. Milos Spidlen), Institute of Dentistry and Oral Sciences, Palacky University Olomouc, Palackeho 12, 771 00 Olomouc, Czech Republic; Department of Orthodontics and Dentofacial Orthopaedics (Head of the Department: Prof. Christos Katsaros), University of Bern, Freiburgstrasse 9, 3010 Bern, Switzerland. Electronic address: Piotr.fudalej@zmk.unibe.ch.
OBJECTIVE:
To evaluate the dental arch relationship in preadolescent children with complete unilateral cleft lip and palate after early secondary alveolar bone grafting (E-ABG) by comparing to late bone grafting (L-ABG).
MATERIAL AND METHODS:
Two raters blindly assessed the dental arch relationship with the modified Huddart-Bodenham (HB) Index for 2 groups: E-ABG group (36children, mean age 9.6 years) and L-ABG group (56 children, mean age 11.1 years). The groups differed with respect to age at which alveolar bone grafting was performed: between 1.4 and 4.1 years (mean 2.2 years, E-ABG group) and after 8 years (L-ABG group). T-test was run to compare scores between 2 groups. Regression analysis was carried out to evaluate gender, age at cleft repair, ageat ABG, and age at assessment with the HB index.
RESULTS:
The overall HB scores were -6.77 and -4.25 in the E-ABG and L-ABG groups, respectively (p = 0.025). Regression analysis showed that only the age at cleft repair influenced the HB scores.
CONCLUSION:
ABG carried out between 2 and 4 years of age does not seem to negatively affect the dental arch relationship at the age of 10 years in comparison to L-ABG.
Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery.
Published by Elsevier Ltd. All rights reserved.
DOI: 10.1016/j.jcms.2018.09.031
PMID: 30416034 [Indexed for MEDLINE]
