Varsha H Upadya1, H Hari Kishore Bhat2, K Gopalkrishnan3. 1. Craniofacial Surgery and Research Center, Department of Oral and Maxillofacial Surgery, S.D.M. College of Dental Sciences, Sattur, Dharwad, Karnataka India ; Department of Oral and Maxillofacial Surgery, Farooqia Dental College and Hospital, Tilak nagar, Mysore, Karnataka India ; Department of Oral and Maxillofacial Surgery, Farooqia College of Dental Sciences, Farooqia Dental College and Hospital, Eidgah, Tilak nagar, Mysore, 570 021 India. 2. Craniofacial Surgery and Research Center, Department of Oral and Maxillofacial Surgery, S.D.M. College of Dental Sciences, Sattur, Dharwad, Karnataka India ; Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Kothrepally, Vikarabad, Andhra Pradesh India. 3. Craniofacial Surgery and Research Center, Department of Oral and Maxillofacial Surgery, S.D.M. College of Dental Sciences, Sattur, Dharwad, Karnataka India.
Abstract
PURPOSE: To evaluate the effect of cleft width and the pre-surgical position of the permanent cuspid, on the success of secondary alveolar bone grafts, using preoperative and post-operative radiographs. METHODOLOGY: A total of 20 cases treated with secondary alveolar bone grafting for alveolar clefts were included in the study. Pre-surgical maxillary occlusal radiograph was used to determine the cleft width. Canine position was assessed by marking 6 points on a pre-surgical intra oral periapical radiograph. Alveolar bone contour and the success of bone grafts were determined using 11 points marked on post-operative periapical radiographs taken after a minimum follow-up of 6 months. RESULTS: Linear regression analysis of pre-operative cleft width and pre-operative position of the permanent cuspid were carried out on the bone graft success which was determined using post-surgical periapical radiographs. P < 0.05 was set. The results obtained had weak correlations and were statistically not significant. CONCLUSION: We concluded that the success of the alveolar bone graft has minimal or no relation to the pre-operative width of the cleft or the position of the permanent cuspid at the time of grafting.
PURPOSE: To evaluate the effect of cleft width and the pre-surgical position of the permanent cuspid, on the success of secondary alveolar bone grafts, using preoperative and post-operative radiographs. METHODOLOGY: A total of 20 cases treated with secondary alveolar bone grafting for alveolar clefts were included in the study. Pre-surgical maxillary occlusal radiograph was used to determine the cleft width. Canine position was assessed by marking 6 points on a pre-surgical intra oral periapical radiograph. Alveolar bone contour and the success of bone grafts were determined using 11 points marked on post-operative periapical radiographs taken after a minimum follow-up of 6 months. RESULTS: Linear regression analysis of pre-operative cleft width and pre-operative position of the permanent cuspid were carried out on the bone graft success which was determined using post-surgical periapical radiographs. P < 0.05 was set. The results obtained had weak correlations and were statistically not significant. CONCLUSION: We concluded that the success of the alveolar bone graft has minimal or no relation to the pre-operative width of the cleft or the position of the permanent cuspid at the time of grafting.