Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate

Abstract The prevalence of impaction of the permanent canine on the cleft side (PCCS) ranges from 12-35% after alveolar bone grafting (ABG). PCCSs usually develop above other permanent teeth in the alveolar process, gradually becoming vertical until they reach the occlusal plane. The type of cleft,...

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Main Authors: Bruno Mariano Ribeiro Braga, Claudia Resende Leal, Roberta Martinelli Carvalho, Gisele da Silva Dalben, Terumi Okada Ozawa
Format: Article
Language:English
Published: University of São Paulo 2023-05-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572023000100416&lng=en&tlng=en
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author Bruno Mariano Ribeiro Braga
Claudia Resende Leal
Roberta Martinelli Carvalho
Gisele da Silva Dalben
Terumi Okada Ozawa
author_facet Bruno Mariano Ribeiro Braga
Claudia Resende Leal
Roberta Martinelli Carvalho
Gisele da Silva Dalben
Terumi Okada Ozawa
author_sort Bruno Mariano Ribeiro Braga
collection DOAJ
description Abstract The prevalence of impaction of the permanent canine on the cleft side (PCCS) ranges from 12-35% after alveolar bone grafting (ABG). PCCSs usually develop above other permanent teeth in the alveolar process, gradually becoming vertical until they reach the occlusal plane. The type of cleft, hypodontia of lateral incisor on the cleft side, slower PCCS root development, and genetic factors are predictors of impaction and/or its ectopic eruption. Objective: To compare the behavior of PCCS in individuals with complete unilateral cleft lip and palate (UCLP) subjected to secondary alveolar grafting (SAG) with different materials. Methodology: This retrospective longitudinal study analyzed 120 individuals undergoing SAG with iliac crest bone, rhBMP-2, and mandibular symphysis. The individuals were selected at a single center and equally divided into three groups. Panoramic radiographs were analyzed by the Dolphin Imaging 11.95 software to measure PCCS angulation and PCCS height from the occlusal plane at two different timepoints. Results: No statistical significance was found between grafting materials (P=0.416). At T1, the PCCS height from the occlusal plane was greater for rhBMP-2 and mandibular symphysis compared to iliac crest bone. The lateral incisor on the cleft side was not related to success or lack of eruption of PCCS (P=0.870). Conclusion: Impaction rates of PCCS were similar for the materials studied. Absence of the lateral incisor on the cleft side did not prevent spontaneous eruption of PCCSs.
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spelling doaj.art-36c36d22c1cb49929a65573cb2c320892023-05-02T07:33:29ZengUniversity of São PauloJournal of Applied Oral Science1678-77652023-05-013110.1590/1678-7757-2022-0478Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palateBruno Mariano Ribeiro Bragahttps://orcid.org/0000-0003-4312-8170Claudia Resende Lealhttps://orcid.org/0000-0001-6430-612XRoberta Martinelli Carvalhohttps://orcid.org/0000-0002-9674-2580Gisele da Silva Dalbenhttps://orcid.org/0000-0002-5203-796XTerumi Okada Ozawahttps://orcid.org/0000-0002-1051-8140Abstract The prevalence of impaction of the permanent canine on the cleft side (PCCS) ranges from 12-35% after alveolar bone grafting (ABG). PCCSs usually develop above other permanent teeth in the alveolar process, gradually becoming vertical until they reach the occlusal plane. The type of cleft, hypodontia of lateral incisor on the cleft side, slower PCCS root development, and genetic factors are predictors of impaction and/or its ectopic eruption. Objective: To compare the behavior of PCCS in individuals with complete unilateral cleft lip and palate (UCLP) subjected to secondary alveolar grafting (SAG) with different materials. Methodology: This retrospective longitudinal study analyzed 120 individuals undergoing SAG with iliac crest bone, rhBMP-2, and mandibular symphysis. The individuals were selected at a single center and equally divided into three groups. Panoramic radiographs were analyzed by the Dolphin Imaging 11.95 software to measure PCCS angulation and PCCS height from the occlusal plane at two different timepoints. Results: No statistical significance was found between grafting materials (P=0.416). At T1, the PCCS height from the occlusal plane was greater for rhBMP-2 and mandibular symphysis compared to iliac crest bone. The lateral incisor on the cleft side was not related to success or lack of eruption of PCCS (P=0.870). Conclusion: Impaction rates of PCCS were similar for the materials studied. Absence of the lateral incisor on the cleft side did not prevent spontaneous eruption of PCCSs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572023000100416&lng=en&tlng=enCleft lipCleft palateBone transplantation
spellingShingle Bruno Mariano Ribeiro Braga
Claudia Resende Leal
Roberta Martinelli Carvalho
Gisele da Silva Dalben
Terumi Okada Ozawa
Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
Journal of Applied Oral Science
Cleft lip
Cleft palate
Bone transplantation
title Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
title_full Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
title_fullStr Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
title_full_unstemmed Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
title_short Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
title_sort outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate
topic Cleft lip
Cleft palate
Bone transplantation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572023000100416&lng=en&tlng=en
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