TY - JOUR
T1 - Extensive Gingivoperiosteoplasty Versus Secondary Alveolar Bone Grafting in Patients with Complete Bilateral Cleft Lip and Palate during the Mixed Dentition Period
T2 - A Retrospective Outcome Analysis
AU - Lu, Ting Chen
AU - Bhandari, Kishor
AU - Yao, Chuan Fong
AU - Tangco, Ivy
AU - Bajracharya, Manish
AU - Chen, Philip Kuo Ting
N1 - Funding Information:
Conflicts of interest and sources of funding: Supported by research project 109-TMUH-SP-04 of Taipei Medical University Hospital, Taipei, Taiwan. The authors declare no conflict of interest.
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Background The concept of gingivoperiosteoplasty (GPP) in the mixed dentition stage as compared with secondary alveolar bone grafting (ABG) in management of alveolar cleft has not been much discussed upon. The authors present the experience with extensive GPP and ABG in the mixed dentition stage in complete bilateral alveolar cleft cases. Methods A retrospective review of nonsyndromic patients with complete bilateral alveolar cleft operated on with either GPP or ABG (iliac crest) in the mixed dentition stage with at least 1-year follow-up was performed. Dental occlusal radiographs were evaluated for level of bone gain using Bergland and Witherow scales. Statistical evaluation of clinical success and procedure-related complications was conducted using χ2 test and odds ratio. Results Twenty-four patients in the GPP group and 20 in the ABG group were comparatively studied. Clinical success rate as indicated by Bergland scales I and II (87.5% in GPP vs 82.5% in ABG; P = 0.731), complication rate (20.83% in GPP vs 30% in ABG; P = 0.484), and status of canine eruption showed no significant differences in clinical outcomes in both groups. Conclusions The technique of extensive GPP as described by authors shows equal efficacy to secondary ABG for management of bilateral alveolar clefts during the mixed dentition period.
AB - Background The concept of gingivoperiosteoplasty (GPP) in the mixed dentition stage as compared with secondary alveolar bone grafting (ABG) in management of alveolar cleft has not been much discussed upon. The authors present the experience with extensive GPP and ABG in the mixed dentition stage in complete bilateral alveolar cleft cases. Methods A retrospective review of nonsyndromic patients with complete bilateral alveolar cleft operated on with either GPP or ABG (iliac crest) in the mixed dentition stage with at least 1-year follow-up was performed. Dental occlusal radiographs were evaluated for level of bone gain using Bergland and Witherow scales. Statistical evaluation of clinical success and procedure-related complications was conducted using χ2 test and odds ratio. Results Twenty-four patients in the GPP group and 20 in the ABG group were comparatively studied. Clinical success rate as indicated by Bergland scales I and II (87.5% in GPP vs 82.5% in ABG; P = 0.731), complication rate (20.83% in GPP vs 30% in ABG; P = 0.484), and status of canine eruption showed no significant differences in clinical outcomes in both groups. Conclusions The technique of extensive GPP as described by authors shows equal efficacy to secondary ABG for management of bilateral alveolar clefts during the mixed dentition period.
KW - bilateral complete cleft lip and palate
KW - extensive gingivoperiosteoplasty
KW - secondary alveolar bone grafting
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U2 - 10.1097/SAP.0000000000003118
DO - 10.1097/SAP.0000000000003118
M3 - Article
C2 - 35225845
AN - SCOPUS:85125431445
SN - 0148-7043
VL - 88
SP - S27-S32
JO - Annals of plastic surgery
JF - Annals of plastic surgery
ER -