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In cleft palate patients bone grafting during the mixed dentition has been widely accepted since the mid-1960s. The goals of surgery are to stabilize the maxilla, facilitate the healthy eruption of teeth that are adjacent the cleft, improving the esthetics of the base of the nose, create a bone base for dental implants, and to close any oro-nasal fistulas.
Bone grafts are used in hopes that the defective bone will be healed or will regrow with little to no graft rejection. [19] Besides the main use of bone grafting – dental implants – this procedure is used to fuse joints to prevent movement, repair broken bones that have bone loss, and repair broken bone that has not yet healed. [19]
At present, guided bone regeneration is predominantly applied in the oral cavity to support new hard tissue growth on an alveolar ridge to allow stable placement of dental implants. When bone grafting is used in conjunction with sound surgical technique, guided bone regeneration is a reliable and validated procedure.
The timing of the alveolar bone grafting takes into consideration both eruption of the canine and lateral incisor. The optimal time for bone grafting surgery is when a thin shell of bone still covers the soon erupting lateral incisor or canine tooth close to the cleft. [25]
X-ray showing a sinus lift in the left upper jaw Sinus lift surgery, 3D Illustration. Maxillary sinus floor augmentation [1] (also known as a sinus lift, sinus graft, sinus augmentation, or sinus procedure) is a surgical procedure that aims to increase the amount of bone in the upper back part of the jaw (or posterior maxilla) by lifting the lower sinus membrane and placing a bone graft.
In some cases, this is usually one procedure, for example lip repair. In other cases, it is an ongoing therapy, for example speech therapy. In most cases of cleft lip and palate that involve the alveolar bone, patients will need a treatment plan including the prevention of cavities, orthodontics, alveolar bone grafting, and possibly jaw surgery ...
Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. [ 1 ] [ 2 ] After tooth extraction, the jaw bone has a natural tendency to become narrow , and lose its original shape because the bone quickly resorbs , resulting in 30–60% loss in bone volume in the first six months. [ 3 ]
Alveolar bone resorption is a common side effect of tooth removal (extraction) due to severe tooth decay, trauma, or infection that limits dental implant placement. Surgical bone augmentation is associated with limitations such as high cost, bone graft rejection or failure, pain, infection, and the addition of 6–12 months to the treatment ...