Cleft Size and Success of Secondary Alveolar Bone Grafting-A Systematic Review.
Cleft Palate Craniofac J
; 60(3): 285-298, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-34967687
ABSTRACT
OBJECTIVE:
This study aimed to review all research evidence of presurgical cleft size and related factors to success of secondary alveolar bone grafting (SABG). DESIGN ANDSETTING:
The systematic review searched the OVID-Medline®, PubMed®, Embase®, and Cochrane Central Register of Controlled Trials (CENTRAL) up to August 2020. Two reviewers independently selected potential abstracts for full review. Disagreeements were resolved by consensus. The first author extracted data and assessed the risk of bias using Risk of Bias in Non-randomized studies-of Interventions tool. PATIENTS ANDINTERVENTIONS:
Patients with non-syndromic clefts who received SABG were selected. Presurgical cleft size/volume and treatment results must be available. MAIN OUTCOMEMEASURES:
Level of the grafted bone, achievement of orthodontic tooth movement into the grafted area, need for re-operation.RESULTS:
From 962 abstracts, 23 publications were included. Mean cleft width was 6.80 ± 1.98â mm, cleft area 20-240â mm2, and mean volume 0.89 ± 0.33â cm3. No definite conclusion was achieved on whether a narrow or wide cleft showed better treatment outcomes, but other potentially related factors were good oral hygiene and eruptive force of the maxillary canines. Lack of a standard definition of cleft size, a small sample size, varying outcome parameters, and moderate-to-high risk of bias contributed to the summary. A meta-analysis could not be performed because of the heterogeneity.CONCLUSION:
Due to insufficient evidence, cleft width/volume could not be specified leading to more successful SABG. Care of patients could be improved in both research by following rigorous methodology, and practice by clear communication.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fenda Labial
/
Fissura Palatina
/
Enxerto de Osso Alveolar
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Cleft Palate Craniofac J
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Tailândia