Bone grafting for the alveolar cleft defect.
Bone grafting for the alveolar cleft defect.
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DOI：
10.1016/s1073-8746(96)80014-4
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发表时间：
1996-09-01
影响因子：
4.2
通讯作者：
Waite, D E
中科院分区：
文献类型：
--
作者：
Waite, P D;Waite, D E
75%的唇腭裂患者有牙槽骨缺损。骨移植使面部和牙齿功能恢复正常。骨畸形重建失败可能导致口鼻瘘、液体反流、言语病理、上颌骨前后缺损、上颌骨横向缺损、门牙和尖牙缺乏骨支撑、牙齿拥挤和面部不对称。植骨能使上颌骨统一，最好在面部大部分发育完成和第二牙列长出后进行。这被称为二次植骨，效果最好。唇腭裂的牙面畸形最好通过牙齿发育、手术和正畸的协调来治疗。
Seventy-five percent of all cleft lip and palate patients have osseous defects of the alveolus. Bone grafting of this defect normalizes facial and dental function. Failure to reconstruct the osseous deformity may result in oronasal fistula, fluid reflux, speech pathology, anteroposterior deficiency of the maxilla, transverse deficiency of the maxilla, lack of bone support for the incisors and cuspids, dental crowding, and facial asymmetry. Bone grafting unifies the maxilla and is best done after the majority of facial growth is complete and the secondary dentition is erupting. This is known as secondary bone grafting and yields the best results. The dentofacial deformity of cleft lip and palate is best managed by coordination of dental development, surgery and orthodontics.