title: The reconstruction of bilateral clefts using endosseous implants after bone grafting.
abstract: This article presents the orthodontic reconstruction of an adult bilateral cleft patient with a severe Class III malocclusion in which endosseous implants were inserted after secondary alveolar bone grafting. The patient was a 21-year-old Japanese male whose lateral incisors were congenitally missing and whose premaxilla was inclined lingually. The occlusion was classified as Angle Class III with an overjet of -8 mm. Orthodontic alignment was initiated to correct the position of the maxillary incisors before bone grafting. After the anterior occlusal relationship was corrected, bilateral alveolar clefts were reconstructed by bone grafting with autogenous particulate marrow and cancellous bone harvested from the iliac crest. ITI-SLA fixtures (Institute Straumann, Waldenburg, Switzerland) (length, 10 mm; diameter, 4.1 mm) were placed into the grafted bone for prosthetic restoration of the missing lateral incisors. The results illustrate that this protocol can be expected to provide an acceptable occlusion and good dentoalveolar stability in adult cleft patients.
authors: School of Dental Medicine, Tsurumi University, Yokohama, Japan. isono-h@tsurumi-u.ac.jp
authors: Hiroaki
authors: H
authors: Isono
authors: Kiyokazu
authors: K
authors: Kaida
authors: Yoshiki
authors: Y
authors: Hamada
authors: Yuji
authors: Y
authors: Kokubo
authors: Masataka
authors: M
authors: Ishihara
authors: Ayao
authors: A
authors: Hirashita
authors: Yosuke
authors: Y
authors: Kuwahara
mesh_terms: D000328:Adult; D000543:Alveoloplasty; D000848:Anodontia / Q000628:therapy; D016026:Bone Marrow Transplantation; D016025:Bone Transplantation; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003481:Cuspid / Q000473:pathology; D015921:Dental Implants; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D010347:Patient Care Planning; D011378:Prognathism / Q000628:therapy; D014079:Tooth Eruption, Ectopic / Q000628:therapy; D014087:Tooth Movement Techniques; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants