title: Early secondary alveoloplasty in cleft lip and palate.
abstract: The aims of this study were to present a personal surgical technique throughout the review of international literature concerning surgical techniques, objectives, and outcomes in early secondary alveoloplasty and to describe our personal surgical techniques in alveolar bone defect repair in cleft lip and palate.Throughout a literature analysis, it is now settled that early secondary alveoloplasty could reestablish the continuity of alveolar bone and prevent upper dental arch collapse after presurgical orthopedic upper maxilla expansion; it also might give a good bone support for teeth facing the cleft and allow the eruption of permanent elements with the bone graft and rebalance the symmetry of dental arch, improve facial aesthetic, guarantee an adequate amount of bone tissue for a further prosthetic reconstruction with implant, and finally close the eventual oronasal fistula.The surgical technique we are presenting permitted a total number of 35 early secondary alveoloplasty on which a long-term follow-up is still taking place.We can assess that early secondary alveoloplasty must be performed before permanent canine eruption. Iliac crest is the suggested donor site for bone grafting; orthopedic and orthodontic treatments must be performed in association with surgery, and if there is the dental element agenesia, an implantation treatment must be considered.
authors.affiliation: University La Sapienza of Rome, Department of Maxillo-Facial Surgery, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Arangio
authors.forename: Tito M
authors.initials: TM
authors.lastname: Marianetti
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Tedaldi
authors.forename: Valerio
authors.initials: V
authors.lastname: Ramieri
authors.forename: Piero
authors.initials: P
authors.lastname: Cascone
mesh_terms: D000539:Alveolar Process / Q000002:abnormalities / Q000601:surgery; D000543:Alveoloplasty / Q000379:methods*; D016025:Bone Transplantation; D002648:Child; D002971:Cleft Lip / Q000150:complications* / Q000601:surgery; D002972:Cleft Palate / Q000150:complications* / Q000601:surgery; D006801:Humans; D016155:Oral Fistula / Q000209:etiology / Q000601:surgery; D009971:Orthodontics, Corrective; D014078:Tooth Eruption