Stabilization of a mobile premaxilla by cementing a bite splint with 1-stage bilateral alveolar bone grafting.
This study describes a method for stabilizing maxillary segments by performing bilateral alveolar bone grafting with an acrylic splint with a flat undersurface to reduce the occlusal pressure to the premaxilla. After premaxilla repositioning and bilateral alveolar bone grafting, the splint was attached to the maxillary teeth with glass ionomer cement. In 6 bilateral cleft cases, premaxilla repositioning and bilateral alveolar bone grafting were performed in 1-stage manner, and successful results were obtained. This easy and cost-effective procedure enabled rigid fixation of the insecure premaxilla with no complications during the treatment period.
Oyama
Tomoki
T
Department of Plastic Surgery, Kobe Children's Hospital, Kobe, Japan. oyama_kch@hp.pref.hyogo.jp
Yoshimura
Yuki
Y
Onoda
Motohiro
M
Hosokawa
Ko
K
Kanomi
Ryuzo
R
D000539:Alveolar Process / Q000002:abnormalities; D000543:Alveoloplasty / Q000379:methods*; D016026:Bone Marrow Transplantation / Q000379:methods; D016025:Bone Transplantation / Q000379:methods*; D002484:Cementation / Q000191:economics / Q000379:methods*; D002648:Child; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D017090:Occlusal Splints; D016382:Orthodontic Appliance Design; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome; D055172:Vomer / Q000601:surgery
D005899:Glass Ionomer Cements