Demineralized bone matrix for alveolar cleft management.
The aim of this article is to describe the results of the use of demineralized bone matrix putty in alveolar cleft of patients with cleft lip and palate. We performed a prospective, descriptive case series study, in which we evaluated the results of the management of alveolar clefts with demineralized bone matrix. Surgery was performed in 10 patients aged between 7 and 26 years (mean 13 years), involving a total of 13 clefts in the 10 patients. A preoperative cone beam computed tomography (CBCT) was taken to the patients in whom the width of the cleft was measured from each edge of the cleft reporting values between 5.76 and 16.93 mm (average, 11.18 mm). The densities of the clefts were measured with a CBCT, 6 months postoperative to assess bone formation. The results showed a register of gray values of 1,148 to 1,396 (mean, 1,270). The follow-up was conducted for 15 to 33 months (mean, 28.2 months). The results did not show satisfactory bone formation in the cleft of patients with the use of demineralized bone matrix.
Department of Plastic and Reconstructive Surgery, Hospital Intantil Universitario San Jose and FISULAB, Bogotá, Colombia.
Jose Rolando Prada
JR
Madrid
Department of Plastic and Reconstructive Surgery, La Fundación Santa Fé De Bogotá and Hospital Simón Bolivar, Bogotá, Colombia.
Viviana
V
Gomez
Department of Plastic and Reconstructive Surgery, Fundacion Universitaria de Ciencias de la Salud, Bogota, Colombia.
Bibiana
B
Mendoza
alveolar cleft; cone beam computed tomography; demineralized bone matrix