title: Secondary bone grafting of alveolar clefts: a review of outcome at two centres in Australia and the UK.
abstract: Secondary alveolar bone grafting is a key procedure in comprehensive cleft services, the main objective of which is to allow the canine to erupt through the bone. We have assessed the outcomes of the procedure at two units, one in Australia and one in the UK. Success was measured using standardised indexes for radiological assessment (Bergland and Kindelan) and clinically by noting eruption of canines through the grafted sites. The two-year review indicated that the two units had comparably high success rates. Canines erupted through cleft sites in 27/28 sites in patients in the UK, and 26/28 in patients in Australia, and the radiological success using the indexes was also high. These rates are in line with international benchmarks.
authors.affiliation: Royal Children's Hospital, Melbourne, Australia. Electronic address: rickumar@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Royal Children's Hospital, Melbourne, Australia. Electronic address: aheggie@bigpond.com.au.
authors.forename: A
authors.initials: A
authors.lastname: Heggie
authors.affiliation: Royal Children's Hospital, Melbourne, Australia. Electronic address: jmshand@bigpond.com.au.
authors.forename: J
authors.initials: J
authors.lastname: Shand
authors.affiliation: Alder Hey Children's NHS Foundation Trust, Eaton Road, West Derby, Liverpool, L12 2AP. Electronic address: susana.dominguez-gonzalez@alderhey.nhs.uk.
authors.forename: S
authors.initials: S
authors.lastname: Dominguez-Gonzalez
authors.affiliation: Royal Children's Hospital, Melbourne, Australia. Electronic address: nicky@bassdata.com.au.
authors.forename: N
authors.initials: N
authors.lastname: Kilpatrick
authors.affiliation: Royal Stoke University Hospital, Newcastle Road, Stoke-on-Trent ST4 6QG. Electronic address: jineshdent@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D064728:Alveolar Bone Grafting / Q000379:methods*; D001315:Australia; D019985:Benchmarking; D002648:Child; D002971:Cleft Lip / Q000000981:diagnostic imaging / Q000601:surgery*; D002972:Cleft Palate / Q000000981:diagnostic imaging / Q000601:surgery*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies; D014078:Tooth Eruption; D016896:Treatment Outcome; D006113:United Kingdom
keywords: Canine eruption in clefts; Secondary alveolar bone grafting; Success of bone grafting on alveolar clefts