COMPARATIVE STUDY
JOURNAL ARTICLE

Evaluating the success of gingivoperiosteoplasty versus secondary bone grafting in patients with unilateral clefts

Damir B Matic, Stephanie M Power
Plastic and Reconstructive Surgery 2008, 121 (4): 1343-53; discussion 1368-9
18349654

BACKGROUND: The role of gingivoperiosteoplasty in closure of the cleft alveolus remains controversial. Few studies have documented long-term results of gingivoperiosteoplasty and how it compares to secondary bone grafting. The purpose of this study was to compare gingivoperiosteoplasty with secondary bone grafting by evaluating the amount of bone produced at the alveolar cleft site in patients with unilateral clefts. This comparison should help delineate the role of gingivoperiosteoplasty in the management of patients with clefts.

METHODS: Eighty-six unilateral patients past the age of permanent canine tooth eruption with repaired alveolar clefts were identified. Clinical evaluations of the alveolar cleft site were performed. Grading for 73 periapical and occlusal films was recorded using the scales of Bergland, Long et al., and Witherow et al. and grouped according to gingivoperiosteoplasty (n = 64) or secondary bone grafting (n = 9).

RESULTS: The average patient age was 17 years. The clinical success rate of gingivoperiosteoplasty was lower than that of secondary bone grafting, 41 percent versus 88 percent, respectively. Radiologic evaluations showed that the gingivoperiosteoplasty group had a greater than 90 percent failure rate. In addition, patients in the gingivoperiosteoplasty group that had salvage bone grafting after failed gingivoperiosteoplasty (n = 19) still had less bone at the alveolar cleft compared with patients in the secondary bone grafting group.

CONCLUSIONS: Gingivoperiosteoplasty resulted in bone of less quantity and poorer location within the alveolar cleft. Most unilateral clefts repaired with a gingivoperiosteoplasty will require additional bone grafting. Secondary bone grafting should continue to be considered the standard treatment.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
18349654
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.