Alveolar Clefts Treatment With Distraction Osteogenesis: A Systematic Review
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Author |
Dr. Yasser Al Moudallal and Dr. Nesreen Khankan |
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Published in |
Journal of the Arab Board of Health Specializations, Volume 14, No. 2, 2013 |
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Abstract |
Objective: Alveolar cleft managements have witnessed fast revolution in the last decades, which might be confusing for the clinician when choosing the best treatment modality for his/her patient. This research aims at reviewing the literature dealing with alveolar cleft treatment through distraction osteogenesis technique and analyzing its data. Methods: A review of the literature on alveolar cleft treatment with distraction osteogenesis was made based on a PubMed search, covering the period until 31 July 2012. Eight articles covering 86 patients were analyzed, considering surgical technique, procedural parameters, type of distractor, and subsequent grafting. Results: Surgical procedures varied concerning the osteotomy design, subsequently, the distraction direction. Also, biological parameters were different between studies and even in the same study. The latency period ranged between 3 and 10 days among studies, with a mean of 5.76 days. Studies also differed by distraction rate, with a mean of 0.83 mm/day. Consolidation period also varying from 1 to 3 months and several studies have completely failed to mention it. Generally, studies depended on individual tooth-borne devices in their researches which have been accompanied by a number of complications. As for subsequent grafting, it was necessary in a well number of cases. Conclusions: Treating alveolar cleft through the distraction technique still needs further studies on a scientific base, especially concerning biological parameters, though all authors have concluded that it is a useful method for treating alveolar clefts. It is of great importance to validate surgical strategies and also the outcomes from using different distraction devices by long-term studies in the future. |
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