Alveolar Cleft, Alveolar Ridge Cleft
Conditions
Keywords
alveolar ridge cleft, Khoury shell technique, 3D alveolar ridge reconstruction, anterior iliac crest bone graft
Brief summary
This study aims to evaluate the sufficiency of Khoury shell technique for reconstruction of alveolar cleft. Khoury technique was carried out using cortical bone shell fixed away from alveolar bone using two micro-screws, which was harvested from anterior iliac bone crest. The gap between the shell cortical bone and the native alveolar bone was filled by cancellous bone which was harvested from anterior iliac crest bone. The whole graft was covered by collagen membrane. The volumetric bone gain of the defect was determined via CBCT.
Interventions
PROCEDUREAlveolar ridge grafting
Alveolar ridge grafting was carried out using anterior iliac crest bone graft. Khoury shell technique was the method of ridge reconstruction via a cortical bone shell was fixed away from alveolar ridge using two micro-screws and the gap created was filled by cancellous bone
Sponsors
Ministry of Health, Kuwait
October 6 University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
1. Patients with alveolar ridge cleft 2. Males and females 7-14 years of age. 3. Patients with adequate oral hygiene. 4. Compliance with all requirements in the study and signing the informed consent.
Exclusion criteria
1. Patients with diseases of the immune system or any medical condition that may influence the outcome (uncontrolled diabetes, Glycated hemoglobin- HbA1c ≥ 7%). 2. Patients with systemic disease affecting bone healing. 3. Patients who are chronic users of medications known to affect the periodontal status (calcium antagonists, anti-convulsives, immunosuppressives, anti-inflammatory medications). 4. Patients with history of intravenous and/or oral bisphosphonate use. 5. Pathologic lesions or acute infection in the area of defect. 6. Patients with poor oral hygiene that are not amenable to motivation and improvement. 8\. Vulnerable patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volumetric bone gain | 4 months | bone volumetric gain and changes measured by CBCT analysis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Eruption of the tooth in the cleft | 6-9 months | Eruption of the tooth assessed clinically and radiographically |
Countries
Kuwait
Outcome results
None listed