Aly Lobna Abdel Aziz, Hammouda Nelly
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Future University, Cairo, Egypt.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Ann Maxillofac Surg. 2016 Jul-Dec;6(2):165-171. doi: 10.4103/2231-0746.200351.
Secondary alveolar bone grafting is a method that enables an excellent oral rehabilitation of the patients having alveolar cleft. The aim of this work is to report the closure of the alveolar cleft with the use of harvested autogenous bone graft combined with deproteinized anorganic bovine bone (Bio-Oss) under local anesthesia.
Nine patients with age range, 8-11 years were consulted for their unilateral alveolar cleft.
A combination of symphyseal bone and deproteinized bovine bone mineral (DBBM) was placed into the alveolar cleft defect. Clinical and radiographical assessments were performed at 1, 3, and 6 months postoperatively.
The healing period was uneventful in all cases, and no complications, such as membrane exposure, infection, or harvest site morbidity, were observed. All treated defect sites exhibited excellent bone formation, with an average of 5.45 mm (range, 2-9 mm; standard deviation 1.93 mm) of augmentation achieved overall.
The treatment of vertically deficient alveolar ridges with guided bone regeneration using a mixture of autogenous bone and DBBM and resorbable collagen membrane can be considered successful, using this technique in an out-patient office setting.
二期牙槽骨植骨术是一种能使牙槽嵴裂患者获得良好口腔功能康复的方法。本研究旨在报告在局部麻醉下，使用采集的自体骨移植联合脱蛋白无机牛骨（Bio-Oss）封闭牙槽嵴裂的情况。
对9例年龄在8至11岁的单侧牙槽嵴裂患者进行了咨询。
将联合使用的下颌骨联合部骨和脱蛋白牛骨矿物质（DBBM）植入牙槽嵴裂缺损处。术后1个月、3个月和6个月进行临床和影像学评估。
所有病例愈合过程均顺利，未观察到诸如植骨膜暴露、感染或供骨区并发症等情况。所有治疗的缺损部位均显示出良好的骨形成，总体平均骨增量为5.45毫米（范围2至9毫米；标准差1.93毫米）。
在门诊环境中使用自体骨和DBBM混合物及可吸收胶原膜通过引导骨再生治疗垂直性牙槽嵴缺损可被认为是成功的。
