27.11 Summary
With appropriate early grafting of the cleft palate child and stimulation of the graft orthodontically and orthopedically, later orthognathic surgical procedures can be avoided and the incidence of the relapse can be greatly diminished. If appropriate treatment protocols are followed, relapse and the loss of control of the premaxilla, deficiencies in growth of the premaxilla, and other functional impairments can be avoided.
Additionally, the future appears to be very exciting in the area of developing improved methods of restoration and rehabilitation of the osseous cleft palate patient involving genetic engineering resulting in minimizing complications and long-term relapse.
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References
Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg 1972; 30:85–93.
Boyne PJ. The use of marrow cancellous bone grafts in maxillary alveolar and palatal clefts. J Dent Res 1974; 14:821–824.
Boyne PJ, Sands NR. Combined orthodontic-surgical management of residual palato-alveolar cleft defects. Am J Orthod 1976; 70:20–37.
Hogeman KE, Jacobsson S, Sarnas CN. Secondary bone grafting in the cleft palate. Cleft Palate J 1972; 9:39–42.
Johanson B, Ohlsson A. Bone grafting and dental orthopedics in primary and secondary cases of cleft lip and palate. Acta Chir Scand 1961; 122–112.
Boyne PJ, Scheer PM. Longterm study of autogenously bone grafted bilateral alveolar clefts. In: Proceedings of the 4th International Symposium on Craniofacial Anomalies and Clefts of the Lip Alveolus and Palate. Hamburg, Germany, 1987. Stuttgart, Germany: Thieme-Verlag; 1991. p. 349–355.
Boyne PJ, Scheer PM. Longterm study of autogenously bone grafted unilateral alveolar clefts. In: Proceedings of the 4th International Symposium on Craniofacial Anomalies and Clefts of the Lip Alveolus and Palate. Hamburg, Germany, 1987. Stuttgart, Germany: Thieme-Verlag; 1991. p. 392–396.
Boyne PJ. Bone grafting in the osseous reconstruction of alveolar and palatal clefts. Oral Maxillofac Surg Clin North Am 1991; 3:588–597.
Precious DJ. Early secondary alveolar bone grafts (abstract). J Oral Maxillofac Surg 2003; (Suppl. 1) 61:43–44.
Rosenstein S, Kernahan D, Dado D, Grasseschi M, Griffith BH. Orthognathic surgery in cleft patients treated by early bone grafting. Plast Reconst Surg 1991; 87:835–892.
Enlow DH. Facial growth. 3rd edn. Philadelphia: WB Saunders; 1990. p. 117–123.
Semb G, (ed.) Proceedings of the 4th International Symposium on Craniofacial Anomalies and Clefts of the Lip Alveolus, and Palate. Hamburg, Germany, 1987. Stuttgart, Germany: Thieme-Verlag; 1987. p. 296–301.
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Boyne, P.J., Herford, A.S., Stringer, D.E. (2006). Prevention of Relapse Following Cleftal Bone Grafting and the Future Use of BMP Cytokines to Regenerate Osseous Clefts Without Grafting. In: Berkowitz, S. (eds) Cleft Lip and Palate. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30020-1_36
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DOI: https://doi.org/10.1007/3-540-30020-1_36
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