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 Table of Contents  
CATEGORY: REVIEW
Year : 2020  |  Volume : 20  |  Issue : 5  |  Page : 41-42

Time gap between grafting and dental implant placement in cleft lip and alveolus patients: A Systematic Review


Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India

Date of Web Publication8-Jan-2021

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.306427

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How to cite this article:
Mallick R. Time gap between grafting and dental implant placement in cleft lip and alveolus patients: A Systematic Review. J Indian Prosthodont Soc 2020;20, Suppl S1:41-2

How to cite this URL:
Mallick R. Time gap between grafting and dental implant placement in cleft lip and alveolus patients: A Systematic Review. J Indian Prosthodont Soc [serial online] 2020 [cited 2021 Jan 25];20, Suppl S1:41-2. Available from: https://www.j-ips.org/text.asp?2020/20/5/41/306427



Introduction: Orofacial cleft is a common congenital anomaly, accounting global prevalence of 0.79 to 1.3 cases in 1000 live births. Cleft can manifest alone or in combination of cleft lip or palate which can either be unilateral or bilateral. Alveolar cleft is a common finding with concomitant occurrence in 75percent of total cases, an incidence of 1.8 to 2.5 in 1000 live births. Alveolar cleft can either derange normal teeth eruption pattern or lead to tooth agenesis with maxillary lateral incisor being the most commonly affected tooth. Missing teeth in cleft region are either orthodontically camouflaged or prosthodontically rehabilitated which conventionally includes use of removable or fixed partial dentures. Both these rehabilitations can cause potential damage of adjacent structures with esthetic shortcomings.

Summary: Use of dental implants in grafted cleft site is an encouraging modality helping in overcoming these obstacles. However, to undertake this treatment, it is important to know appropriate time after grafting when implant can be placed. This paper aims to determine an appropriate time gap between grafting and implant placement in alveolar cleft patients via a systematic review of literature published between January 2011 and February 2020 (Via electronic search).

Conclusion: Tertiary bone grafting is frequently required despite a positive history of previous grafting procedure. Successful implant-based rehabilitation was reported irrespective of the followed method. More studies, preferably in form of control trials, with detailed descriptions in terms of data acquired and procedural difficulties are required to sensitize clinicians about probable timelines and treatment outcomes. This will help in developing a universally acceptable protocol, making future comparisons easier and comprehensive.






 

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