The management of occlusal by secondary bone graft

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  • SAIJO Hideto
    Department of Oral Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital Cleft Lip and Palate Center, The University of Tokyo Hospital
  • KASHIWAGI Miki
    Department of Oral Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
  • NARITA Rika
    Department of Oral Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital

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  • 顎裂部骨移植と咬合管理
  • ガクレツブ ホネ イショク ト コウゴウカンリ

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Abstract

<p>Bone grafting of the jaw fistula transplants autologous bone to patients with cleft lip and palate. The secondary bone graft is a method to obtain the continuity of the bone in the alveolar rupture. The secondary bone graft for the cleft lip and palate was reported as a method aimed at occlusal construction that enabled the guidance of teeth to the cleft palate, not for filling the gaps in the cleft palate, and with good maxillary alveolar arch form. The secondary bone graft is standardized. However, it is not only necessary for the transplanted bone to engraft in the cleft palate, but it is also necessary to form a bone bridge with a certain height and width of the alveolar for that purpose. A team approach with an orthodontist is an essential way to obtain an occlusion. This manuscript described the purpose and technique of cleft palate bone grafting.</p>

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