A Comparative Evaluation of Iliac Crest Cortical-Cancellous Bone Blocks Graft With and Without Concentrated Growth Factors (CGFs) in Secondary Alveolar Bone Grafting: A Retrospective Study
The purpose of this study was to investigate the clinical effect and bone resorption of iliac crest cortical-cancellous bone block grafts combined with concentrated growth factor (CGF) compared with iliac crest cortical-cancellous bone block grafts only in secondary alveolar bone grafting. Eighty-si...
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| Published in: | The Journal of craniofacial surgery Vol. 34; no. 6; pp. 1789 - 1794 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Lippincott Williams & Wilkins
01-09-2023
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| Abstract | The purpose of this study was to investigate the clinical effect and bone resorption of iliac crest cortical-cancellous bone block grafts combined with concentrated growth factor (CGF) compared with iliac crest cortical-cancellous bone block grafts only in secondary alveolar bone grafting.
Eighty-six patients (43 in the CGF group and 43 in the non-CGF group) with unilateral alveolar clefts were examined. Patients (17 in the CGF group and 17 in the non-CGF group) were randomly chosen for radiologic evaluation. Quantitative evaluation of the bone resorption rate was made with cone-beam computed tomography and Mimics 19.0 software at 1 week and 12 months after surgery.
The success rate of bone grafting was 95.3% and 79.1% in the CGF and non-CGF groups, respectively (P=0.025). The mean bone resorption rate at 12 months postoperatively was 35.66±15.80% and 41.39±19.57% in the CGF and non-CGF groups, respectively (P=0.355). The bone resorption patterns of the 2 groups were similar on the labial, alveolar process, and palatal sides, and there was no obvious bone resorption on the labial side in either group. Nasal side bone resorption in the CGF group was significantly less than that in the non-CGF group (P=0.047).
Cortical-cancellous bone block grafts reduce labial bone resorption, while CGF reduces nasal bone resorption and improves the success rate. The combination of bone block and CGF in secondary alveolar bone grafting is worthy of further clinical application. |
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| AbstractList | BACKGROUNDThe purpose of this study was to investigate the clinical effect and bone resorption of iliac crest cortical-cancellous bone block grafts combined with concentrated growth factor (CGF) compared with iliac crest cortical-cancellous bone block grafts only in secondary alveolar bone grafting. MATERIALS AND METHODSEighty-six patients (43 in the CGF group and 43 in the non-CGF group) with unilateral alveolar clefts were examined. Patients (17 in the CGF group and 17 in the non-CGF group) were randomly chosen for radiologic evaluation. Quantitative evaluation of the bone resorption rate was made with cone-beam computed tomography and Mimics 19.0 software at 1 week and 12 months after surgery. RESULTSThe success rate of bone grafting was 95.3% and 79.1% in the CGF and non-CGF groups, respectively ( P =0.025). The mean bone resorption rate at 12 months postoperatively was 35.66±15.80% and 41.39±19.57% in the CGF and non-CGF groups, respectively ( P =0.355). The bone resorption patterns of the 2 groups were similar on the labial, alveolar process, and palatal sides, and there was no obvious bone resorption on the labial side in either group. Nasal side bone resorption in the CGF group was significantly less than that in the non-CGF group ( P =0.047). CONCLUSIONSCortical-cancellous bone block grafts reduce labial bone resorption, while CGF reduces nasal bone resorption and improves the success rate. The combination of bone block and CGF in secondary alveolar bone grafting is worthy of further clinical application. The purpose of this study was to investigate the clinical effect and bone resorption of iliac crest cortical-cancellous bone block grafts combined with concentrated growth factor (CGF) compared with iliac crest cortical-cancellous bone block grafts only in secondary alveolar bone grafting. Eighty-six patients (43 in the CGF group and 43 in the non-CGF group) with unilateral alveolar clefts were examined. Patients (17 in the CGF group and 17 in the non-CGF group) were randomly chosen for radiologic evaluation. Quantitative evaluation of the bone resorption rate was made with cone-beam computed tomography and Mimics 19.0 software at 1 week and 12 months after surgery. The success rate of bone grafting was 95.3% and 79.1% in the CGF and non-CGF groups, respectively (P=0.025). The mean bone resorption rate at 12 months postoperatively was 35.66±15.80% and 41.39±19.57% in the CGF and non-CGF groups, respectively (P=0.355). The bone resorption patterns of the 2 groups were similar on the labial, alveolar process, and palatal sides, and there was no obvious bone resorption on the labial side in either group. Nasal side bone resorption in the CGF group was significantly less than that in the non-CGF group (P=0.047). Cortical-cancellous bone block grafts reduce labial bone resorption, while CGF reduces nasal bone resorption and improves the success rate. The combination of bone block and CGF in secondary alveolar bone grafting is worthy of further clinical application. |
| Author | Lu, Meng Liu, Jing Lai, Yongzhen Jiang, Xiao xian Chen, Weihui Mao, Chuanqing Cai, Zhiyu Wang, Chengyong |
| AuthorAffiliation | Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital Department of Stomatology, Fujian Maternal and Child Health Hospital, Fuzhou, Fujian Province, China |
| AuthorAffiliation_xml | – name: Department of Stomatology, Fujian Maternal and Child Health Hospital, Fuzhou, Fujian Province, China – name: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital |
| Author_xml | – sequence: 1 givenname: Yongzhen surname: Lai fullname: Lai, Yongzhen organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 2 givenname: Xiao xian surname: Jiang fullname: Jiang, Xiao xian organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 3 givenname: Meng surname: Lu fullname: Lu, Meng organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 4 givenname: Chuanqing surname: Mao fullname: Mao, Chuanqing organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 5 givenname: Zhiyu surname: Cai fullname: Cai, Zhiyu organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 6 givenname: Chengyong surname: Wang fullname: Wang, Chengyong organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital – sequence: 7 givenname: Jing surname: Liu fullname: Liu, Jing organization: Department of Stomatology, Fujian Maternal and Child Health Hospital, Fuzhou, Fujian Province, China – sequence: 8 givenname: Weihui surname: Chen fullname: Chen, Weihui organization: Department of Oral and Craniomaxillofacial Science, Fujian Medical University Union Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37010314$$D View this record in MEDLINE/PubMed |
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| Title | A Comparative Evaluation of Iliac Crest Cortical-Cancellous Bone Blocks Graft With and Without Concentrated Growth Factors (CGFs) in Secondary Alveolar Bone Grafting: A Retrospective Study |
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