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치조열 재건을 위한 다양한 골이식 방법 : 문헌 고찰

Bone graft methods for the reconstruction of alveolar cleft: Literature review

김성룡|정영수|김준영|박진후|정휘동|이환규
대한치과의사협회 (korea dental association)|2022.09|대한치과의사협회지 (Journal of Korean Dental Association)|제60권 제10호|pp. 606-615|DOI 10.22974/jkda.2022.60.10.001

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참고문헌

키워드

ReconstructionMaterialsBone graftAlveolar cleft
주제분류치의학

초록

Alveolar cleft is a congenital anomaly with a frequency of 0.18-2.50 per 1,000 births, which invades the bone of maxillary arch. Iliac crestal bone graft, considered as the gold standard for treatment of alveolar cleft, is a commonly used material due to its abundant mass, ease of harvesting, and the advantages of simultaneous operation with alveolar cleft reconstruction surgery. Despite many advantages of Iliac crestal bone graft, many studies have been conducted on alternative and additional materials for secondary alveolar bone graft in consideration of the disadvantages of iliac crest bone graft. Autogenous bone grafts from other donor sites, such as cranium, mandible and tibia can be used as an alternative with lower morbidity and lower bone resorption. Bone-tissue engineering strategies such as scaffolds, growth factors have also shown promising results in treatment of alveolar cleft. In addition, the use of Platelet-Rich-Fibrin/Plasma with abundant growth factors and osteoinducibility can increase bone maintenance and achieve better results. Therefore, here we review the various bone graft methods used in reconstruction of alveolar cleft.

Abstract

Alveolar cleft is a congenital anomaly with a frequency of 0.18-2.50 per 1,000 births, which invades the bone of maxillary arch. Iliac crestal bone graft, considered as the gold standard for treatment of alveolar cleft, is a commonly used material due to its abundant mass, ease of harvesting, and the advantages of simultaneous operation with alveolar cleft reconstruction surgery. Despite many advantages of Iliac crestal bone graft, many studies have been conducted on alternative and additional materials for secondary alveolar bone graft in consideration of the disadvantages of iliac crest bone graft. Autogenous bone grafts from other donor sites, such as cranium, mandible and tibia can be used as an alternative with lower morbidity and lower bone resorption. Bone-tissue engineering strategies such as scaffolds, growth factors have also shown promising results in treatment of alveolar cleft. In addition, the use of Platelet-Rich-Fibrin/Plasma with abundant growth factors and osteoinducibility can increase bone maintenance and achieve better results. Therefore, here we review the various bone graft methods used in reconstruction of alveolar cleft.

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