Abstract
Introduction Orofacial clefts are congenital malformations characterized by an incomplete shaping of structures that separate the nasal from the oral cavity and can affect the right, left, or both sides. The aim of the present study is to assess, with clinical, radiographical, and histological evaluations, the efficacy of piezoelectric devices compared to traditional rotating instruments in the bone harvesting in patients with history of cleft. Materials and Methods We have conducted a retrospective analysis on 20 patients with a history of orofacial clefts that were operated on from February 2014 to June 2017. The patients were divided into two groups: Group R in which bone graft was harvested using a burr and Group P in which the bone graft was obtained by a piezoelectric device. After a healing period of 8 months from the grafting procedure, clinical and radiographic evaluations were performed. Results and Discussion The use of the piezoelectric devices in bone harvesting allows a slight improvement in the final volume. This supports a faster integration into the receiving site. Conclusions The use of piezoelectric device in patients with history of orofacial cleft that needed bone graft represents a method to be taken into consideration because it has interesting advantages.
Highlights
Orofacial clefts are congenital malformations characterized by an incomplete shaping of structures that separate the nasal from the oral cavity and can affect the right, left, or both sides
After intervention, mean postoperative values of the bone graft volume are 1.32 cm3 ± 0.51 for the grafts harvested with the piezoelectric devices and 1.18 cm3 ± 0.46 for the grafts collected with traditional instrumentation
After 8 months from operation, the mean postoperative values of the bone graft volume are 1.03± 0.51 for the graft harvested with piezoelectric devices and 0.88 ± 0.46 for the grafts collected with traditional instrumentation
Summary
Orofacial clefts are congenital malformations characterized by an incomplete shaping of structures that separate the nasal from the oral cavity and can affect the right, left, or both sides. The use of piezoelectric device in patients with history of orofacial cleft that needed bone graft represents a method to be taken into consideration because it has interesting advantages. Orofacial clefts (OFC) are congenital malformations characterized by incomplete formation of those structures that separate the nasal and oral cavities: lip, alveolus, and hard and soft palate [1]. The incidence of this birth defect is in the range of 1 in 700 to 1 in 1000 among populations [2, 3]. The combination of autogenous bone with other biomaterials, such as platelet concentrates [15], was conducted to very good results both in bone integration and in soft tissue reparation
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
