Alveolar bone morphology of maxillary central incisors near grafted alveolar clefts after orthodontic treatment

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Abstract

Introduction

The aim of this study was to evaluate the thickness and the height of the maxillary central incisors' alveolar bone near the grafted alveolar cleft area, after comprehensive orthodontic treatment.

Methods

The sample comprised 30 patients with unilateral alveolar cleft with a mean age of 20.5 years (range, 17-25.8 years). High-resolution cone-beam computed tomography images of the maxilla were obtained 6 to 24 months after the comprehensive orthodontic treatment. The contralateral maxillary central incisor was used as a comparison group. Axial sections at the level of the central incisor root were used to measure the labial and lingual alveolar bone thicknesses. Cross sections were used to measure the bone crest heights using the cementoenamel junction as the reference. Paired t and Wilcoxon tests were used to compare the cleft and noncleft sides.

Results

The labial and lingual bone thicknesses of the maxillary central incisors' alveolar bone were significantly thinner (0.16 and 0.39 mm, respectively), and the labial alveolar crest height distance was significantly greater on the cleft side compared with the noncleft side (−1.2 mm).

Conclusions

In patients with unilateral cleft lip and palate, the maxillary central incisors adjacent to the grafted alveolar cleft had thinner labial and lingual alveolar bones and an apically displaced labial alveolar crest level than the controls.

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