معالجة الشقوق السنخية عن طريق التشكيل العظمي بواسطة الشد التدريجي : مراجعة منهجية للأتدبيات الطبية

Abstract EN

Objective: Alveolar cleft managements have witnessed fast revolution in the last decades, which might be confusing for the clinician when choosing the best treatment modality for his/her patient.

This research aims at reviewing the literature dealing with alveolar cleft treatment through distraction osteogenesis technique and analyzing its data.

Methods: A review of the literature on alveolar cleft treatment with distraction osteogenesis was made based on a PubMed search, covering the period until 31 July 2012.

Eight articles covering 86 patients were analyzed, considering surgical technique, procedural parameters, type of distractor, and subsequent grafting.

Results: Surgical procedures varied concerning the osteotomy design, subsequently, the distraction direction.

Also, biological parameters were different between studies and even in the same study.

The latency period ranged between 3 and 10 days among studies, with a mean of 5.76 days.

Studies also differed by distraction rate, with a mean of 0.83 mm/day.

Consolidation period also varying from 1 to 3 months and several studies have completely failed to mention it.

Generally, studies depended on individual tooth-borne devices in their researches which have been accompanied by a number of complications.

As for subsequent grafting, it was necessary in a well number of cases.

Conclusions: Treating alveolar cleft through the distraction technique still needs further studies on a scientific base, especially concerning biological parameters, though all authors have concluded that it is a useful method for treating alveolar clefts.

It is of great importance to validate surgical strategies and also the outcomes from using different distraction devices by long-term studies in the future.