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Purpose: The purpose of this report is to compare the outcome of unilateral alveolar cleft reconstruction (ACR) in patients aged 6 - 8 years versus older more comprehending patients aged 9 - 12 years. Materials and Methods: A chart review (from March 2006 to June 2010) was conducted of patients who had alveolar cleft reconstruction using anterior iliac crest bone graft. All the cases included are non syndromic healthy patients whom had unilateral alveolar cleft and were operated for the first time. A total of 49 healthy patients were included in the study. Twenty-four had their surgery between the age of 6 and 8 (Group A), and twenty-five had theirs between 9 and 12 (Group B). The postoperative recovery and complications were compared between the two groups. Results: In group A, 16% (n = 4) showed minimal wound dehiscence while 8% (n = 2) had a minor wound infection due to food particles wedged in the wound. In Group B, 20% (n = 5) of the patients presented with minimal wound dehiscence, while 12% (n = 3) had minor wound infection due to food particles wedged in the wound. No significant difference was found between the two groups using Fisher’s exact test, two-tailed p-value >0.05. Conclusion: Age factor was not found to be a factor contributing to ACR complication rate.
Objective: To investigate if immediate reconstruction of fresh extraction sockets’ lost buccal wall would reduce the possibilities of implant surface exposure and improve the treatment predictability. Materials and Methods: A retrospective chart review of Healthy patients harboring periodontally compromised anterior teeth that were planned for extraction and subsequent implant therapy were the target of our study. All the sockets included witnessed loss of the buccal bone plate. Seventy-two anterior sockets were grafted with xenogenic grafts to reconstruct such defects immediately after the extractions. 9 to 13 months later, the alveolar ridges were surgically exposed and implants were placed. Results: All the surgical sites did not show any labial plate thinning, dehiscence, or fenestration at the time of implant placement. Moreover, no gingival recession and implant metal show was noticed up to 39 months post crown placement. Conclusion: Immediate reconstructions of lost buccal plate in fresh extraction sockets reduces the chances of implant surface exposure up to two years post crown placement.