Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study

Aim: Three-dimensional (3D) printed models are contemporary volumetric bone graft assessment technique for secondary alveolar bone grafting (SABG) in cleft lip and palate (CLP) patients. The study aimed at evaluation of long-term stability of iliac autograft in SABG using multislice computed tomogra...

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Autores principales: Venkatesh Palankar, Atul Sattur, Aditi Palankar, S Raja Rajeswari, Srinath Thakur, Anil Kumar Desai
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:101b8099ddee4b629e8ffee47de0c57e2021-11-19T12:15:53ZEvaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study0975-740610.4103/jpbs.jpbs_265_21https://doaj.org/article/101b8099ddee4b629e8ffee47de0c57e2021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1496;epage=1500;aulast=Palankarhttps://doaj.org/toc/0975-7406Aim: Three-dimensional (3D) printed models are contemporary volumetric bone graft assessment technique for secondary alveolar bone grafting (SABG) in cleft lip and palate (CLP) patients. The study aimed at evaluation of long-term stability of iliac autograft in SABG using multislice computed tomography (CT) and 3D-printed model-based volumetric analysis. Materials and Methods: Twenty-eight patients were included in this prospective clinical study. CT image (T1) was taken after orthodontic maxillary expansion, correlating with the presurgical image. Furthermore, 3D-printed model was prepared, and volumetric assessment of graft needed was ascertained with water displacement technique. SABG was carried on with the anterior iliac crest autografting procedure. After 1-year follow-up, postoperative CT analysis (T2) was followed upon. Results: The stability of bone graft at the 1-year postoperative was found to be 43.74% with mean bone loss of 56.26% (95% confidence interval; P < 0.005). The moderate scale of CLP cases has shown statistically significant bone stability compared to that of severe and mild cases. Furthermore, the 3D-printed model has shown a significant difference to that of T1 CT imaging (P < 0.005). Conclusion: Within the limitations of the study, it seems appropriate to conclude that 3D-printed models serves as better reference than CT imaging in the context of planning and execution of precise bone grafting in SABG.Venkatesh PalankarAtul SatturAditi PalankarS Raja RajeswariSrinath ThakurAnil Kumar DesaiWolters Kluwer Medknow Publicationsarticlecleft lip palatecomputed tomography scanthree dimensional printed modelvolumetric analysisPharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1496-1500 (2021)
institution DOAJ
collection DOAJ
language EN
topic cleft lip palate
computed tomography scan
three dimensional printed model
volumetric analysis
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
spellingShingle cleft lip palate
computed tomography scan
three dimensional printed model
volumetric analysis
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
Venkatesh Palankar
Atul Sattur
Aditi Palankar
S Raja Rajeswari
Srinath Thakur
Anil Kumar Desai
Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
description Aim: Three-dimensional (3D) printed models are contemporary volumetric bone graft assessment technique for secondary alveolar bone grafting (SABG) in cleft lip and palate (CLP) patients. The study aimed at evaluation of long-term stability of iliac autograft in SABG using multislice computed tomography (CT) and 3D-printed model-based volumetric analysis. Materials and Methods: Twenty-eight patients were included in this prospective clinical study. CT image (T1) was taken after orthodontic maxillary expansion, correlating with the presurgical image. Furthermore, 3D-printed model was prepared, and volumetric assessment of graft needed was ascertained with water displacement technique. SABG was carried on with the anterior iliac crest autografting procedure. After 1-year follow-up, postoperative CT analysis (T2) was followed upon. Results: The stability of bone graft at the 1-year postoperative was found to be 43.74% with mean bone loss of 56.26% (95% confidence interval; P < 0.005). The moderate scale of CLP cases has shown statistically significant bone stability compared to that of severe and mild cases. Furthermore, the 3D-printed model has shown a significant difference to that of T1 CT imaging (P < 0.005). Conclusion: Within the limitations of the study, it seems appropriate to conclude that 3D-printed models serves as better reference than CT imaging in the context of planning and execution of precise bone grafting in SABG.
format article
author Venkatesh Palankar
Atul Sattur
Aditi Palankar
S Raja Rajeswari
Srinath Thakur
Anil Kumar Desai
author_facet Venkatesh Palankar
Atul Sattur
Aditi Palankar
S Raja Rajeswari
Srinath Thakur
Anil Kumar Desai
author_sort Venkatesh Palankar
title Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
title_short Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
title_full Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
title_fullStr Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
title_full_unstemmed Evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: A prospective study
title_sort evaluation of long-term stability of secondary alveolar bone grafts in cleft palate patients using multislice computed tomography and three-dimensional printed models: a prospective study
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/101b8099ddee4b629e8ffee47de0c57e
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