Table of Contents
International Scholarly Research Notices
Volume 2014, Article ID 231795, 8 pages
Research Article

Clinical and Radiographic Assessment of Secondary Bone Graft Outcomes in Cleft Lip and Palate Patients

1School of Dentistry, University of Cuiabá, Cuiabá, MT, Brazil
2Post-Graduation Program in Environmental Sciences, University of Cuiabá, Cuiabá, MT, Brazil
3Post-Graduation Program in Dental Science, School of Dentistry, University of Cuiabá, Rua Estevão de Mendonça 1295, Apartment 2401, Quilombo, 78043-407 Cuiabá, MT, Brazil
4Dental Science Program, School of Dentistry, University of Cuiabá, Cuiabá, MT, Brazil

Received 21 June 2014; Revised 14 October 2014; Accepted 14 October 2014; Published 10 November 2014

Academic Editor: Hee-Jin Kim

Copyright © 2014 W. Khalil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To compare the results of secondary alveolar bone grafts in patients with complete cleft lip and cleft lip and palate using 2 radiographic scales and according to the rate of canine eruption through the newly formed bone. Materials and Methods. We analyzed pre- and postoperative radiographs of 36 patients for the amount of bone in the cleft site according to the Bergland and Chelsea scales. The associations between the variables and the correlation between the scales were measured. Results. A total of 54.2% and 20.8% of cases were classified as type I and type II, respectively, using the Bergland scale, whereas 50% and 22.5% were classified as types A and C, respectively, using the Chelsea scale. A positive correlation between the 2 scales was observed. In 33.3% of males, 58.3% of females, 54.5% of unilateral cleft cases, and 12.5% of bilateral cleft cases, the permanent canines had erupted. Bone grafts performed prior to canine eruption achieved more satisfactory results. Conclusions. Our results suggest that both radiographic scales are important tools for the evaluation of bone grafts. Additionally, longer time periods of evaluation were associated with improved results for patients with secondary alveolar bone grafts.