CANINE ERUPTION THROUGH BIO-$OSS^{(R)}$ GRAFT IN PATIENTS WITH CLEFT LIP & PALATE

구순구개열 환자에서의 이종골 이식재를 통한 견치의 맹출

  • Kim, Ji-Hun (Department of Pediatric Dentistry, Wonju College of Medicine, Yonsei University) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, Wonju College of Medicine, Yonsei University) ;
  • Chang, Che-Rry (Department of Pediatric Dentistry, Wonju College of Medicine, Yonsei University)
  • 김지훈 (연세대학교 원주기독병원 소아치과) ;
  • 최병호 (연세대학교 원주기독병원 구강악안면외과) ;
  • 장채리 (연세대학교 원주기독병원 소아치과)
  • Received : 2010.11.20
  • Accepted : 2010.12.15
  • Published : 2010.12.31

Abstract

Objective : To report eruption of maxillary canine through Bio-$Oss^{(R)}$ graft in patients with secondary bone-grafted alveolar clefts. Methods : Secondary alveolar bone grafts placed in the cleft alveolar defect have been shown to support dental eruption through the graft and may further affect the prevalence of impacted teeth. As the case may be, it could be difficult to do secondary alveolar bone graft with autologous bone. In particular, few reports have been shown the secondary bone graft with heterogenous bone(Bio-$Oss^{(R)}$). In this report, the eruption of canine into bone-grafted alveolar clefts was recorded as panoramic, occlusal radiographs, in 3 patients grafted with Bio-$Oss^{(R)}$ Results : Like autologous bone graft, the canine was erupted and developed into the cleft alveolar defect through Bio-$Oss^{(R)}$ graft. Conclusion : In some cases that autologous bone graft is not available, we can consider heterogenous bone graft into the cleft alveolar defect for dental development and eruption of impacted teeth.

이종골의 치아맹출에 대한 기존 문헌 및 동물실험 연구를 바탕으로, 자가골 및 동종골 이식이 어려운 구순구개열 환자에서 이종골(Bio-$Oss^{(R)}$)을 이식하여 성공적으로 매복된치아의 맹출을 유도하였고, 치근의 형성 및 치아의 골내 이동도 정상적으로 이루어졌다.

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