Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010

Michael Paterson, Jennifer Rae, Paul Paterson, Toby Gilgrass, Mark Devlin, Grant McIntyre

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To determine whether alveolar bone graft outcomes for unilateral and bilateral cleft lip and palate patients have continued to improve since the reorganization of cleft services in Scotland in 2000.

Design: Retrospective analysis of postoperative anterior occlusal radiographs.
Patients and Participants Eighty-one of 106 patients who were eligible for alveolar bone grafting between 2007 and 2010 had suitable postoperative radiographs available.

Interventions: Twenty-seven percent of the patients (n = 22) had presurgical orthodontic intervention. All patients underwent alveolar bone grafting with bone harvested from the iliac crest.

Main Outcome Measures: The Kindelan bone-fill index was used to evaluate success. Weighted kappa statistics were used to assess intra- and interobserver reproducibility. A comparison was made with results from 2000 to 2004 to assess any improvement. Chi-square tests (or Fisher exact test) were used to determine whether outcomes differed depending on the laterality of the cleft, use of presurgical expansion, or age at bone grafting.

Results: Interobserver scoring agreement was good (weighted kappa = .383). Intraobserver reproducibility was greater (weighted kappas of .835 and .620). Success was achieved in 99% of bone grafts, compared with 76% in the period from 2000 to 2004 (P < .001). There was no statistically significant relationship between the laterality of the cleft (P = 1.000), use of presurgical expansion (P = 1.000), or age at time of bone grafting and outcome (P = .259).

Conclusion: Scottish secondary alveolar bone graft outcomes improved during 2007 to 2010 in comparison to the 2000 to 2004 results.
Original languageEnglish
Pages (from-to)141-146
Number of pages6
JournalCleft Palate-Craniofacial Journal
Volume53
Issue number2
DOIs
Publication statusPublished - Mar 2016

Fingerprint

Alveolar Bone Grafting
Bone and Bones
Bone Transplantation
Transplants
Cleft Lip
Cleft Palate
Scotland
Chi-Square Distribution
Orthodontics
Outcome Assessment (Health Care)

Keywords

  • bone graft
  • cleft lip
  • outcome
  • palate

Cite this

Paterson, M., Rae, J., Paterson, P., Gilgrass, T., Devlin, M., & McIntyre, G. (2016). Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010. Cleft Palate-Craniofacial Journal, 53(2), 141-146. https://doi.org/10.1597/14-093.1
Paterson, Michael ; Rae, Jennifer ; Paterson, Paul ; Gilgrass, Toby ; Devlin, Mark ; McIntyre, Grant. / Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010. In: Cleft Palate-Craniofacial Journal. 2016 ; Vol. 53, No. 2. pp. 141-146.
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Paterson, M, Rae, J, Paterson, P, Gilgrass, T, Devlin, M & McIntyre, G 2016, 'Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010', Cleft Palate-Craniofacial Journal, vol. 53, no. 2, pp. 141-146. https://doi.org/10.1597/14-093.1

Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010. / Paterson, Michael; Rae, Jennifer; Paterson, Paul; Gilgrass, Toby; Devlin, Mark; McIntyre, Grant.

In: Cleft Palate-Craniofacial Journal, Vol. 53, No. 2, 03.2016, p. 141-146.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010

AU - Paterson, Michael

AU - Rae, Jennifer

AU - Paterson, Paul

AU - Gilgrass, Toby

AU - Devlin, Mark

AU - McIntyre, Grant

PY - 2016/3

Y1 - 2016/3

N2 - Objective: To determine whether alveolar bone graft outcomes for unilateral and bilateral cleft lip and palate patients have continued to improve since the reorganization of cleft services in Scotland in 2000.Design: Retrospective analysis of postoperative anterior occlusal radiographs.Patients and Participants Eighty-one of 106 patients who were eligible for alveolar bone grafting between 2007 and 2010 had suitable postoperative radiographs available.Interventions: Twenty-seven percent of the patients (n = 22) had presurgical orthodontic intervention. All patients underwent alveolar bone grafting with bone harvested from the iliac crest.Main Outcome Measures: The Kindelan bone-fill index was used to evaluate success. Weighted kappa statistics were used to assess intra- and interobserver reproducibility. A comparison was made with results from 2000 to 2004 to assess any improvement. Chi-square tests (or Fisher exact test) were used to determine whether outcomes differed depending on the laterality of the cleft, use of presurgical expansion, or age at bone grafting.Results: Interobserver scoring agreement was good (weighted kappa = .383). Intraobserver reproducibility was greater (weighted kappas of .835 and .620). Success was achieved in 99% of bone grafts, compared with 76% in the period from 2000 to 2004 (P < .001). There was no statistically significant relationship between the laterality of the cleft (P = 1.000), use of presurgical expansion (P = 1.000), or age at time of bone grafting and outcome (P = .259).Conclusion: Scottish secondary alveolar bone graft outcomes improved during 2007 to 2010 in comparison to the 2000 to 2004 results.

AB - Objective: To determine whether alveolar bone graft outcomes for unilateral and bilateral cleft lip and palate patients have continued to improve since the reorganization of cleft services in Scotland in 2000.Design: Retrospective analysis of postoperative anterior occlusal radiographs.Patients and Participants Eighty-one of 106 patients who were eligible for alveolar bone grafting between 2007 and 2010 had suitable postoperative radiographs available.Interventions: Twenty-seven percent of the patients (n = 22) had presurgical orthodontic intervention. All patients underwent alveolar bone grafting with bone harvested from the iliac crest.Main Outcome Measures: The Kindelan bone-fill index was used to evaluate success. Weighted kappa statistics were used to assess intra- and interobserver reproducibility. A comparison was made with results from 2000 to 2004 to assess any improvement. Chi-square tests (or Fisher exact test) were used to determine whether outcomes differed depending on the laterality of the cleft, use of presurgical expansion, or age at bone grafting.Results: Interobserver scoring agreement was good (weighted kappa = .383). Intraobserver reproducibility was greater (weighted kappas of .835 and .620). Success was achieved in 99% of bone grafts, compared with 76% in the period from 2000 to 2004 (P < .001). There was no statistically significant relationship between the laterality of the cleft (P = 1.000), use of presurgical expansion (P = 1.000), or age at time of bone grafting and outcome (P = .259).Conclusion: Scottish secondary alveolar bone graft outcomes improved during 2007 to 2010 in comparison to the 2000 to 2004 results.

KW - bone graft

KW - cleft lip

KW - outcome

KW - palate

U2 - 10.1597/14-093.1

DO - 10.1597/14-093.1

M3 - Article

VL - 53

SP - 141

EP - 146

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

SN - 1055-6656

IS - 2

ER -

Paterson M, Rae J, Paterson P, Gilgrass T, Devlin M, McIntyre G. Secondary Alveolar Bone Grafting (CLEFTSiS) 2007–2010. Cleft Palate-Craniofacial Journal. 2016 Mar;53(2):141-146. https://doi.org/10.1597/14-093.1