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CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(03): 579-587
DOI: 10.1055/s-0041-1723070
Review Article

Effectiveness of Secondary Alveolar Bone Graft on Canine Eruption: Systematic Review

Rogério Lacerda-Santos 
1   Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Federal University of de Fora, Governador Valadares, Minas Gerais, Brazil
,
Rhaslla Gonçalves Batista
1   Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Federal University of de Fora, Governador Valadares, Minas Gerais, Brazil
,
Samantha Silva Neves
1   Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Federal University of de Fora, Governador Valadares, Minas Gerais, Brazil
,
José Lucas dos Santos Araújo
2   Department Orthodontics and Pediatric Dentistry, Dental School, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
,
Rayssa Amaral Vieira
2   Department Orthodontics and Pediatric Dentistry, Dental School, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
,
Fabiola Galbiatti de Carvalho
1   Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Federal University of de Fora, Governador Valadares, Minas Gerais, Brazil
,
Matheus Melo Pithon
3   Department of Orthodontics, State University of the Southwest of Bahia, Jéquie, Bahia, Brazil
,
Carolina de Castro Martins
4   Department of Pediatric Dentistry Dental School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Abstract

There are controversies related to the effects of bone grafts on tooth eruption and impaction in patients with cleft lip and palate. The aim of this systematic review was to evaluate the effectiveness of bone grafting on eruption of canines in patients with unilateral cleft lip and palate (UCLP). An electronic search was conducted in six electronic databases and gray literature, without limitations on year of publication or language. The primary outcome was the increase in rate of canine eruption; the secondary outcomes were success of the bone graft, canine impaction due to agenesis of the lateral incisor, and effect of orthodontic treatment before and after bone grafting. The risk of bias was analyzed by means of the tool Cochrane risk of bias in nonrandomized controlled trials (NRCTs) of interventions (ROBINS-I). The certainty of the evidence was assessed for outcomes reported through a narrative synthesis using grading of recommendations, assessment, development and evaluation (GRADE) approach. Four NRCTs were included, with a total of 360 patients, 283 UCLP and 77 bilateral cleft lip and palate (BCLP). The studies reported association between the increase in the rate of tooth eruption and bone graft with very low certainty of evidence, and greater experience of surgical success, with low certainty of evidence. The majority of the studies found an association between increase in the rate of canine impaction and agenesis of the lateral incisor, with very low certainty of evidence. There was very low certainty of the efficacy of secondary alveolar bone grafting for increasing the rates of eruption and reducing impaction of the maxillary canine.

Keywords

cleft palate - alveolar bone grafting - tooth eruption - systematic review


Publikationsverlauf

Artikel online veröffentlicht:
23. Februar 2021

© 2021. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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