ArticleScientific reports2025
Cone-beam computed tomography-guided volumetric assessment of secondary alveolar bone grafting.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study aimed to develop and implement a standardized 3D workflow for surgical planning and outcome assessment in secondary alveolar bone grafting (SABG) using cone-beam computed tomography (CBCT). A 3D protocol was developed using medically certified software for semiautomatic segmentation, mirroring, voxel-based alignement of the maxilla and volumetric analysis of cleft and graft regions. This workflow was applied on a retrospective cohort of patients with unilateral cleft lip and alveolus (CLA) and/or cleft lip and palate (CLP) who received iliac bone mixed with synthetic biphasic calcium phosphate for bone grafting. CBCT scans (preoperative, immediate postoperative, and six-months follow-up) from 23 patients with unilateral clefts were analysed. The non-cleft side was mirrored to serve as reference for symmetric reconstruction. Measured parameters included alveolar cleft volume, grafted bone volume, integrated bone volume and missing volume. The workflow enabled reliable volumetric quantification. The preoperative cleft volume averaged 1505 mm
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