It is very common for cleft lip and palate patients to have congenitally missing teeth. Insufficient buccopalatal bone volume, a shallow vestibule, and lack of soft tissue resulting from previous surgical scarring render it difficult for clinicians to place implants in the missing area. This report describes guide surgery that represents a treatment option for cases in which implants need to be placed in tight spaces with minimal bone space, to minimize as far as possible manual placement errors.
BajajA.K., WongworawatA.A., PunjabiA.Management of alveolar clefts.J Craniofac Surg.2003; 14: 840–846.
2.
BehnekeA., BurwinkelM., BehnekeN.Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement.Clin Oral Implants Res.2012; 23: 416–423.
3.
CassettaM., StefanelliL.V., GiansantiM., CalassoS.Accuracy of implant placement with a stereolithographic surgical template.Int J Oral Maxillofac Implants.2012; 27: 655–663.
4.
CuneM.S., MeijerG.J., KooleR.Anterior tooth replacement with implants in grafted alveolar cleft sites: a case series.Clin Oral Implants Res.2004; 15: 616–624.
5.
DempfR., TeltzrowT., KramerF.J., HausamenJ.E.Alveolar bone grafting in patients with complete clefts: a comparative study between secondary and tertiary bone grafting.Cleft Palate Craniofac J.2002; 39: 18–25.
6.
DhanrajaniP.J.Hypodontia: etiology, clinical features, and management.Quintessence Int.2002; 33: 294–302.
7.
DreiseidlerT., TandonD., RitterL., NeugebauerJ., MischkowskiR.A., ScheerM., ZollerJ.E.Accuracy of a newly developed open-source system for dental implant planning.Int J Oral Maxillofac Implants.2012; 27: 128–137.
8.
FeichtingerM., MossbockR., KarcherH.Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomography: a three-year study.Cleft Palate Craniofac J.2007; 44: 142–148.
9.
HorwitzJ., ZuabiO., MachteiE.E.Accuracy of a computerized tomography-guided template-assisted implant placement system: an in vitro study.Clin Oral Implants Res.2009; 20: 1156–1162.
10.
KramerF.J., BaethgeC., SwennenG., BremerB., Schwestka-PollyR., DempfR.Dental implants in patients with orofacial clefts: a long-term follow-up study.Int J Oral Maxillofac Surg.2005; 34: 715–721.
11.
MatsuiY., OhnoK., NishimuraA., ShirotaT., KimS., MiyashitaH.Long-term study of dental implants placed into alveolar cleft sites.Cleft Palate Craniofac J.2007; 44: 444–447.
12.
MischC.E.Density of bone: effect on treatment plans, surgical approach, healing, and progressive bone loading.Int J Oral Implantol.1990; 6: 23–31.
13.
NeugebauerJ., StachullaG., RitterL., DreiseidlerT., MischkowskiR.A., KeeveE., ZollerJ.E.Computer-aided manufacturing technologies for guided implant placement.Expert Rev Med Devices.2010; 7: 113–129.
14.
OrentlicherG., AbboudM.Guided surgery for implant therapy.Oral Maxillofac Surg Clin North Am.2011; 23: 239–256, v–vi.
15.
OzanO., TurkyilmazI., ErsoyA.E., McGlumphyE.A., RosenstielS.F.Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement.J Oral Maxillofac Surg.2009; 67: 394–401.
16.
PenaW.A., VargervikK., SharmaA., OberoiS.The role of endosseous implants in the management of alveolar clefts.Pediatr Dent.2009; 31: 329–333.
17.
SchneiderD., MarquardtP., ZwahlenM., JungR.E.A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry.Clin Oral Implants Res.2009; 20(suppl 4): 73–86.
18.
SedlackovaK., DuskovaM., StrnadelT., KotovaM., HaasM.Using dental implants in the prosthetic rehabilitation of patients with cleft defect type II.Cleft Palate Craniofac J.2011; 48: 98–102.
19.
TaiC.C., SutherlandI.S., McFaddenL.Prospective analysis of secondary alveolar bone grafting using computed tomography.J Oral Maxillofac Surg.2000; 58: 1241–1249.
20.
TakahashiT., FukudaM., YamaguchiT., KochiS.Use of endosseous implants for dental reconstruction of patients with grafted alveolar clefts.J Oral Maxillofac Surg.1997; 55: 576–583.
21.
Van AsscheN., van SteenbergheD., GuerreroM.E., HirschE., SchutyserF., QuirynenM., JacobsR.Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images: a pilot study.J Clin Periodontal.2007; 34: 816–821.
22.
van SteenbergheD., GlauserR., BlombackU., AnderssonM., SchutyserF., PetterssonA., WendelhagI.A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study.Clin Implant Dent Relat Res.2005; 7(suppl 1): S111–S120.
