Online ISSN: 2515-8260

Keywords : Soft tissue healing


Utility of customized protective surgical splint concerning soft tissue healing in patients with unilateral cleft alveolus undergoing secondary alveolar bone grafting in comparison to those without splint

Dr. Apoorva Mishra, Dr. Rajiv Borle, Dr. Nitin Bhola, Dr. Prachet Dakshinkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1987-1993

Background: Alveolar cleft closure is vital in achieving stability of maxillary arch, providing a foundation for alar base, prevent the inferior turbinate from herniating into cleft area and giving impetus to teeth adjoining cleft. Intact Soft tissue cover over the grafted cleft site will provide a contained cavity which will help maintain the grafted bone in the compacted position till new bone formation occurs. Customized surgical splint over the operated site as a mechanical barrier can help improve the soft tissue healing in patients undergoing Alveolar bone grafting (ABG).
Aim: To compare the utility of customized surgical splint in terms of soft tissue healing overlying the grafted alveolar bone
Material and Methods: Random allocation of unilateral cleft alveolus patients in two groups will be done. Group A, in which immediately after the surgery in a customized surgical splint will be placed. Group B, in which no splint will be given. Soft tissue healing will be assessed for both the groups on post-operative day 7th and 15th.
Result: Results will be analyzed using Student’s paired t-test. It is expected that the soft tissue healing will be significantly better in the patients with surgical splints.
Conclusion: Expected results of better soft tissue healing with utilization of customized surgical splints in operated patients of cleft alveolus may be recommended as part of standard care protocol. It can play a pivotal role in subsequent successful uptake of graft by improving soft tissue healing

Comparison of Poliglecaprone 25 (monofilament) and Polyglactin 910 (multifilament) suture material in terms of soft tissue healing of surgical wound after cleft alveolar bone grafting

Dr. Prachet Dakshinkar; Dr. Rajiv Borle; Dr. Nitin Bhola; Dr. Apoorva Mishra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2091-2097

Abstract: Background: Grafting the maxilla having cleft in alveolus is a part of
comprehensive sequential treatment of cleft patients so as to facilitate eruption of
permanent canine, achieve continuity of maxilla for orthognathic corrections and
supporting alar bases. Unhindered soft tissue healing is critical to preventing graft
exposure and achieving graft uptake. Poliglecaprone 25(monofilament) suture is known to
have low capillarity. Thus it can be of benefit in achieving the required healing of soft
tissue over cleft maxilla after bone grafting. Aim: To Compare Poliglecaprone
25(monofilament) and Polyglactin 910(multifilament) suture material in terms of soft
tissue healing of surgical wound after cleft alveolar bone grafting. Material and Methods:
Patients of unilateral cleft alveolus will have to be randomly divided into two sections. Group A
comprising of patients in whom closure will be done by Poliglecaprone 25 whereas Group B of
patients in whom closure will be done by Polyglactin 910.Success of the choice of suture material
will be evaluated in terms of soft tissue healing, suture slack and number of inflammatory cells on
suture surface. Result: Results will be analyzed using Student’s paired t test. It is expected
that the healing will be significantly better in Group A than Group B. Conclusion:
Efficacy of Poliglecaprone 25 in terms of soft tissue healing after alveolar bone grafting
can be validated through this study.