{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:29:19Z","timestamp":1786386559575,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Iliac cancellous bone graft has been regarded as the gold standard for secondary alveolar bone grafting (SABG); however, it is associated with a high resorption rate and donor-site morbidity. This study aimed to evaluate the radiographic outcomes of SABG using a mandibular symphyseal bone graft combined with a double-layer resorbable collagen membrane through standardized 3-dimensional cone-beam computed tomography (CBCT)\u2013based morphometric assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Patients with unilateral cleft lip\/palate (UCLP) or bilateral CL\/P (BCLP) who underwent SABG at a single center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Intervention<\/jats:title>\n                    <jats:p>Eighteen patients with UCLP\/BCLP who underwent SABG using a mandibular symphyseal bone graft and a double-layer resorbable collagen membrane between 2022 and 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Preoperative and 1.5-year postoperative CBCT-based 3-dimensional linear morphometric measurements, including cleft width reduction and postoperative bone bridge thickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 1.5 years postoperatively, cleft width significantly reduced at all measurement levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The mean postoperative bone bridge thickness was 5.97\u2009\u00b1\u20092.02\u2005mm at the mid-root level and 6.62\u2009\u00b1\u20092.50\u2005mm at the apical level.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mandibular symphyseal bone grafting combined with a double-layer resorbable collagen membrane yielded favorable radiographic outcomes, with substantial reduction of alveolar cleft defects and satisfactory bone bridge formation in this retrospective cohort. This technique may be a viable treatment option for selected patients. However, prospective controlled studies with larger cohorts and longer follow-up are needed to confirm its comparative effectiveness and long-term stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261476579","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:25:31Z","timestamp":1786112731000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cleft Alveolar Bone Grafting Using Mandibular Symphyseal Bone Graft and Resorbable Collagen Membrane: A CBCT-Based 3-Dimensional Morphometric Analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1990-4048","authenticated-orcid":false,"given":"Andi Setiawan","family":"Budihardja","sequence":"first","affiliation":[{"name":"Universitas Pelita Harapan"},{"name":"Department of Oral Maxillofacial Surgery, Siloam Hospital Lippo Village and Comprehensive Cleft Center Indonesia, Tangerang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimas","family":"Satria Putra","sequence":"additional","affiliation":[{"name":"Universitas Pelita Harapan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia Hapsari","family":"Andayani","sequence":"additional","affiliation":[{"name":"Universitas Trisakti"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1073-8746(96)80014-4"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2010.02.004"},{"issue":"3","key":"e_1_3_3_4_2","first-page":"175","article-title":"Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment","volume":"23","author":"Bergland O","year":"1986","unstructured":"Bergland O, Semb G, Abyholm FE. 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