Orthodontics in Relation with Alveolar Bone Grafting in CLP Patients

Abstract

Alveolar bone grafting is an essential step in the overall management of patients with cleft lip and palate (CLP). The numerous advantages of this procedure have been reported in the literature. Failure to rehabilitate the alveolar cleft may give rise to a variety of problems. Lack of investing alveolar bone often precludes the correction of anterior tooth irregularities and limits orthodontic treatment and/or prosthodontic rehabilitation. The success of the graft is multifactorial. The periodontal health of the surrounding graft tissues, the experience and ability of the surgeon, the timing of surgery, and orthodontic management of the cleft area before and after grafting are shown to be the most important factors in this issue. In this chapter, current orthodontic approaches in relation with alveolar bone grafting (ABG) in cleft patients will be discussed.

Updated Evidence in Management of Cleft Lip and Palate: Simple Review Article

“…Following that, depending on the patient's needs, procedures with an ear, nose, and throat specialist or a plastic surgeon for nasal cleft deformity correction and scar reviews, and orthodontics, are completed at different ages. The requirement for orthognathic surgery to establish distinct pattern osteotomies in the jawbone or midface/maxilla to repair various skeletal abnormalities connected to cleft lip deformity will be assessed at the age of skeletal maturity, often between the ages of 16 and 18 years old [22].…”

A New Technique of Two Iliac Cortical Bone Blocks Sandwich Technique for Secondary Alveolar Bone Grafting in Cleft Lip and Palate Patients

“…The alignment to move these teeth out of the cleft and widen the jaw arch creating a suitable space for dental implants. It facilitates designing and determination of the graft volume as well as planning of the location and orientation of the dental implant [13].…”