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Alveolar cleft grafting is used primarily to allow the eruption of the maxillary canines into the mouth between the ages of 8 and 13 years old. It is also used to close oranasal fistulas, stop fluid reflux into the nose, improve speech, support the maxillary lateral teeth, and stabilize the jaw for orthodontics or orthognathic surgery.
Alveolar bone grafting in the mixed dentition is an essential part of the reconstructive journey for cleft lip and cleft palate patients. The reconstruction of the alveolar cleft can provide both aesthetic and practical advantages to the patient. [ 24 ]
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly. Some small or acute fractures can be cured without bone grafting, but the risk is greater for large fractures like compound fractures.
At present, guided bone regeneration is predominantly applied in the oral cavity to support new hard tissue growth on an alveolar ridge to allow stable placement of dental implants. When bone grafting is used in conjunction with sound surgical technique, guided bone regeneration is a reliable and validated procedure.
At the time of extraction or after healing and bone remodeling has happened, alveolar bone irregularities may be found. The goal for alveoloplasty [8] is to achieve optimal tissue support for the planned prosthesis, while preserving as much bone and soft tissue as possible.
In some cases, this is usually one procedure, for example lip repair. In other cases, it is an ongoing therapy, for example speech therapy. In most cases of cleft lip and palate that involve the alveolar bone, patients will need a treatment plan including the prevention of cavities, orthodontics, alveolar bone grafting, and possibly jaw surgery ...