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. 2018 Jun;9(Suppl 1):S100-S106.
doi: 10.4103/ccd.ccd_109_18.

Correction of Secondary Alveolar Clefts with Iliac Bone Grafts

Mallikarjuna Rao Dasari  1 , Vaka Ramesh Babu  1 , C Apoorva  1 , Swapna Allareddy  2 , Sathya Kumar Devireddy  1 , Sridhar Reddy Kanubaddy  1
Affiliations

Correction of Secondary Alveolar Clefts with Iliac Bone Grafts

Mallikarjuna Rao Dasari et al. Contemp Clin Dent. 2018 Jun.

Abstract

Introduction: Cleft lip and palate deformities are one of the most common birth defects. The alveolar cleft requires bony repair to allow proper eruption of dentition. The purpose of this study is to evaluate success in the repair of alveolar clefts with iliac bone grafts.

Aim: The aim of this study is to restore the function and form of both arches with a proper occlusal relationship and eruption of tooth in the cleft area.

Subjects and methods: Five patients were selected irrespective of sex and socioeconomic status and whose age was within the mixed dentition period. The iliac crest is grafted in the cleft area and subsequently evaluated for graft success using study models, periapical, and occlusal radiographs.

Results: At the time of evaluation, teeth were erupted in the area and good alveolar bone levels were present. Premaxilla becomes immobile with a good arch form and arch continuity. There are no major complications regarding pain, infection, paresthesia, and hematoma formation at donor site without difficulty in walking. There is no complication regarding pain, infection, exposure of graft, rejection of graft, and wound dehiscence at the recipient site except in one case.

Conclusions: Long-term follow-up is required to achieve maximum advantage of secondary alveolar grafting; the age of the patient should be within the mixed dentition period, irrespective of sex and socioeconomic status. It may be unilateral or bilateral.

Keywords: Bone grafts; iliac bone grafts; secondary alveolar clefts.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative clinical picture of the alveolar clef
Figure 2
Figure 2
(a) Visualization of the cleft. (b) Buccal and palatal flap reflection
Figure 3
Figure 3
Corticocancellous iliac bone graft placement
Figure 4
Figure 4
Closure done with 3-0 vicrly
Figure 5
Figure 5
Incision given on the anterior iliac spine
Figure 6
Figure 6
Closure done with 3-0 prolene
Figure 7
Figure 7
Pre operative occlusal Radiograph
Figure 8
Figure 8
Post operative and postoperative radiographs
Graph 1
Graph 1
Pie Diagram showing Success rate of the graft in the cleft defect
See this image and copyright information in PMC

References

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