Title: Alveolar Bone Grafting in Cleft Palate Patients – An Orthodontic Perspective
Authors: G.Sreejith Kumar, Manjith Rajan
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.95
Abstract
Cleft lip and palate is one of the birth defects affecting new born children throughout the world with wide geographical variation of its prevalence. The treatment approach of this congenital anomaly is multidisciplinary team work which include a paediatrician, pedodontist, plastic surgeon, psychologist, speech therapist, orthodontist, oral and maxillofacial surgeon and prosthodontist. Unfortunately there is a lack of consensus exists in the management protocol available and the diversity is mainly due to the lack of higher level evidence, dictating the management by dominant team member based on their experience and diversity of the problem. One of the critical stages in cleft management is alveolar bone grafting of the cleft defect area. A thorough understanding about timing, orthodontic preparation, graft materials and post-grafting care would improve the treatment outcome in many patients. An attempt is given here to increase the efficacy of these aspects so as to achieve the best possible treatment outcome in such unfortunate children.
Keywords: Cleft palate, Secondary alveolar bone grafting, Orthodontic preparation.
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