Abstract
Summary The effects of bone grafting at the age of 15 months in infants with complete clefts of the lip and palate were assessed by a controlled series. The similar pair technique was used, and all the patients were treated in the same way and one of each pair had an autogenous rib graft. No clear advantageous result could be detected in the grafted group. A notch remained in the cleft area and the grafted bone was insufficient to support a tooth in a normal position. On the other hand limitation of growth occurred in the upper jaws in the graft patients and was manifested by reduced antero-posterior development, an increased incidence of crossbite, and a reduced area of upper jaw. Evidence is presented that this deleterious effect became worse between the 4th and 5th years of age, and appears to be due to the presence of the bone. Bone grafting in young patients has been abandoned.
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