Abstract
Summary Whether bilateral or unilateral, when appropriate grafting and soft-tissue procedures accomplish almost normal anatomic reconstruction of the cleft defect, there is usually significant improvement in growth, function, and esthetics. Waiting until 9 years of age to perform the alveolar cleft graft carries some risk of poor bone support of both the lateral incisor, if present, and the central incisor adjacent to the cleft and frequently leads to a poor balance of clinical crown height between the maxillary permanent central incisors.
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