Abstract
Background: Cleft lip and palate is a congenital anomaly, presenting in a wide variety of forms and combinations. Successful cleft lip and cleft palate rehabilitation requires a multidisciplinary approach employing the skills of different specialists.
 Aims & Objectives: The aim of this paper was to present orthodontic preparation of patients prior to alveolar bone grafting & to review our findings in a group of patients treated by secondary and delayed bone-grafting procedures at our institution.
 Methodology: Thirty eight patients were examined for the type of cleft and the age at the time of examination. 10 patients were treated in our institution with presurgical orthodontics & operated by a delayed bone-grafting technique. Duration and type of expansion was noted at pre-operative, 2 months and 6 months. Crestal bone heights and the quality of the bone in the grafted areas was examined radiographically, along with presence of any fistulas.
 Results: All the patients demonstrated improved alar base and upper lip support, also better dental stability was seen in the region of cleft.
 Conclusion: All the patients included in this study appeared to benefit from the procedure with improved facial balance. In all ten patients the oronasal fistulas remained closed, hence was reported to be a success.
Highlights
Cleft lip and palate is a congenital anomaly, presenting in a wide variety of forms and combinations
Thirty eight patients were examined; the type of cleft, age at the time of examination was noted. 10 patients out of these were treated with presurgical orthodontics & operated on at our institution by a delayed bone-grafting technique (Figs. 1 and 2)
The distribution of clefts examined included twenty-seven unilateral clefts amongst which 12 were left sided unilateral clefts and 15 were right sided unilateral clefts. 6 patients were with bilateral clefts. 2 patients were with cleft palate only
Summary
Cleft lip and palate is a congenital anomaly, presenting in a wide variety of forms and combinations It occurs for every one out of 5001000 live births [1,2]. Aims & Objectives: The aim of this paper was to present orthodontic preparation of patients prior to alveolar bone grafting & to review our findings in a group of patients treated by secondary and delayed bone-grafting procedures at our institution. 10 patients were treated in our institution with presurgical orthodontics & operated by a delayed bone-grafting technique. Crestal bone heights and the quality of the bone in the grafted areas was examined radiographically, along with presence of any fistulas
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