Abstract
Alveolar bone grafting (ABG) is required in patients with cleft lip and palate (CLP) to reconstruct the alveolar cleft. Secondary ABG (using autologous iliac crest bone graft) at 9-11 years of age, prior to the eruption of the cleft-adjacent canine, has now been widely accepted. It has also been associated with minimal morbidity1. This approach does not take into consideration the eruption of the cleft-adjacent central and lateral incisors. To optimize the periodontal status of all cleft-adjacent permanent teeth, some cleft centers perform secondary ABG at about 6 years of age, at the time of eruption of the cleft-adjacent maxillary central incisor2. Unfortunately, the morbidity associated with the procedure in this younger patient population has not been extensively studied. The purpose of this study is to retrospectively investigate the morbidity of patients with CLP treated with ABG at about 6 years of age.
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