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A clinical approach to the management of alveolar clefts

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international journal of stomatology & occlusion medicine

Abstract

Depending on the amount of gap in cleft lip and palate patients there are different treatment options. If lateral incisors are missing and the cleft is small a bone grafting from the iliac crest is the method of choice. The canine thus has the possibility to erupt and come into the position of the missing lateral incisor. If the cleft is too broad this treatment often fails. In these cases the following options are possible:

  1. 1.

    Restoration, such as a bridge or an implant, which unfortunately is also dependent on bone

  2. 2.

    Transplantation of teeth into this region, which means the same problem as with implants

  3. 3.

    Distraction of a bone segment near the cleft, in most cases parts of the small segment

The osteogenesis in these cases allows delivery of better situations for further treatment and will perhaps be the future in terms of handling difficult cases.

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Conflict of interest

The authors declare that there is no actual or potential conflict of interest in relation to this article.

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Authors and Affiliations

  1. Department of Orthodontics, Medical University Graz, Auenbruggerplatz 12, 8036, Graz, Austria

    Margit Pichelmayer

  2. Department of Oral- and Maxillofacial Surgery, Medical University Graz, Graz, Austria

    Wolfgang Zemann

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  1. Margit Pichelmayer
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  2. Wolfgang Zemann
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Correspondence to Margit Pichelmayer.

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The English in this document has been checked by at least two professional editors, both native speakers of English. For a certificate, please see: http://www.textcheck.com/certificate/CZI2Dv.

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Pichelmayer, M., Zemann, W. A clinical approach to the management of alveolar clefts. J. Stomat. Occ. Med. 5, 110–114 (2012). https://doi.org/10.1007/s12548-012-0049-4

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  • DOI: https://doi.org/10.1007/s12548-012-0049-4

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