| Sub-title | |
| Authors | Simon Camilleri Mark Diacono |
| Abstract | The patient was referred from a major UK Cleft Lip and Palate centre. He presented as a 12 year old Caucasian male, born with a complete cleft of the hard and soft palate and a cleft of the left side of the lip and alveolus. The lip repair had been carried out shortly after birth and the palate repair at approximately 9 months. He presented with a Class III incisor relation on a mild Class III skeletal base. The oral hygiene was poor and he required restoration of the upper left first molar. The upper left lateral incisor and upper left second premolar were congenitally absent. The upper left canine had erupted into the palate. Both lower first premolars had been previously extracted for orthodontic reasons. He gave a history of previous orthodontic treatment in preparation for a primary alveolar bone graft, carried out at another Centre in the UK. The graft was carried out in January 1998 using bone taken from the iliac crest. He was referred for assessment and placement of the bone graft in October 2002. Initial clinical and radiographic examination revealed a partially successful alveolar bone graft. There was no oro-nasal communication. The height and width of the grafted alveolus was inadequate for implant treatment and the keratinized soft tissue was reduced over the edentulous space. Extensive scarring was evident in the area due to previous surgery. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 17 Issue 04 |
| Pages | 39 - 43 |
| Date | |
| Link to journal | |
| Key words | bone graft, case report, cleft palate, dentistry, implant, orthodontics, osseointegration, cleft lip |