Cleft Lip & palate is the most common congenital facial deformity. After surgical correction of cleft lip and cleft palate a separate surgical correction of cleft alveolus is necessary for stability & continuity of maxillary arch permitting support for tooth eruption elimination of oro-nasal fistula and providing aesthetic support to the nasal base. The donor sites for bone grafting for cleft alveolus include anterior & posterior Iliac crest mandibular symphysis cranium tibia olecrenon process and rib. We used anterior iliac crest cortico-cancellous bone graft for cleft alveolus and studied the outcome on different age groups and also evaluated its effect on eruption of impacted tooth (canine/lateral incisor)if present after grafting.
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