This paper describes the clinical and surgical management of a patient presenting with a unilateral alveolar cleft and associated oronasal fistula. After orthodontic expansion of the maxilla, a secondary osseous graft was placed. A single Branemark implant was subsequently utilized to allow for prosthetic restoration of the dental arch. Through case presentation, a detailed course of treatment is outlined that effectively restores the anatomy, integrity, and function of both the alveolar and dental arches.
AdellR., LekholmU., RocklerB., BranemarkP.I.. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw.Int J Oral Surg1981; 6: 387–416.
2.
BerkowitzS.. Orofacial growth and dentistry.Cleft Palate J1977: 14: 288.
El DeebM.E., BevisR.R., Gomez MarinO.. Canines erupted through grafted alveolar cleft defects in patients with alveolar clefts: a pulp testing evaluation study.Cleft Palate J1989; 26: 100–104.
5.
El DeebM.E., HinrichsJ.E., WaiteD.E., BandtC.L., BevisR.. Repair of alveolar cleft defects with autogenous bone grafting: periodontal evaluation.Cleft Palate J1986; 23: 126–136.
6.
El DeebM.E., MesserL.B., LenhertM.W., HebdaT.W., WaiteD.E.. Canine eruption into grafted bone in maxillary alveolar cleft defects.Cleft Palate J1982; 19: 9–16.
7.
HarshaB.C., TurveyT.A., PowersS.K.. Use of autogenous cranial bone grafts in maxillofacial surgery: a preliminary report.J Oral Maxillofac Surg1986; 44: 11–15.
8.
HinrichsJ.E., El DeebM.E., WaiteD.E., BevisR.R., BandtC.L.. Periodontal evaluation of canines erupted through grafted alveolar cleft defects.J Oral Maxillofac Surg1984; 42: 717–721.
9.
KentJ.N., BlockM.S.. Simultaneous maxillary sinus floor bone grafting and placement of hydroxylapatite-coated implants.J Oral Maxillofac Surg1989; 47: 238–242.
10.
LaurieS.W.S., KabanL.B., MullikenJ.B., MurrayJ.E.. Donor-site morbidity after harvesting rib and iliac bone.Plast Reconstr Surg1984; 73: 933–938.
11.
ListromR.D., SymingtonJ.M.. Osseointegrated dental implants in conjunction with bone grafts.Int J Oral Maxillofac Surg1988; 17: 116–118.
12.
ManekshaR.J.. Cleft lip surgery.United Kingdom: Wolfe Medical Publications, 1986.
13.
MarxR.E., MillerR.I., EhlerW.J., HubbardG., MalininT.I.. A comparison of paniculate allogenic and particulate autogenous bone grafts into maxillary alveolar clefts in dogs.J Oral Maxillofac Surg1984; 42: 3–9.
14.
McWilliamsB.J., MorrisH.L., SheltonR.L.. Cleft palate speech.Philadelphia, PA: B C Decker,1989.
15.
NelsonW.E.. Textbook of pediatrics.12th Ed.Philadelphia: WB Saunders. 1983.
16.
PetroffM.A., BurgessL.P.A., AronsenC.K., LauP., GoodeR.L.. Cranial bone grafts for post-traumatic facial defects.Laryngoscope1987; 97: 1249–1253.
17.
RobertsonN.R.E., JolleysA.. An 11-year follow up of the effects of early bone grafting in infants bom with complete clefts of the lip and palate.Br J Plast Surg1983; 36: 438–443.
18.
TurveyT.A., VigK., MoriarityJ., HokeJ.. Delayed bone grafting in the cleft maxilla and palate: a retrospective multidisciplinary analysis.J Orthod1984; 86: 244–256.
19.
WaiteD.E., KerstenR.B.. Residual alveolar and palatal clefts. In: BellW.H., ProffitW.R., WhiteR.P., eds. Surgical correction of dentofacial deformities.Philadelphia: WB Saunders, 1980.
20.
SembG.. The effect of alveolar bone grafting on maxillary growth in unilateral cleft lip and palate patients.Cleft Palate J1988; 25: 288.
