[Use of cancellous bone and periosteal transplants in primary and secondary cleft palate during a change in dentition]

A group of patients that was selected jointly with orthodontists consisted of 25 subjects, aged 8-16 years, having undergone operation for the cleft of primary and secondary palate, with left jaw defect. The patients had correct bites with good cure prognosis. Cancellous bone and periosteal flap taken from the wing-like portion of ilium were grafted into their jaw defects. After 1 year the alveolar process continuity was obtained in 23 patients (92%) and in the remaining ones the resorption of the graft was recorded. Reconstruction of the alveolar process was visible in radiographs, and eruption of canine tooth through the graft was evidenced in 40% of cases. No satisfactory results were obtained as regards the closure of naso-palatine fistula and the total underpadding of the alar base.