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Secondary (intermediate) alveolar bone grafting

M Cohen¹, J W Polley, A A Figueroa

¹Department of Surgery, University of Illinois at Chicago.

Clinics in Plastic Surgery

|October 1, 1993

Summary

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Secondary bone grafting is a common procedure for the maxilla and alveolar clefts during transitional dentition. This article reviews the procedure's goals, optimal timing, and flap design for successful soft-tissue coverage.

Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Craniofacial Reconstruction

Background:

Secondary bone grafting of the maxilla and alveolar clefts is a standard procedure.
It is often performed during transitional dentition alongside orthodontic treatment.

Purpose of the Study:

To discuss the objectives of secondary bone grafting.
To outline the ideal timing for bone graft placement.
To describe flap designs for optimal soft-tissue coverage.

Main Methods:

Review of current surgical techniques and protocols.
Analysis of factors influencing graft success.
Discussion of flap designs for soft-tissue management.

Main Results:

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Secondary bone grafting is a well-accepted modality for alveolar cleft reconstruction.
Optimal timing and flap design are crucial for successful outcomes.
Integration of orthodontic treatment enhances results.

Conclusions:

Secondary bone grafting effectively reconstructs the maxilla and alveolar clefts.
Careful consideration of procedural timing and flap design is essential.
This procedure is a vital component of comprehensive cleft care.