In some cases, the orthodontist will also want to align the rotated teeth so that the surgeon will get the best possible access to perform the surgery. These devices are usually cemented to the teeth and slowly expands the maxillary arches. This expansion is performed using various orthodontic appliances such as a removable plate or fixed expander using wires and screws. If the patient has a very narrow maxilla, then the orthodontist will plan for maxillary expansion before the surgery. In consultation with the orthodontist, surgery will be planned according to the x-ray findings. Latest radiological investigations such as CBCT scans will provide with precise information regarding the bone defect and position of teeth in the cleft gap. The exact root development can be visualised on these radiographs. Usually, patients will be asked to get a dental X-rays OPG (Orthopentomogram) and Lateral cephalogram done. Various studies have shown that bone grafting surgery performed at this age range shows maximum benefits. This age is also beneficial as the healing and potential for bone formation is very good in young patients. According to Dr Vikram Pandit, accredited Oral and Maxillofacial Surgeon from Pune, this is usually between 9-12 years of age. This surgical procedure is planned when the canine tooth shows 2/3rd of root formation.
The various reasons for performing this procedure are listed by Oral and Maxillofacial Surgeon Dr Vikram Pandit as follows: The alveolar bone grafting surgery is usually performed at the age of 9-12 years. The maxilla usually will appear to be in “V” shape rather than normally seen “U” shape. Because of this, the children may have few missing teeth in that area, also teeth around that region are usually rotated in various angles.Īfter the cleft lip and cleft palate surgeries performed by Dr Shrirang Pandit the expert Plastic Surgeon, the child will usually develop a narrow and constricted maxilla.Īlso, such patients will have maxilla which shows less growth as compared to the lower jaw bone. In patients with cleft lip and cleft palate due to the congenital deformity in the upper jaw, part of the alveolus in the cleft region is absent. Most of the alveolus is covered with gums.
The main function of the alveolus is to support the teeth. The alveolus is the part of jaw bone in the maxilla (upper jaw) and mandible(lower jaw). Alveolar bone grafting and orthodontic treatment for patients with cleft lip and cleft palate are offered by Pandit Clinic, Oral and Maxillofacial Surgeon, Dr Vikram Pandit.