Management of Alveolar Cleft Defect by Iliac Crest Secondary Bone Grafting: A Case Report

Abstract

Aim and objective: This case report aims to describe the management of alveolar cleft defect by iliac crest secondary bone grafting. Background: The secondary alveolar bone grafting performed during the mixed dentition period is an essential module of modern-day rehabilitation of cleft lip and palate patients with alveolar defects. Iliac crest bone graft is a frequent secondary graft used and is technique sensitive. Case description: A 12-year-old girl with alveolar cleft defect having problems with speech and regurgitation of fluids from nostril was presented and its management by a combination of iliac crest bone grafting and platelet-rich fibrin (PRF) was described. Conclusion: One year recall radiograph showed successful bone augmentation with this secondary alveolar bone grafting along with application of platelet rich plasma (PRP). Clinical significance: Osseous integration can be enhanced by PRP application over the graft which gives greater clinical outcome with less invasiveness.