 If the cleft has involved the gum (alveolus), a bone graft operation might be suggested at about 9 years of age. Dental x-rays will be taken to assess the development of the teeth in the jaws. From these x-rays the orthodontist can tell if an eye (canine) tooth needs more bone to erupt through. The operation involves taking some bone usually from the hip and inserting it into the cleft. Before the operation, the child should see the dentist to make sure that he/she is dentally fi t for the operation. Any infection from abscessed teeth can affect the success of the operation. An antiseptic mouthwash should be used for a few days before and after the operation. Often after the operation small fragments of bone come out. This is normal. The operation will help stabilise the upper alveolus and provide bone for the teeth to grow into. It is not required for every patient with a cleft. REFERENCE: “A PARENTS' GUIDE TO THE TREATMENT OF CLEFT LIP AND PALATE” / "‘n OUER-HANDELING VIR DIE BEHANDELING VAN ‘n GESPLETE LIP ENVERHEMELTE" / ISIKHOKELO KUBAZALI NGONYANGO LOMLEBE OCANDEKILEYO NENKALAKAHLA EVULEKILEYO. © Haydn Bellardie 2006. |
Bone graft |