About this trial
This study aims to compare the clinical outcomes of bilateral alveolar cleft reconstruction using double iliac corticocancellous bone block grafts versus conventional autogenous particulate bone grafting. The study will evaluate graft stability, bone volume, and postoperative complications in patients with bilateral alveolar clefts. Participants will be allocated into two groups, each receiving one of the two grafting techniques. Clinical and radiographic assessments will be performed during follow-up to determine the effectiveness and predictability of each method
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
patients diagnosed with bilateral alveolar cleft requiring secondary alveolar bone graft.
Medically fit for surgery under general anesthesia.
Adequate soft tissue coverage at the cleft site.
Patients (or guardians) able to provide informed consent.
Disqualifiers
Unilateral alveolar cleft.
Presence of systemic diseases affecting bone healing (e.g., Diabetes Mellitus uncontrolled, osteoporosis).
Syndromic cleft patients.
Poor oral hygiene or active infection at the surgical site.
Trial design
Parallel
Treatments tested in this trial
Iliac Corticocancellous Bone Block Graft
Procedure/Surgeryparticipants will undergo bilateral alveolar cleft reconstruction using double iliac corticocancellous bone blocks harvested from the iliac crest. The grafts will be secured to premaxilla by micro screws to restore alveolar continuity, facilitate tooth eruption, and improve bone volume
Autogenous Particulate Bone Graft
Procedure/Surgeryparticipants will undergo bilateral alveolar cleft reconstruction using conventional autogenous particulate bone graft harvested from the iliac crest. The graft material will be packed into the alveolar defect to restore bone continuity and support future tooth eruption.
Treatment groups
Trial outcomes
Primary outcomes
bone volume
Measurement of alveolar bone volume using radiographic imaging (CBCT) to compare bone maintenance between the two techniques
Sponsors and contacts
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