The aim of the study is to enhance the maxillary segments stability during graft healing using microplate fixation to be compared with conventional grafting technique regarding gained bone quality and quantity.
Patients with bilateral complete maxillary alveolar cleft at the age of mixed dentition (between 9 and 12 years old).
repaired cleft lip.
Patients with medical history that did not hinder surgical intervention and have adequate proper oral hygiene.
Both genders males and females will be included.
General contraindications to surgical intervention of the area.
Patients with unilateral maxillary alveolar cleft.
Patients with ill repaired cleft lip that will hinder the appropriate reconstruction of the alveolar cleft
Subjected to irradiation in the head and neck area less than 1 year before surgery.
Parallel
bilateral alveolar cleft grafting using iliac crest particulate and microplate fixation
Procedure/Surgerybilateral alveolar cleft grafting using particulate iliac crest graft accompanied with fixation of graft and premaxilla using microplate
Bone density immediate versus 6 months postoperatively.
bone density changes are measured using CBCT after 6 months via HU
Bone width and height immediate versus 6 months postoperatively
bone height and width changes are measured using CBCT after 6 months in mm
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