Ideal rehabilitation of the alveolar cleft includes closure of the oronasal fistula, consolidation of the maxilla with good archform, eruption of the permanent dentition, ability to orthodontically expand or move teeth through the grafted site, and in some cases, creation of a sufficient bone stock to facilitate dental implant placement or prostatic rehabilitation. There is still controversy as to the timing of repair and of late, whether early secondary, or late secondary repair is the best option to fulfill all the above stated goals. Also, it is often noted the bone graft harvest site has a higher complication rate and creates more pain than the surgical site itself. Because of this, efforts have been made to find other grafting options, such as allograft and bone morphogenetic protein, as in equivalent to autogenous bone. The purpose of this 90 minute panel discussion is to educate the audience on controversial techniques for alveolar cleft bone grafting to be focused on timing of oral nasal fistula closure and types of bone graft in materials utilized.

Continuing Education

Attendees must register, attend and evaluate each webinar to receive continuing education credit. Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through December 11, 2021.

• ACCME: ACPA designates this educational activity for a maximum of 1 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity. The American Cleft Palate-Craniofacial Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Describe traditional alveolar cleft bone grafting with autogenous bone.
Understand orthodontic preparation for alveolar bone grafting as related to timing of repair.
Discuss gingivoerioplasty and evidence relating to its use.
Assess the use of BMP in alveolar bone grafting.
Discuss benefits and drawbacks to early secondary alveolar bone grafting.