Clinical Research Directory

Inclusion Criteria: * 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. Exclusion Criteria: * 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. * Untreated periodontitis. * Poor oral hygiene. * Uncontrolled diabetes. * Immunosuppressed or immunocompromised. * Active infection or severe inflammation in the area intended for graft placement * Unable to open mouth sufficiently to accommodate the surgical tooling. * Patients participating in other studies, if the present protocol could not be properly followed. * Unable to attend a 9-month follow-up.