Alveolar Bone Grafting for Cleft Repair
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Alveolar bone grafting is a crucial surgical procedure performed in children born with cleft lip and palate. It involves placing bone into the gap in the gum ridge (alveolus) to support the development of teeth and jaw structure. This step is typically part of a staged cleft lip and palate surgery plan and plays a significant role in both function and appearance.
At Elegance Superspeciality Dental & Maxillofacial Clinic, our expert team ensures a safe and well-timed approach to cleft lip and palate repair, guiding families from diagnosis through every phase of care – including alveolar grafting. We take pride in delivering long-term, stable results that support both speech development and dental alignment.

What Is Alveolar Bone Grafting?
Alveolar bone grafting is typically performed between the ages of 7 and 11 years. The procedure involves harvesting bone – most commonly from the hip to placing it into the cleft gap in the alveolar ridge. This allows:
- Proper eruption of permanent teeth, especially canines
- Improved stability for future orthodontic treatment
- Closure of oronasal fistulas
- Enhanced facial symmetry
Before and After Cleft Lip and Palate Surgery Benefits
Children undergoing alveolar bone grafting as part of their cleft lip and palate repair often experience significant functional and aesthetic improvements:
- Better dental development
- Improved speech and nasal function
- More natural gum contour and jaw growth
Risks and Recovery after Alveolar Bone Grafting
While the surgery is generally safe, minor risks include infection, graft failure, or donor site discomfort. Most children recover within 1-2 weeks, and follow-up care includes dental monitoring and speech therapy if needed.
When to Consult a Doctor for Alveolar Bone Grafting
Parents should consult a cleft specialist by age 6 or 7 to evaluate the timing and readiness for grafting. Coordination with an orthodontist is essential before and after the procedure.
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FAQ
What is alveolar bone grafting?
It is a surgical process that fills the gap in the gum ridge (alveolar ridge) in patients to support tooth eruption and facial development.
Is it part of cleft lip and palate repair?
Yes, it is typically performed after initial lip/palate closure to complete the cleft lip and palate surgery plan.
At what age is it done?
Usually between 7 to 11 years, before the permanent canine erupts.
What is the recovery time?
Most children heal within 1–2 weeks, with full graft integration in a few months.
What are the before and after effects?
Improved dental structure, facial symmetry, and reduced nasal leakage.
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