RT - Journal of Clinical Pediatric Dentistry ID - 10.17796/jcpd.38.1.n152280p45mj53m2 T1 - Alternative Approaches to Managing the Cleft Alveolus A1 - Sabarinath VP A1 - Vasant Radhakrishnan A1 - Hazarey PV A1 - Sreeja Ravindran K1 - Cleft palate K1 - cleft alveolus K1 - maxillary distraction K1 - nasoalveolar molding K1 - children YR - 2013 SP - 89 AB -
The cleft alveolus component of the oral cleft deformity is addressed with a separate surgical stage. Several host and operator related factors affect the surgical outcome. When factors that increase the likelihood of secondary alveolar bone graft failure are identified, alterative methods like dentoalveolar distraction (DAD) may be employed. In infants, molding of the alveolar segments is possible and when a synergistic surgical approach is used, the possibility of successful alveolar cleft repair is increased. The authors present two case reports wherein the use of nasoalveolar molding (NAM) and DAD helped to tackle the alveolar cleft deformity.