Reconstruction of the alveolar cleft using a custom-made titanium mesh tray and particulate cancellous bone and marrow in an elderly patient with cleft lip and palate: A case report

Patient Specific Dual Surgical Guidance for Alveolar Cleft Grafting

“…About 75% of people with cleft lip and palate have ACs, a congenital defect caused by the failure of the palatal shelves to fuse resulting in a soft tissue fistula and a bony gap. [7,10] AC treatment presents a significant challenge for surgeons due to the abundance of options. The surgeon's decision may be influenced by various factors such as the patient's dental or chronological age, the size and type of cleft, the child's social and academic development, occlusion, the necessity of perioperative procedures like jaw expansion or teeth alignment, the dynamics of the cleft team and even success metrics specific to each procedure.…”

“…It also guarantees a shorter surgical procedure and a lower risk of complications, all of which promote patient acceptance and satisfaction.6 In alveolar cleft defect, computer guided steps can generate a patient specific implant that provide a near normal vertical and horizontal ridge dimensions. [7] Dual surgical guidance is a novel protocol that employs two surgical guides designed to generate a patient specific graft. The first guide will have cutting slots that define the graft side walls contour and angles while the second one will outline the superior and inferior walls.…”