Various Types of Bone Grafting Used in the Reconstruction of Cleft Maxillary Defects

Abstract

Over the past decades, heterologous bone augmentation reached higher and higher limits due to the quality of materials used and the new technologies available to us. Even though, with the technological progression, autologous iliac crest augmentation of the alveolar clefts remained a golden standard in the reconstruction of these defects. Our study focuses on the quality and quantity of the stable bone left after the waiting period post-augmentation, while at the same time comparing the two types of augmentation available. We have also introduced the Advanced Platelet Rich Fibrin a-PRF as a hastening factor in both types of augmentation from the moment it became available to us, and due to the positive results obtained we now consider a-PRF as mandatory if available.