Management of unilateral cleft lip and alveolus with orthodontic treatment and alveolar bone graft

The unilateral cleft lip and alveolus of a 10-year-old male patient was treated with orthodontic therapy and alveolar bone graft. The patient had a piercing upper central permanent incisor caused by its rotating position. Two stages of treatment were necessary for achieving alignment and continuity of the upper dental arch. The first stage of treatment included the achievement of upper dental arch alignment for accommodating the alveolar bone graft. The second stage included alveolar bone graft and orthodontic treatment completion. The alveolar bone graft was performed for achieving dental arch continuity and enabling upper right lateral deciduous canine substitution of the upper lateral permanent incisor as well as for the successful eruption of the upper right permanent canine through the graft.