Management of the Cleft Dental Gap in the Skeletally Mature Patient

The residual cleft dental gap in the skeletally mature patient is often challenging to reconstruct. This session will review treatment options for management of the cleft dental gap in the skeletally mature patient. Treatment options that will be discussed include bone graft reconstruction of the cleft maxilla/alveolus with cuspid substitution or dental implant placement, modified maxillary osteotomy for closure of the cleft dental gap as well as prosthetic options. The various pros and cons of the aforementioned techniques will be described. The challenges of dental implant placement in the cleft population also will be discussed.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Describe the dental and skeletal consequences of failing to appropriately reconstruct the cleft maxilla/alveolus during the mixed dentition phase. 
  2. List various treatment options for management of the residual maxillary/alveolar cleft defect in the skeletally mature patient. 
  3. Describe the challenges of dental implant placement in the lateral incisor position.

Caitlin B. Magraw, DDS, MD, FACS
Attending Surgeon
Head and Neck Surgical Associates
Portland, Oregon
Disclosure: No relevant financial disclosures.

An Internet-based CDE/CME Activity
Original Release Date: September 17, 2022
Expiration Date: September 17, 2025
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Caitlin B.L. Magraw, DDS, MD, FACS

Dr. Caitlin Magraw is a board-certified, fellowship-trained surgical specialist in pediatric cleft and craniofacial surgery with expertise in the correction of congenital, developmental and acquired surgical problems of the skull, face, jaws and mouth from infancy through adulthood. Her practice includes the management of patients with cleft lip and palate, craniosynostosis, craniofacial syndromes, Pierre Robin sequence, skeletal facial deformities requiring orthognathic/corrective jaw surgery and craniomaxillofacial traumatic injuries.She earned her dental degree from Columbia University and medical degree from the University of North Carolina at Chapel Hill. She completed her residency in oral and maxillofacial surgery and internship in general surgery at the University of North Carolina Hospitals in Chapel Hill.Following residency, she completed fellowship training in pediatric cleft and craniofacial surgery at the Orlando Health Arnold Palmer Hospital for Children in Florida, which is associated with one the of largest and busiest neonatal intensive care units in the country. She is the only surgeon in the state of Oregon to hold a Certificate in Advanced Qualification in Pediatric Craniomaxillofacial Surgery. She is the director of the Portland Center for Cleft and Craniofacial Differences and a Clinical Assistant Professor in the OHSU Department of Oral and Maxillofacial Surgery as well as the WSU Elson S. Floyd School of Medicine.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
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Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Management of the Cleft Dental Gap in the Skeletally Mature Patient
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available