
Management of the Cleft Dental Gap in the Skeletally Mature Patient
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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:
- Describe the dental and skeletal consequences of failing to appropriately reconstruct the cleft maxilla/alveolus during the mixed dentition phase.
- List various treatment options for management of the residual maxillary/alveolar cleft defect in the skeletally mature patient.
- 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
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.
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