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The current study aims to compare the double mandibular corticocancellous bone blocks technique with mandibular cancellous bone particles in between versus the double iliac corticocancellous bone blocks technique with iliac cancellous bone particles in between in the tertiary cleft grafting to find out which technique maintained better graft width, height, and volume with the least adverse effects after the healing period and hence would allow for restoration of the targeted function and esthetics and improve the cleft patients psychologically and hence improve their quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group / Study group | Experimental | Patients with unilateral alveolar cleft beyond mixed dentition treated with the double mandibular corticocancellous bone blocks technique with mandibular cancellous bone particles in between |
|
| Control group | Active Comparator | Patients with unilateral alveolar cleft beyond mixed dentition treated with the double iliac corticocancellous bone blocks technique with iliac cancellous bone particles in between. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| grafting of the alveolar cleft | Procedure | patients with unilateral alveolar cleft treated withthe double mandibular corticocancellous bone blocks technique with mandibular cancellous bone particles in between. |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of gained bone volume after 6 months of graft healing in cubic millimeter by CBCT analysis | Measurement of gained bone volume after 6 months of graft healing in cubic millimeter by comparison between CBCT scans that will be taken postoperatively, and after 6 months postoperatively. volume assessment will be by specialized software 3D Slicer | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of gained bone labio-palatal width and height in millimeter by CBCT analysis | Measurement of gained bone labio-palatal width and height in millimeter after 6 months of graft healing by comparison between CBCT scans that will be taken postoperatively, and after 6 months postoperatively by specialized software Atomica ai. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| grafting of the alveolar cleft | Procedure | grafting alveolar cleft with double iliac corticocancellous bone blocks technique with cancellous bone particles in between |
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