Early secondary bone grafting in children with alveolar cleft does not modify the risk of maxillary permanent canine impaction at the age of 10 years

Alveolar cleft management has remarkably improved in the last few years. Today, it is multidisciplinary with functional, esthetic and psychological objectives. Maxillary bone grafting with gingivoperiosteal flaps associated with orthodontic preparation is a integral part of alveolar cleft management (Abyholm et al., 1981, Bergland et al., 1986, Eppley et al., 2000, Theologie-Lygidakis et al., 2014). However, if maxillary bone grafting is performed before the age of 2 years, it might compromise midfacial growth (Robertson et al., 1968, Fudalej et al.

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