Custom-milled individual allogeneic bone grafts for alveolar cleft osteoplasty-A technical note.

INTRODUCTION: Bone grafts from the iliac crest are most commonly used for osteoplasties of the cleft alveolus. To preclude undue donoresite morbidity custom-milled allogeneic bone grafts might be an appropriate choice. MATERIAL AND METHODS: This technical note showcases the repair of an alveolar cleft using an individualized allogeneic bone graft in a 36-year old female patient. She was asking for an alternative to the iliac crest bone grafting. Her alveolus was successfully build up by a custom-milled cancellous bone block allograft (maxgraft((R)) 80 bonebuilder). RESULTS: Custom-milled cancellous bone block allografts can greatly facilitate alveolar cleft repair and may present an effective treatment option under the premise that resorption resistance corresponds to autografts. CONCLUSION: Further clinical studies are needed to explore the potential of bone block allografts for alveolar cleft osteoplasty.