Incomplete unilateral cleft of the primary palate: delayed secondary bone grafting combined with orthodontic treatment

The presence of a fissural lateral incisor in an alveolar cleft is not a common occurrence and, if one is present, must in most instances be removed because of microdontia or because it may compromise a bone graft. This case report presents an example of bone grafting carried out late in the secondary stage of the patient’s dentition, in conjunction with retention of the fissural lateral incisor as requested by the patient, and shows an acceptable outcome from the points of view of both aesthetics and dento-alveolar health.