Invasiveness of tibial bone graft harvesting for secondary alveolar bone grafting: Can harvesting be made at the age of less than ten without complications?

An alveolar bone grafting that enable tooth eruption, orthodontic tooth movement, and non-prosthetic restoration of dentition at the alveolar cleft site has been performed at many institutions as a part of the standard treatment for cleft lip and palate patients since the report of fresh autogenous bone grafting was published1. Conventionally, an alveolar bone grafting is performed using particulate cancellous bone and marrow (PCBM) frequently harvested from the iliac crest2,3. However, because of the invasiveness of iliac crest bone graft harvesting, postoperative complications such as pain, gait disorder, and sensory nerve paralysis have been reported from time to time4-6. (Source: Journal of Oral and Maxillofacial Surgery)

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