U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Cleft maxillary alveolar ridge

MedGen UID:
488995
•Concept ID:
C2919907
•
Congenital Abnormality
Synonym: Cleft of alveolar ridge of maxilla
SNOMED CT: Cleft of alveolar ridge (445306000)
 
HPO: HP:0010289

Definition

A gap (cleft) affecting one of the alveolar ridges, which are the protuberances in the mouth that contain the sockets (alveoli) of the teeth. An alveolar cleft can affect all structures of the alveolar ridge, including the gingiva, other mucosa, periosteum, alveolar bone, and teeth. Alveolar cleft occurs in response to divergence from normal development during frontonasal prominence growth, contact, and fusion. The most common alveolar portion of the cleft is located between the lateral incisor and the canine. [from HPO]

Conditions with this feature

Anencephaly 2
MedGen UID:
1794155
•Concept ID:
C5561945
•
Congenital Abnormality
Anencephaly-2 (ANPH2) is a severe neural tube defect caused by failure of neural tube closure anteriorly. Features in addition to anencephaly may include frontonasal dysplasia with midline cleft of the upper lip and alveolar ridge, bifid nose, and clinical anophthalmia. For a discussion of genetic heterogeneity of anencephaly, see ANPH1 (206500).
See: Condition Record
Anencephaly 2

Professional guidelines

PubMed

Management of the premaxilla in the treatment of bilateral cleft of lip and palate: what can the literature tell us?
Bittermann GK, de Ruiter AP, Janssen NG, Bittermann AJ, van der Molen AM, van Es RJ, Rosenberg AJ, Koole R
Clin Oral Investig 2016 Mar;20(2):207-17. Epub 2015 Sep 16 doi: 10.1007/s00784-015-1589-y. PMID: 26374747Free PMC Article
Management of the alveolar cleft.
Santiago PE, Schuster LA, Levy-Bercowski D
Clin Plast Surg 2014 Apr;41(2):219-32. doi: 10.1016/j.cps.2014.01.001. PMID: 24607190
Treatment of alveolar cleft performing a pyramidal pocket and an autologous bone grafting.
Morselli PG, Giuliani R, Pinto V, Oranges CM, Negosanti L, Tavaniello B, Morellini A
J Craniofac Surg 2009 Sep;20(5):1566-70. doi: 10.1097/SCS.0b013e3181b0dacd. PMID: 19816297

Recent clinical studies

Etiology

Analysis of facial skeleton shape in patients with complete unilateral cleft lip and palate: geometric morphometry.
Velemínská J, Katina S, Smahel Z, Sedlácková M
Acta Chir Plast 2006;48(1):26-32. PMID: 16722348
The use of free-periosteum for secondary bone grafting to the maxillary alveolar clefts.
Kubota Y, Shirasuna K
Ann Plast Surg 2005 Dec;55(6):599-602. doi: 10.1097/01.sap.0000189665.99612.47. PMID: 16327459
Early maxillary orthopedics in a child with an oblique facial cleft.
Stellzig A, Basdra EK, Mühling J, Komposch G
Cleft Palate Craniofac J 1997 Mar;34(2):147-50. doi: 10.1597/1545-1569_1997_034_0147_emoiac_2.3.co_2. PMID: 9138510
Experience with e-PTFE membrane application to bone grafting of cleft maxilla.
Piette E, Alberius P, Samman N, Linde A
Int J Oral Maxillofac Surg 1995 Oct;24(5):327-32. doi: 10.1016/s0901-5027(05)80483-7. PMID: 8627094
Primary (early) alveolar bone grafting.
Dado DV
Clin Plast Surg 1993 Oct;20(4):683-9. PMID: 8275633

Diagnosis

Segmental Maxillary Osteotomy to Close Wide Alveolar Clefts.
Wilson AT, Wu RT, Sawh-Martinez R, Steinbacher DM
J Oral Maxillofac Surg 2019 Apr;77(4):850.e1-850.e5. Epub 2018 Nov 26 doi: 10.1016/j.joms.2018.11.011. PMID: 30576673
Treatment of a unilateral Tessier number 4 facial cleft in an adult: role of nasolabial V-Y advancement flap.
Rahpeyma A, Khajehahmadi S
Br J Oral Maxillofac Surg 2015 Jan;53(1):99-101. Epub 2014 Nov 8 doi: 10.1016/j.bjoms.2014.09.019. PMID: 25445388
Abnormal maxillary trapezoid pattern in human fetal cleft lip and palate.
Kim SM, Lee YJ, Lee SS, Kim YS, Lee SK, Kim IB, Chi JG
Cleft Palate Craniofac J 2008 Mar;45(2):131-40. doi: 10.1597/06-077.1. PMID: 18333644
Evaluation of nasoalveolar cysts for the facial plastic surgeon.
Liu ES, Kridel RW
Arch Facial Plast Surg 2003 Mar-Apr;5(2):185-8. doi: 10.1001/archfaci.5.2.185. PMID: 12633212
Treatment of an open-bite malocclusion complicated by clefts of the maxilla and mandible.
Lubit EC
Angle Orthod 1976 Jul;46(3):294-302. doi: 10.1043/0003-3219(1976)046<0294:TOAOMC>2.0.CO;2. PMID: 1066980

Therapy

Mucosal Dehiscence After Alveolar Bone Graft in Cleft.
Amodeo G, Scopelliti D
J Craniofac Surg 2018 Mar;29(2):e126-e128. doi: 10.1097/SCS.0000000000004135. PMID: 29215438
Maxillofacial aspects in malignant osteopetrosis.
da Silva Santos PS, Esperidião AP, de Freitas RR
Cleft Palate Craniofac J 2009 Jul;46(4):388-90. Epub 2009 Feb 1 doi: 10.1597/07-203.1. PMID: 19642767
Intra- and perioperative complications of the LeFort I osteotomy: a prospective evaluation of 1000 patients.
Kramer FJ, Baethge C, Swennen G, Teltzrow T, Schulze A, Berten J, Brachvogel P
J Craniofac Surg 2004 Nov;15(6):971-7; discussion 978-9. doi: 10.1097/00001665-200411000-00016. PMID: 15547385
Experience with e-PTFE membrane application to bone grafting of cleft maxilla.
Piette E, Alberius P, Samman N, Linde A
Int J Oral Maxillofac Surg 1995 Oct;24(5):327-32. doi: 10.1016/s0901-5027(05)80483-7. PMID: 8627094
Oral complications associated with neonatal oral tracheal intubation: a critical review.
Angelos GM, Smith DR, Jorgenson R, Sweeney EA
Pediatr Dent 1989 Jun;11(2):133-40. PMID: 2668901

Prognosis

Analysis of facial skeleton shape in patients with complete unilateral cleft lip and palate: geometric morphometry.
Velemínská J, Katina S, Smahel Z, Sedlácková M
Acta Chir Plast 2006;48(1):26-32. PMID: 16722348
Early maxillary orthopedics in a child with an oblique facial cleft.
Stellzig A, Basdra EK, Mühling J, Komposch G
Cleft Palate Craniofac J 1997 Mar;34(2):147-50. doi: 10.1597/1545-1569_1997_034_0147_emoiac_2.3.co_2. PMID: 9138510
Ectopic eruption of maxillary first permanent molars in children with cleft lip.
da Silva Filho OG, De Albuquerque MV, Kurol J
Angle Orthod 1996;66(5):373-80. doi: 10.1043/0003-3219(1996)066<0373:EEOMFP>2.3.CO;2. PMID: 8893107
Experience with e-PTFE membrane application to bone grafting of cleft maxilla.
Piette E, Alberius P, Samman N, Linde A
Int J Oral Maxillofac Surg 1995 Oct;24(5):327-32. doi: 10.1016/s0901-5027(05)80483-7. PMID: 8627094
Primary (early) alveolar bone grafting.
Dado DV
Clin Plast Surg 1993 Oct;20(4):683-9. PMID: 8275633

Clinical prediction guides

Segmental LeFort I surgery: turning a predicted soft-tissue failure into a success.
Leshem D, Tompson B, Phillips JH
Plast Reconstr Surg 2006 Oct;118(5):1213-1216. doi: 10.1097/01.prs.0000220878.49835.28. PMID: 17016192
Analysis of facial skeleton shape in patients with complete unilateral cleft lip and palate: geometric morphometry.
Velemínská J, Katina S, Smahel Z, Sedlácková M
Acta Chir Plast 2006;48(1):26-32. PMID: 16722348
The use of free-periosteum for secondary bone grafting to the maxillary alveolar clefts.
Kubota Y, Shirasuna K
Ann Plast Surg 2005 Dec;55(6):599-602. doi: 10.1097/01.sap.0000189665.99612.47. PMID: 16327459
Geometrical planning for the correction of orbital hypertelorism.
Ortiz Monasterio F, Medina O, Musolas A
Plast Reconstr Surg 1990 Oct;86(4):650-7. doi: 10.1097/00006534-199010000-00005. PMID: 2217578
Facial duplication -- the unique case of Antonio.
Obwegeser HL, Weber G, Freihofer HP, Sailer HF
J Maxillofac Surg 1978 Aug;6(3):179-98. doi: 10.1016/s0301-0503(78)80088-5. PMID: 279636

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...