Barry H. Grayson, DDS
Judah S. Garfinkle, DDS, MS
Pradip R Shetye DDS, MDS, MOrthRCS
Lawrence E. Brecht, DDS
Stephen M. Warren, MD
Court B. Cutting, MD
Our team continues to evaluate the role of presurgical molding devices for the dentoalveolus and nose. This important work allows a gingival closure to be performed at the time of the cleft lip repair. Early data indicate that the majority of children treated this way do not require a secondary bone graft to close their alveolar cleft. Studies are underway analyzing the cleft lip and nose shape in three dimensions postoperatively.
An animal model for a critical-sized defect of the maxillary alveolus have been developed. This model is being used to evaluate the efficacy of various bone promoting substances used in conjunction with a gingivoperiosteoplasty in closing alveolar clefts.
Dr. Grayson, in conjunction with Dr. Cutting, is developing a commercial software program for the 3-D cephalogram and has also been working with his colleagues in the Cleft Palate Team to develop a technique of preoperative nasal orthopedics in the cleft lip/palate patient.
