1. What do you know about bergland grading system of alveolar bone grafting?

(6)
The bergland grading system of measuring bone graft success is the gold standard method.
With this system the occlusal level of the interdental bone graft is compared with that of a
normal side and a 4 point scale is used to catagorized each graft.
 Type I Normal interdental bone level
 Type II level greater than three quarters of normal height
 Type III level less than three quarters of normal height
 Type IV (failures) No bony bridge achieved

2. How much time is required to start orthodontic treatment after bone grafting?
(02)
Orthodontic treatment can be started 3 months after the bone grafting procedure.

3. What are the principle objectives of alveolar bone grafting?(02)

 Formation of stable dental arch and osseous environment that facilitates canine
eruption.
 Provision of greater periodontal support for teeth adjacent to cleft.
 Augmentation of bony support for lip and alar base.

Reference: Assessment of secondary alveolar bone grafting using a modification of the

bergland grading system,P.J Hynes,M.J Earley BJPS july 2003.