A 6-year-old girl was brought to our hospital by her parents for surgical correction of her cleft defect. Her cleft lip and cleft palate defect was operated elsewhere, in her childhood.
Maxillofacial Surgeon Dr. S.M. Balaji performed the alveolar cleft repair using rhBMP-2 avoiding bone grafting. Miracle protein rhBMP-2 is a bioengineered version of a protein that occurs in the body. When placed in the cleft defect, it stimulates the body’s stem cells to form new bone and thereby healing the bony defect in the teeth bearing region of the upper jaw. By using rhBMP-2, bone graft surgery from the hip or rib is avoided, thereby avoiding an additional surgery & unsightly scars.

​An 8 year old boy with bilateral cleft lip and palate defect from Bihar was brought to our hospital with his parents for closure of the cleft defect in the teeth bearing region of upper jaw bone and further rehabilitation of his cleft deformity. The primary cleft lip and palate repair was done elsewhere.
The premaxilla was separated from rest of the alveolus which can be clearly appreciated in 3D CBCT scan. Thus upper alveolus was separated into three different parts which will severely affect the development of teeth later.
Maxillofacial Surgeon Dr. S. M. Balaji performed the premaxillary setback procedure with rhBMP-2 which helps in uniting the three parts into a single jaw bone with new bone formation. This surgery helped for proper growth and development as well as alignment of his teeth.

A 26-year-old man from Lucknow, with unilateral cleft lip and palate came to our hospital for expert cleft management. He was previously operated elsewhere for cleft lip and palate deformity. He had a nasal sounding speech and cleft in the alveolar bone (teeth-bearing jaw bone) in the right upper jaw. 

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined sphincter pharyngoplasty & rhBMP-2 surgery. Cleft individuals have hypernasality due to escape of air through the nose during speech. This is called velopharyngeal incompetence and is corrected by pharyngoplasty. Dr. Balaji created a dynamic sphincter by surgically rearranging the palatopharyngeus muscles.  Due to the huge alveolar cleft in the right upper jaw, the right side of his nose appeared collapsed. Dr. Balaji employed the advanced rhBMP-2 technology to completely close the bone defect. This miracle protein stimulates the body’s own cells to form new bone at the site it’s placed ultimately healing the gap. This revolutionary technology avoids a second surgery for grafting bone from the rib or hip. 

The video shows the new dynamic velopharyngeal sphincter action and a positive suction test indicating successful correction of velopharyngeal incompetence.  

A 14-year-old boy from Sri Lanka, with unilateral cleft lip and palate, was brought to our hospital by his parents for surgical correction of alveolar cleft (cleft in the teeth-bearing bone of upper jaw). Previously he was operated for cleft lip & cleft palate elsewhere. 

Maxillofacial Surgeon Dr. S.M. Balaji performed the surgical correction of the alveolar cleft using the advanced rhBMP-2 (recombinant human Bone Morphogenetic Protein). This miracle protein stimulates the body’s own stem cells to form new bone at the site where it’s placed ultimately healing the bone defect. Following this, normal teeth eruption and teeth alignment can be achieved. The wonder of using this advanced technique is that additional surgery of bone grafting from the rib or hip is avoided and there is no scarring. 

A 30 year old man from Oman came to our hospital with the complaints of severe pain and swelling in the right side of his lower jaw. A 3D CT scan & thorough histopathological examination revealed he had multilocular ameloblastoma in the right lower jaw.

Maxillofacial surgeon Dr. S.M. Balaji expertly planned the complete jaw reconstruction. The affected portion of the mandible (lower jaw) was surgically ressected. A rib graft was harvested & used to reconstruct the excised portion. Miracle protein rhBMP-2 was placed. This stimulates the body’s own cells to form new bone at the site thereby ensuring complete healing of the bone defect.

Few months following surgery, remarkable healing of the jaw bone defect was seen. Implants were placed in the missing teeth region of the lower jaw and ceramic prosthesis were fixed. The man was very happy that his jaw bone defect is cured completely and with the implants he is able to chew & eat well. 

A 6 year old boy with bilateral cleft lip and palate was brought to our hospital with the complaints of escape of food and water to the nose while eating and slurred speech due to escape of  air to the nose through the hole in the teeth bearing region of the upper jaw. Primary cleft lip and palate repair was done elsewhere.

After thorough clinical and radiographic examination Maxillofacial Surgeon Dr. S. M. Balaji diagnosed that in the previous cleft surgery the Surgeon has removed the premaxilla completely along with the developing tooth buds. Thus a part of alveolus along with the few teeth was missing which led to huge cleft defect in the midline of the upper jaw bone.  Dr. Balaji skillfully planned to close the cleft alveolar defect with the miracle protein rhBMP-2.

A gingivomucoperiosteal flap was raised and the cleft defect was exposed and miracle protein rhBMP-2 was placed in the alveolar cleft defect region and the flap was approximated with sutures. This protein helps the body’s own cells to form new bone at the site of placement. After 3 months achieving complete union of the segmented alveolar bone into a single complete maxilla, replacement of missing teeth followed by orthodontic treatment will be planned. 

An 8 year old boy with bilateral cleft lip and palate defect from Mumbai was brought to our hospital with his parents for closure of the cleft defect in the teeth bearing region of upper jaw bone and further rehabilitation of his cleft deformity. The primary cleft lip and palate repair was done elsewhere.

The premaxilla was separated from rest of the alveolus which can be clearly appreciated in 3D CBCT scan. Thus upper alveolus was separated into three different parts which will severely affect the development of teeth later.

Maxillofacial Surgeon Dr. S. M. Balaji performed the premaxillary setback procedure with rhBMP-2 which helps in uniting the three parts into a single jaw bone with new bone formation. This surgery helped for proper growth and development as well as alignment of his teeth.

Sixteen years ago, a 4-month-old baby girl born with unilateral cleft lip & palate was brought to our hospital by her parents for the complete rehabilitation of her cleft deformity. Maxillofacial Surgeon Dr. S.M. Balaji performed the successive surgeries over the years.

Primary cleft lip repair surgery was done when the baby was 4 months old and palate repair surgery was done at 8 months of age. When the baby was 6 years old, rhBMP-2 surgery was done to treat the alveolar cleft defect. Miracle protein rhBMP-2 was placed in the cleft of the teeth bearing region of the upper jaw to completely heal the bony defect avoiding bone graft.

Now the girl reported to our hospital seeking to enhance her facial profile. She had a hypoplastic maxilla (retruded upper jaw) and she was not happy with her appearance. Dr. Balaji performed the intraoral maxillary distraction osteogenesis whereby the upper jaw was advanced and aligned properly with the lower jaw. This was done completely inside the mouth so there were no scars. Using distraction & orthodontics, her appearance & facial profile was greatly enhanced.  

An 8-year-old boy was brought to our hospital by his parents for surgical correction of his cleft defect. His cleft lip and cleft palate defect was operated elsewhere, in his childhood. The surgery results were adverse as the entire pre-maxilla was removed.

Maxillofacial Surgeon Dr. S.M. Balaji performed the alveolar cleft repair using rhBMP-2 avoiding bone grafting. Miracle protein rhBMP-2 is a bioengineered version of a protein that occurs in the body. When placed in the cleft defect, it stimulates the body’s stem cells to form new bone and thereby healing the bony defect in the teeth bearing region of the upper jaw. By using rhBMP-2, bone graft surgery from the hip or rib is avoided, thereby avoiding an additional surgery & unsightly scars.