<strong>Background:</strong> <span style="font-family:""><span style="font-family:Verdana;">Cleft alveolus closure is a challenge for </span><span style="font-family:Verdana;">cleft</span> <span style="font-family:Verdana;">surgeon</span><span style="font-family:Verdana;"> for many decades. Secondary alveolar bone grafting (SABG) is the preferred technique using autologous cancellous </span><span style="font-family:Verdana;">ileac</span><span style="font-family:Verdana;"> crest bone as the donor graft. Many alternative methods were tried over the years with no</span></span><span style="font-family:Verdana;"> <span style="font-family:Verdana;">any</span></span><span style="font-family:""><span style="font-family:Verdana;"> promising results. Gingivoperiosteoplasty (GPP) is a good alternative surgical technique for bone regeneration in cleft alveolus with proper case selection criteria. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> Aim of the study was to evaluate the bone regeneration following </span><span style="font-family:Verdana;">closure</span><span style="font-family:Verdana;"> of cleft alveolus with </span><span style="font-family:Verdana;">gingivoperiosteoplasty</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Method: </span></b><span style="font-family:Verdana;">This study was carried out in the department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Deralakatte, Mangalore, Karnataka, India, from March 2018 to July 2019. In this </span><span style="font-family:Verdana;">study</span></span><span style="font-family:Verdana;">,</span><span style="font-family:""><span style="font-family:Verdana;"> we have performed </span><span style="font-family:Verdana;">gingivoperiosteoplasty</span><span style="font-family:Verdana;"> with palatoplasty and evaluated the amount of bone formation in the cleft alveolus using a series of </span><span style="font-family:Verdana;">intra oral</span><span style="font-family:Verd