A Modified Muscle-Activated Maxillary Orthopedic Appliance for Presurgical Nasoalveolar Molding in Infants with Unilateral Cleft Lip and Palate

Objective The purpose of this article is to describe a modified appliance and treatment approach for presurgical nasoalveolar molding in infants with unilateral cleft lip and palate. Methods This approach uses a plate held in with outriggers, which prevents the cleft-widening effect of the tongue, h...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2004-05, Vol.41 (3), p.225-229
Main Authors: Suri, Sunjay, Tompson, Bryan D.
Format: Article
Language:English
Subjects:
Alveolar Process - abnormalities
Biological and medical sciences
Cleft Lip - therapy
Cleft Palate - therapy
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Humans
Infant, Newborn
Maxilla
Medical sciences
Myofunctional Therapy - instrumentation
Non tumoral diseases
Nose - abnormalities
Orthodontic Appliance Design
Orthodontics, Preventive - instrumentation
Otorhinolaryngology. Stomatology
Palatal Obturators
Preoperative Care
Stents
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Summary:Objective The purpose of this article is to describe a modified appliance and treatment approach for presurgical nasoalveolar molding in infants with unilateral cleft lip and palate. Methods This approach uses a plate held in with outriggers, which prevents the cleft-widening effect of the tongue, helps with tongue tip placement, and utilizes the functional movements of the facial musculature to guide and relocate the major segment medially to its normal position. Nasal molding is undertaken after most of the lateromedial correction of the alveolar position. Conclusions This technique helps to improve alveolar position, nasal septum alignment, nasal symmetry, and nasal tip projection prior to lip repair.
ISSN:1055-6656
1545-1569
DOI:10.1597/02-141.1