In the treatment of children with orofacial clefts the early stage of orthodontic treatment involves pre-surgical infant orthopedics, which can be achieved in different ways and with different appliances. The Nasoalveolar molding appliance (NAM) has been found to confer the most significant benefit to the patient post surgical repair because of the marked improvement observed in the nasal form of the patient. However, is there any recent evidence to support any other appliance that may confer similar or even better benefits in the orthodontic management of children with orofacial clefts ?
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- http://www.scielo.edu.uy/pdf/ode/v17n25/v17n25a07.pdf
- DOI: 10.1016/j.rmo.2017.06.005
- Article Ortopedia prequirúrgica en pacientes recién nacidos con labi...
- http://dx.doi.org/10.1016/j.maxilo.2012.03.001
Looking at the European experience the presurgical appliances have gone out of vogue as the long-term benefits are questionable. Also it can be difficult to get good dental laboratory technicians available to do the work.
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