A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome

GONCA M., ÖZEL M. B.

KOREAN JOURNAL OF ORTHODONTICS, cilt.51, sa.6, ss.428-434, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 6
  • Basım Tarihi: 2021
  • Doi Numarası: 10.4041/kjod.2021.51.6.428
  • Dergi Adı: KOREAN JOURNAL OF ORTHODONTICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.428-434
  • Anahtar Kelimeler: Appliances, Cleft lip and palate, Craniofacial anomalies, Functional, LIP, PALATE, INFANTS, CHILDREN
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

Craniofacial clefts are extremely rare deformities. Tessier's classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21- month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.