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suggested to the patient however due to financial constraints, the patient opted to carry out the rehabilitation with a cost effective, conventional method. The conventional cast partial denture (CPD) needed to be modified to account for the absence of the vestibular sulcus. Treatment ProcedurePreprosthetic treatment included the surgical removal of the torus mandibularis as it would hinder the path of placement and removal of the cast partial denture. Diagnostic impressions were made and diagnostic casts were obtained .The diagnostic cast was surveyed to identify the most desirable path of placement with minimal interferences, distinguish proximal surfaces which will act as guide planes and establish and measure undercuts.The CPD design included a lingual plate as a major connector ,a ring clasp on 48 to accommodate for the severe lingual tilt. An I bar

neutral zone following the index. Final try-in procedure was carried out. At the try-in stage, tissue conditioning material and green food color (Flying Bird, Artificial Food color, Green) was used to record a palatogram (Figure 3). It helps to record palatal contours during

A bstract Aim To highlight the effectiveness of Presurgical Nasoalveolar Molding (PNAM) technique and the appliance used prior to the surgical reconstruction of cleft lip and palate in newborns. Background In underdeveloped and developing countries, babies born with oral clefts, are generally anemic with low birth weight and may be unfit for surgery immediately. Feeding these babies is also difficult as the air leaks through the cleft and they cannot create the suction needed for suckling. Case description Two newborn babies, presented with unilateral midfacial clefts involving the lip, alveolus and palate. Conclusion The PNAM appliance enabled breast Feeding while lessening the soft tissue and cartilaginous deformity and allowing surgical soft tissue repair with minor scar formations. Clinical significance PNAM can reduce the surgical burden and reduce the number of surgical revisions when initiated early. How to cite this article Ferreira AN, Eswaramurthy P, Aras MA, et al. Rehabilitation of an Orofacial Cleft through Presurgical Nasoalveolar Molding with a 1-year follow-up. Int J Clin Pediatr Dent 2023;16(1):162-165.

Purpose: The purpose of this study was to assess and compare the effect of the simulated Indian and Mediterranean climates on the Shore A hardness of a commercially available nonpigmented room temperature vulcanizing maxillofacial silicone. Materials and Methods: Sixty specimens were fabricated from A-2000 silicone material (Factor II), using a stainless steel mold of dimension 20 mm × 2 mm. The initial Shore A hardness was noted using a digital durometer. Thirty samples were subjected to the simulated Mediterranean climate (Group I), and the remaining thirty samples were subjected to the Indian tropical climate (Group II) in an accelerated weather chamber to simulate 1 year of clinical use. Final Shore A hardness was noted. A one-way ANOVA and Bonferroni post hoc tests were performed for the Shore A hardness at P < 0.05. Results: The mean initial Shore A hardness for both the groups was 24.9833. After accelerated weathering, Group I showed mean Shore A hardness of 33.0000 whereas Group II showed mean Shore A hardness of 38.0000. Conclusions: The Shore A hardness of Factor II, before and after accelerated artificial weathering, was statistically significant at 0.05 level ( P < 0.05). The change in Shore A hardness was greater in the simulated tropical climate group (Group II) as compared to the simulated Mediterranean climate group (Group I) but within clinical limits.

Orofacial clefts (OFC) are among the commonest birth defect in developed and developing countries alike. In underdeveloped and developing countries, babies born with oral clefts are generally anaemic with low birth weight and may be unfit for surgery. The surgical reconstruction is also challenging and the aesthetic outcome cannot be guaranteed by the surgeon. Presurgical nasoalveolar moulding (PNAM) has been suggested to bridge the gap between the clefted segments before surgical repair. It is a simple yet effective technique that needs to be initiated at the right time and age to achieve ideal functional and aesthetic outcomes. This chapter highlights the effectiveness of the nasoalveolar moulding technique and details the manner in which the appliance is fabricated and activated.

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