A Report on the Hazards Encountered When Taking Neonatal Cleft Palate Impressions (1983–1992)

Chate, R. A. C.

doi:10.1179/bjo.22.4.299

Cited by 36 publications

(25 citation statements)

References 9 publications

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“…Low fusing impression compound is a thermoplastic material, some times it can cause burn and volatile contents are released from this which have potential to be health hazard to the neonate. 89 In our experience, elastomeric impression materials are better suited in making of cleft impression and they do not lead to any complications; due to its good elastic behavior, high tear strength, accurate reproduction of surface details and long-term dimensional stability which allows multiple pour. There are several biomaterials available for the maxillofacial prosthetics; like acrylic resins, visible light cured acrylic, acrylic polymer, silicones, etc.…”

Section: Discussionmentioning

confidence: 96%

Rehabilitation of a One-day-Old Neonate with Cleft Lip and Palate using Palatal Obturator: A Case Report

Bansal

et al. 2012

International Journal of Clinical Pediatric Dentistry

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Feeding a neonate with a complete cleft lip and palate is difficult pursuit due to communication between oral cavity and nasal cavity. A multidisciplinary approach is required to manage the complex problems involved in case of such neonates and their families. Present case is of a 1-day-old neonate having complete bilateral cleft lip and palate for which palatal obturator was constructed. A stepwise simple, easy and uncomplicated procedure for making accurate impressions, maxillary cast and fabrication of palatal obturator in infants with cleft lip and palate has been presented. The objective to present this case report is to emphasize the fact that how these palatal obturators /plates help in feeding, speech/language development, presurgical orthopedics and prevent other associated otorhinolaryngeal problems.How to cite this article: Bansal R, Pathak AK, Bhatia B, Gupta S, Gautam KK. Rehabilitation of a One-day Old Neonate with Cleft Lip and Palate using Palatal Obturator: A Case Report. Int J Clin Pediatr Dent 2012;5(2):145-147.

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Section: Discussionmentioning

confidence: 96%

Rehabilitation of a One-day-Old Neonate with Cleft Lip and Palate using Palatal Obturator: A Case Report

Bansal

et al. 2012

International Journal of Clinical Pediatric Dentistry

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“…Difficulty in withdrawal of impression, cyanotic events, and asphyxiation has been encountered during impression making. [ 7 ] Displaced intranasal impression material may remain undetected for a very long period of time. [ 8 ] Patient positioning, tray, and impression material are the important factors for safety.…”

Section: Discussionmentioning

confidence: 99%

Single visit feeding appliance for 1-day-old neonate with cleft palate using safe dental putty-gauze hybrid impression technique for maxillary impression

Rathee

2015

J Surg Tech Case Report

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Cleft lip and palate is one of the most common craniofacial anomalies of humans. Intraoral impression making is the first clinical step in the fabrication of feeding appliance for infants with oro-nasal communication. It is difficult to control the flow of the impression material in the cleft area and undercuts in a child patient. This clinical report presents a simple and safe impression technique for maxillary impression making in neonates and infants with cleft palate. A gauze piece was used to confine the impression material during functional movements of sucking while impression making in an awake child to avoid the risk of aspiration or swallowing.

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“…In the orthodontic field there is a certain patient clientele with syndromic conditions where it is crucial to begin treatment as early as possible after birth. For these patients, conventional alginate impressions can be lifethreatening, whereas intraoral scanning followed by a digital workflow can considerably facilitate treatment [2]. The main objective of this technical note is to describe an easy to implement digital workflow for patients with craniofacial anomalies.…”

Section: Introductionmentioning

confidence: 99%

“…In cleft lip and palate (CLP) impression material may also remain inside the cleft and can cause inflammation [4,5]. In some cases, immediate intervention is necessary to ensure respiration and oxygen supply and resolve cyanosis [5,6]. As a result, a team of neonatologists, orthodontists and neonatal nurses must be present when an impression is taken.…”

Section: Introductionmentioning

confidence: 99%

Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part I: 3D printed and milled palatal stimulation plate for trisomy 21

et al. 2020

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Background: Advanced digital workflows in orthodontics and dentistry often require a combination of different software solutions to create patient appliances, which may be a complex and time-consuming process. The main objective of this technical note is to discuss treatment of craniofacial anomalies using digital technologies. We present a fully digital, linear workflow for manufacturing palatal plates for infants with craniofacial anomalies based on intraoral scanning. Switching to intraoral scanning in infant care is advantageous as taking conventional impressions carries the risk of impression material aspiration and/or infections caused by material remaining in the oronasal cavity. Material and methods: The fully digital linear workflow presented in this technical note can be used to design and manufacture palatal plates for cleft palate patients as well as infants with functional disorders. We describe the workflow implemented in an infant with trisomy 21. The maxilla was registered using a digital scanner and a stimulation plate was created using dental CAD software and an individual impression tray module on a virtual model. Plates were manufactured using both additive and subtractive methods. Methacrylate based light curing resin and Poly-Ether-Ether-Ketone were the materials used. Results: The palatal area was successfully scanned to create a virtual model. The plates fitted well onto the palatal area. Manual post-processing was necessary to optimize a functional ridge along the vestibular fold and remove support structures from the additively manufactured plate as well as the milled plate produced from a blank. The additively manufactured plate fitted better than the milled one. Conclusion: Implementing a fully digital linear workflow into clinical routine for treatment of neonates and infants with craniofacial disorders is feasible. The software solution presented here is suitable for this purpose and does not require additional software for the design. This is the key advantage of this workflow, which makes digital treatment accessible to all clinicians who want to deal with digital technology. Whether additive or subtractive manufacturing is preferred depends on the appliance material of choice and influences the fit of the appliance.

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A Report on the Hazards Encountered When Taking Neonatal Cleft Palate Impressions (1983–1992)

Cited by 36 publications

References 9 publications

Rehabilitation of a One-day-Old Neonate with Cleft Lip and Palate using Palatal Obturator: A Case Report

Rehabilitation of a One-day-Old Neonate with Cleft Lip and Palate using Palatal Obturator: A Case Report

Single visit feeding appliance for 1-day-old neonate with cleft palate using safe dental putty-gauze hybrid impression technique for maxillary impression

Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part I: 3D printed and milled palatal stimulation plate for trisomy 21

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