Active nasoalveolar molding using 3-directional expansion screw for arch alignment in bilateral cleft lip and palate

Bhutiani, Neha; Tripathi, Tulika; Rai, Priyank

doi:10.1016/j.xaor.2021.12.003

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…2,5 Successful applications of orthodontic constriction screws in retracting the pre-maxilla or expansion screws in expanding the two palatal segments in bilateral cleft lip and palate have been reported, with an emphasis on customized adjustment needs. [10][11][12] However, none of these studies proposed a pre-treatment wax-up approach to pre-program a target maxillary arch shape. Another report presented a potential application of three-dimensional printing technology.…”

Section: Discussionmentioning

confidence: 99%

Biocreative Alveolar Molding Plate Treatment (BioAMP) for neonatal unilateral cleft lip and palate with excessively wide alveolar cleft and maxillary arch width

Choo,

Ahn

2024

Korean J Orthod

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Since its inception in Europe in the 1950s, alveolar molding treatment for neonates with complete cleft lip and palate has undergone significant evolution in both design and application methodology, demonstrating effectiveness in normalizing the alveolar cleft and nasal shape. However, excessively wide alveolar clefts accompanied by disproportionately wide total maxillary arch pose significant challenges when utilizing conventional alveolar molding methods involving cyclical adding and grinding of acrylic on molding plates. The current report introduces a novel alveolar molding method named Biocreative Alveolar Molding Plate Treatment (BioAMP), which can normalize the maxillary alveolar cleft and arch shape without laborious conventional acrylic procedures. BioAMP sets the target arch form and provides unrestricted space for natural growth of the maxillary alveolar bones while systematically reducing the total maxillary arch width in precise increments. Two exemplary cases are presented as proofof-concept, showcasing the clinical innovation of BioAMP.

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