Evaluation of a Digital Protocol for Pre-Surgical Orthopedic Treatment of Cleft Lip and Palate in Newborn Patients: A Pilot Study

Abstract

The aim of this study was to evaluate the accuracy, invasiveness and impact on clinical results of a digital oral impression protocol in the pre-surgical orthopedic treatment (PSOT) of newborn cleft lip and palate (CLP) patients undergoing primary alveolar surgical repair. Six patients were divided, according to impression technique used, into a digital (intraoral scanner (IOS)) and a non-digital (tray and putty (T&P)) group. Parents considered IOS impressions to be less invasive, compared to T&P impressions. The clinician that took all the impressions considered the IOS to be less stressful compared to the T&P method. In two T&P patients, the impression was repeated because some important anatomical details were missing, in one case due to patient regurgitation during the first attempt. No impression was repeated, and any adverse event was reported in the IOS group. There were no significant differences between these two protocols in pre-surgical alveolar gap reduction and surgical challenge. The study results indicate that this digital protocol can accelerate the production process of the passive molding plate with an instantaneous transmission of the digital impression to the dental lab, maintaining the same accuracy level and clinical outcomes of classical techniques and reducing the invasiveness of impression taking, avoiding any risk of impression material ingestion or inhalation.

Métodos de obtención de modelos de trabajo o estudio de niños con labio y paladar fissurado: Una revisión sistemática

“…Después de la selección de los 25 artículos para la revisión narrativa, esta información obtenida se ha clasificado en estudios de cohorte 20%, de revisión sistemática el 4%, estudio de cohorte transversal 20%, estudió observacional 4%, reporte de caso 8%, articulo original 36%, estudio comparativo 4%, ensayo clínico 4%, como se describe en la Figura 2. El proceso de búsqueda y selección de artículos científicos para la revisión sistemática de métodos de obtención de modelos de trabajo o estudio de niños con labio y paladar fisurado Después de la selección de los 25 artículos para la revisión narrativa, esta información obtenida se ha clasificado en estudios de cohorte (Azhari et al, 2021;Dalessandri et al, 2019;Pillai et al, 2021;Thurzo et al, 2022;Zarean et al, 2022), de revisión de literatura el 4% (Shujaat et al, 2022), estudio de cohorte transversal 20% (Burcu Nur Yılmaz et al, 2019;Fomenko et al, 2019;Passucci Ambrosio Eloá Cristina, 2021), estudió observacional 4% (Asquith & McIntyre, 2012), reporte de caso 8% (Jamayet et al, 2018;Krey K.F, 2018), articulo original 8% (Chalmers et al, 2016;El-Ashmawi et al, 2022;Martin et al, 2015;Okazaki et al, 2022;Patel et al, 2019;Ritschl et al, 2018;Salazar-Gamarra et al, 2016;Xepapadeas et al, 2020;Zeidan & Kamiloğlu, 2021), estudio comparativo 4% (Zhu et al, 2016), ensayo clínico 4%(R. R. Kalaskar & Kk, 2021).…”

Effectiveness of the novel impression tray “cleftray” for infants with cleft lip and palate: a randomized controlled clinical trial

“…A study conducted by Dalessandri et al 28 compared an intraoral scanner (IOS) with the tray and putty method for creating impressions of CLP. They reported that parents considered IOS to be less invasive and clinicians were less stressed with its use.…”

Digital impressions from newborns to preschoolers with cleft lip and palate: A two-centers experience

“…Since then, intraoral scanner has been gaining acceptance for use in infants for treatment of cleft lip and palate. There have been several reports on single to few cases in infants with cleft lip and palate in the context of developing digital workflows for fabrication of orthopaedic appliances 10,19,20 . Recently Weise et al has reported an evaluation of intraoral scanning in infant to small children with craniofacial malformations 21 .…”