IMPACT OF NASOALVEOLAR MOLDING ON MAXILLARY ARCH DIMENSIONS AND MALOCCLUSION CHARACTERISTICS IN PEDIATRIC PATIENTS WITH CLEFT LIP AND PALATE DURING PRIMARY DENTITION

S IDREES; MA ADNAN; T KHAN; U KHALIL; S HASSAN; H SHAHID

doi:10.54112/bcsrj.v2023i1.365

Authors

S IDREES Department of Paediatric Dentistry Rehman College of Dentistry, Peshawar, Pakistan
MA ADNAN Department of Plastic Surgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma Karachi. Pakistan
T KHAN Department of Orthodontics, Frontier Medical, and Dental College Abbottabad, Pakistan
U KHALIL Department of Prosthodontics, Rehman College of Dentistry Peshawar, Pakistan
S HASSAN Department of Oral Biology, Isra University Hyderabad, Pakistan
H SHAHID Department Community Dentistry, Isra University Hyderabad, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.365

Keywords:

Nasoalveolar Molding, Maxillary Arch, Dimensions, Malocclusion, Pediatric Patients, Cleft Lip, Cleft Palate, Primary Dentition

Abstract

Unilateral complete cleft lip and palate (UCLP) are congenital disabilities when a baby's lip or mouth does not form properly during early pregnancy. This retrospective study investigated the long-term effects of passive alveolar molding (PAM) and nasoalveolar molding (NAM) on cleft width and maxillary growth parameters in children with UCLP. A retrospective study of children with UCLP was enrolled and divided into two groups: PAM and NAM. Cleft width measurements were obtained at baseline and regular intervals during the follow-up period. Maxillary growth parameters were also assessed, including arch width, dental occlusion, and facial symmetry. Data were analyzed using descriptive statistics, chi-square tests, and linear regression models. Data was collected from 52 patients according to the inclusion criteria. The NAM group consisted of 22 patients with UCLP (mean age of 3.98 ± 1.6 years) and 12 patients with BCLP mean age of 3.81 ± 1.9 years. Fourteen patients with UCLP (mean age 3.9 ± 1.9 years) and four patients with BCLP and mean age 4.4 ± 2.1 years were included in the non-NAM group. It is concluded that the results of our study suggest that passive alveolar molding (PAM) and nasoalveolar molding (NAM) have a significant impact on cleft width reduction and maxillary growth in unilateral cleft lip palate (UCLP).

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References

Bhutiani, N., Tripathi, T., Verma, M., Bhandari, P. S., and Rai, P. (2020). Assessment of treatment outcome of presurgical nasoalveolar molding in patients with cleft lip and palate and its postsurgical stability. The Cleft Palate-Craniofacial Journal 57, 700-706.

Clark, S. L., Teichgraeber, J. F., Fleshman, R. G., Shaw, J. D., Chavarria, C., Kau, C.-H., Gateno, J., and Xia, J. J. (2011). Long-term treatment outcome of presurgical nasoalveolar molding in patients with unilateral cleft lip and palate. The Journal of craniofacial surgery 22, 333.

Gopinath, V. K., Noor, S. N. F. M., and Sharab, H. Y. M. (2017). Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage. European journal of dentistry 11, 076-082.

Grayson, B. H., and Wood, R. (1993). Preoperative columella lengthening in bilateral cleft lip and palate. Plastic and reconstructive surgery 92, 1422-1423.

Kalaskar, R., Bhaje, P., Sharma, P., Balasubramanian, S., Ninawe, N., and Ijalkar, R. (2021). Comparative evaluation of nasal and alveolar changes in complete unilateral cleft lip and palate patients using intraoral and extraoral nasoalveolar molding techniques: randomized controlled trial. Journal of the Korean Association of Oral and Maxillofacial Surgeons 47, 257-268.

Lautner, N., Raith, S., Ooms, M., Peters, F., Hölzle, F., and Modabber, A. (2020). Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts. Journal of Cranio-Maxillofacial Surgery 48, 141-147.

Molyneaux, C., Sherriff, M., Wren, Y., Ireland, A., and Sandy, J. (2022). Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance. The Cleft Palate-Craniofacial Journal 59, 1064-1071.

Nayak, T., Bonanthaya, K., Parmar, R., Shetty, P. N., and Rao, D. D. (2019). A comparative cephalometric study of nasoalveolar molding–and non-nasoalveolar molding–treated bilateral cleft patients at early mixed dentition period. The Cleft Palate-Craniofacial Journal 56, 569-575.

Ocak, I., Akarsu‐Guven, B., Karakaya, J., Ozgur, F., and Aksu, M. (2023). Effects of Nasoalveolar Molding on Maxillary Arch Dimensions and Malocclusion Characteristics of Deciduous Dentition Patients with Cleft Lip and Palate. International Journal of Paediatric Dentistry.

Parhofer, R., Rau, A., Strobel, K., Gölz, L., Stark, R., Ritschl, L. M., Wolff, K.-D., Kesting, M. R., Grill, F. D., and Seidel, C. L. (2023). The impact of passive alveolar molding vs. nasoalveolar molding on cleft width and other parameters of maxillary growth in unilateral cleft lip palate. Clinical Oral Investigations, 1-9.

Saad, M., Fata, M., Farouk, A., Habib, A., Gad, M., Tayel, M., and Marei, M. (2020). Early progressive maxillary changes with nasoalveolar molding: randomized controlled clinical trial. JDR Clinical & Translational Research 5, 319-331.

Salari, N., Darvishi, N., Heydari, M., Bokaee, S., Darvishi, F., and Mohammadi, M. (2022). Global prevalence of cleft palate, cleft lip and cleft palate and lip: A comprehensive systematic review and meta-analysis. Journal of stomatology, oral and maxillofacial surgery 123, 110-120.