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CC BY 4.0 · European Journal of General Dentistry
DOI: 10.1055/s-0042-1760447
Review Article

Presurgical Nasoalveolar Molding—Efficacy and Biomechanics in Management of Cleft Lip and Palate: A Review of the Literature

Hussain M. Alkhames 
1   College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia
,
Murali Venkata Rama Mohan Kodali 
2   Department of Oral and Maxillofacial Surgery, College of Dentistry, King Faisal University, Al-Hasa, Kingdom of Saudi Arabia
,
Elwalid Fadul Nasir
3   Department of Preventive Dental Services, College of Dentistry, King Faisal University, Al-Hasa, Kingdom of Saudi Arabia
,
Mohamed Hassan
3   Department of Preventive Dental Services, College of Dentistry, King Faisal University, Al-Hasa, Kingdom of Saudi Arabia
,
Unati Sai Kodali
4   Medical House surgeon. Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Dr. NTR University of Health Sciences, Vijayawada, Andhra Pradesh, India
› Author Affiliations Funding This work was supported through the Deanship of Scientific Research, Vice Presidency for Graduate Studies and Scientific Research, King Faisal University, Saudi Arabia with grant number 1193.
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Abstract

Presurgical infant orthopaedics (PSIO) appliances are used in the management of cleft lip and palate. Frequently, among all PSIO appliances utilized is presurgical nasoalveolar molding (NAM) appliance. In this review, we looked for the application of the NAM appliance, its efficacy, and biomechanics. A comprehensive search strategy was performed in two databases (Google Scholar and PubMed) for articles using NAM in the treatment plan of patients with cleft lip and palate. Six articles were included in this study with one randomized control trial, two retrospective, and three case reports studies. The studies reveal the NAM is efficient as a presurgical modality treatment for complete cleft lip and palate with multiple benefits, including reducing surgical scars and alveolar gap, used as feeding plate, improve nasal contour, and decreased the number of rectifying surgical procedure.

Keywords

nasoalveolar molding - biomechanics - presurgical orthopedics - cleft lip - cleft palate


Publication History

Article published online:
06 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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