A staged expansion screw protocol to retract the premaxilla in BCLP infants with delayed nasoalveolar molding

Document Type

Article

Publication Title

Journal of Clinical Pediatric Dentistry

Abstract

Currently, the treatment protocol for cleft palate at several centers around the world involves primary lip repair around 3-4 months of age, using presurgical nasoalveolar molding, which is done soon after birth. Unfortunately, in cases where treatment is delayed, the potential for repositioning the nasoalveolar apparatus is severely limited. The purpose of this paper is to illustrate a novel use of an expansion screw appliance to aid in the faster and more efficient active molding of the premaxillary and lateral maxillary segments in infants for whom the start of PNAM therapy is delayed, without the side effects commonly seen with pin-retained active molding appliances.

First Page

123

Last Page

128

DOI

10.17796/1053-4625-45.2.9

Publication Date

5-5-2021

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