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The Role of the Orthodontist in Newly Born Cleft Lip and Palate: Case Reports | ||
| Sulaimani Dental Journal | ||
| Article 19, Volume 4, Special Issue, 2017, Pages 19-19 PDF (385.15 K) | ||
| Authors | ||
| Zryan Jaza Hama Salih; Mehemet Nezir Karaca; Merve Nur Eglenen | ||
| Abstract | ||
| Case presentations: A 15-day-old girl presented with complete unilateral cleft lip and palate and a 20-day-old boy with complete bilateral cleft lip and palate attended the hospital with feeding problems. After consultation with the physician a heavy body first impression was taken and poured to obtain a special tray for each patient. After taking the second impression feeding plates were made for both patients. The molding plates were inserted into the patient’s mouth through a retentive button, with retentive taping used to force the premaxilla toward the alveolar region. The patients were checked at 1-week intervals and acrylic removal and primasoft addition were carried out in a specific area to draw the alveolar pieces toward each other. When the size of the cleft became less than 5 mm a nasal stent was made which caused active nasal cartilage molding and was activated through adding primasoft to elongate the collumella. Results and conclusion: The shapes of the cartilaginous septum, alar cartilage tip, medial and lateral crus and alveolar segments were molded to resemble the normal shape of these structures. The orthodontist could help patients with bilateral and unilateral cleft lip and palate through making PNAM. | ||
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