{"title":"术前鼻牙槽成型和3d打印喂养板及鼻支架治疗唇腭裂的早期治疗:一篇叙述回顾和病例报告。","authors":"Santhanam Divakar, Manu Rathee, Sarthak Singh Tomar, Shefali Singla, Balavignesh Senthilvelpalani","doi":"10.1111/jopr.14071","DOIUrl":null,"url":null,"abstract":"<p><p>Cleft lip and palate (CLP) is one of the most prevalent congenital malformations of the maxillofacial region, ranking third among all congenital defects, with a multifactorial origin. While surgical intervention is essential to restore both form and function, it is often postponed due to the newborn's age. An 18-day-old female infant was referred from the Department of Plastic Surgery with a unilateral CLP. A treatment plan was devised involving presurgical nasoalveolar molding (PNAM) using the Grayson technique, alongside the use of a nasal stent incorporating both conventional and digital (3D) technologies. After 4 months, the cleft width in the alveolar region was reduced from 1.24 to 0.70 cm. Following primary lip repair, a feeding plate and nasal stent prosthesis were fabricated in preparation for the upcoming cleft alveolus and palate surgery. The combined prosthodontic and surgical approach led to optimal therapeutic results.</p>","PeriodicalId":49152,"journal":{"name":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early management of cleft lip and palate using presurgical nasoalveolar molding and 3D-printed feeding plate and nasal stent: A narrative review and case report.\",\"authors\":\"Santhanam Divakar, Manu Rathee, Sarthak Singh Tomar, Shefali Singla, Balavignesh Senthilvelpalani\",\"doi\":\"10.1111/jopr.14071\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Cleft lip and palate (CLP) is one of the most prevalent congenital malformations of the maxillofacial region, ranking third among all congenital defects, with a multifactorial origin. While surgical intervention is essential to restore both form and function, it is often postponed due to the newborn's age. An 18-day-old female infant was referred from the Department of Plastic Surgery with a unilateral CLP. A treatment plan was devised involving presurgical nasoalveolar molding (PNAM) using the Grayson technique, alongside the use of a nasal stent incorporating both conventional and digital (3D) technologies. After 4 months, the cleft width in the alveolar region was reduced from 1.24 to 0.70 cm. Following primary lip repair, a feeding plate and nasal stent prosthesis were fabricated in preparation for the upcoming cleft alveolus and palate surgery. The combined prosthodontic and surgical approach led to optimal therapeutic results.</p>\",\"PeriodicalId\":49152,\"journal\":{\"name\":\"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jopr.14071\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jopr.14071","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Early management of cleft lip and palate using presurgical nasoalveolar molding and 3D-printed feeding plate and nasal stent: A narrative review and case report.
Cleft lip and palate (CLP) is one of the most prevalent congenital malformations of the maxillofacial region, ranking third among all congenital defects, with a multifactorial origin. While surgical intervention is essential to restore both form and function, it is often postponed due to the newborn's age. An 18-day-old female infant was referred from the Department of Plastic Surgery with a unilateral CLP. A treatment plan was devised involving presurgical nasoalveolar molding (PNAM) using the Grayson technique, alongside the use of a nasal stent incorporating both conventional and digital (3D) technologies. After 4 months, the cleft width in the alveolar region was reduced from 1.24 to 0.70 cm. Following primary lip repair, a feeding plate and nasal stent prosthesis were fabricated in preparation for the upcoming cleft alveolus and palate surgery. The combined prosthodontic and surgical approach led to optimal therapeutic results.
期刊介绍:
The Journal of Prosthodontics promotes the advanced study and practice of prosthodontics, implant, esthetic, and reconstructive dentistry. It is the official journal of the American College of Prosthodontists, the American Dental Association-recognized voice of the Specialty of Prosthodontics. The journal publishes evidence-based original scientific articles presenting information that is relevant and useful to prosthodontists. Additionally, it publishes reports of innovative techniques, new instructional methodologies, and instructive clinical reports with an interdisciplinary flair. The journal is particularly focused on promoting the study and use of cutting-edge technology and positioning prosthodontists as the early-adopters of new technology in the dental community.