Presurgical Dentofacial Orthopedic Management of the Cleft Patient

Kevin S Smith; Byron T Henry; Michelle A Scott

doi:10.1016/j.coms.2016.01.003

Presurgical Dentofacial Orthopedic Management of the Cleft Patient

Oral Maxillofac Surg Clin North Am. 2016 May;28(2):169-76. doi: 10.1016/j.coms.2016.01.003.

Authors

Kevin S Smith¹, Byron T Henry², Michelle A Scott³

Affiliations

¹ JW Keys Cleft and Craniofacial Clinic, A Smile for a Child Foundation, University of Oklahoma, Oklahoma City, OK, USA; MK Chapman Cleft and Craniofacial Clinic, University of Tulsa, Tulsa, OK, USA. Electronic address: Kevin-Smith@ouhsc.edu.
² University of Oklahoma, Oklahoma City, OK, USA; Free to Smile Foundation, Columbus, OH, USA.
³ Nationwide Children's Hospital, Columbus, OH, USA.

PMID: 27150304
DOI: 10.1016/j.coms.2016.01.003

Abstract

Over the last decade, presurgical orthopedic molding for the patient with cleft lip and palate has become much more common; it is even reasonable to assume it may be the standard of care for those wide unilateral and bilateral clefts with substantial dentofacial deformities. In 2013, there was a comparative study of nasoalveolar molding methods, comparing the Grayson-NAM device and DynaCleft. The results showed the 2 to be equivocal with both methods significantly reducing the cleft width and improving the nasal asymmetry.

Keywords: Cleft lip and palate; Dentofacial orthopedic management; DynaCleft; Grayson-NAM device; Lip taping.

Publication types

Review

MeSH terms

Alveolar Process / abnormalities
Athletic Tape
Cleft Lip / surgery
Cleft Lip / therapy*
Cleft Palate / surgery
Cleft Palate / therapy*
Gingivoplasty / methods
Humans
Infant, Newborn
Models, Dental
Nose / abnormalities
Orthopedic Fixation Devices*
Preoperative Care*
Rhinoplasty / methods
Stents