The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지
DOI QR코드

DOI QR Code

Biocreative Alveolar Molding Plate Treatment (BioAMP) for neonatal unilateral cleft lip and palate with excessively wide alveolar cleft and maxillary arch width

  • HyeRan Choo (Department of Surgery, Division of Plastic and Reconstructive Surgery, Neonatal and Pediatric Craniofacial Airway Orthodontics, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford) ;
  • HyoWon Ahn (Department of Orthodontics, School of Dentistry, Kyung Hee University)
  • Received : 2023.08.03
  • Accepted : 2023.12.27
  • Published : 2024.01.25
Download PDF
⟨ Previous Next ⟩

Abstract

Since its inception in Europe in the 1950s, alveolar molding treatment for neonates with complete cleft lip and palate has undergone significant evolution in both design and application methodology, demonstrating effectiveness in normalizing the alveolar cleft and nasal shape. However, excessively wide alveolar clefts accompanied by disproportionately wide total maxillary arch pose significant challenges when utilizing conventional alveolar molding methods involving cyclical adding and grinding of acrylic on molding plates. The current report introduces a novel alveolar molding method named Biocreative Alveolar Molding Plate Treatment (BioAMP), which can normalize the maxillary alveolar cleft and arch shape without laborious conventional acrylic procedures. BioAMP sets the target arch form and provides unrestricted space for natural growth of the maxillary alveolar bones while systematically reducing the total maxillary arch width in precise increments. Two exemplary cases are presented as proof-of-concept, showcasing the clinical innovation of BioAMP.

Keywords

References

  1. McNEIL CK. Orthodontic procedures in the treatment of congenital cleft palate. Dent Rec (London) 1950;70:126-32. https://pubmed.ncbi.nlm.nih.gov/24537837/
  2. Hotz M, Gnoinski W. Comprehensive care of cleft lip and palate children at Zurich university: a preliminary report. Am J Orthod 1976;70:481-504. https://doi.org/10.1016/0002-9416(76)90274-8
  3. Matsuo K, Hirose T. Nonsurgical correction of cleft lip nasal deformity in the early neonate. Ann Acad Med Singap 1988;17:358-65. https://pubmed.ncbi.nlm.nih.gov/3064700/
  4. Pool R, Farnworth TK. Preoperative lip taping in the cleft lip. Ann Plast Surg 1994;32:243-9. https://doi.org/10.1097/00000637-199403000-00003
  5. Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofac J 1999;36:486-98. https://doi.org/10.1597/1545-1569_1999_036_0486_pnmiiw_2.3.co_2
  6. Clarren SK, Anderson B, Wolf LS. Feeding infants with cleft lip, cleft palate, or cleft lip and palate. Cleft Palate J 1987;24:244-9. https://pubmed.ncbi.nlm.nih.gov/3477346/
  7. Mak SY, Wong WH, Or CK, Poon AM. Incidence and cluster occurrence of palatal fistula after furlow palatoplasty by a single surgeon. Ann Plast Surg 2006;57:55-9. https://doi.org/10.1097/01.sap.0000205176.90736.e4
  8. Choo H, Maguire M, Low DW. Modified technique of presurgical infant maxillary orthopedics for complete unilateral cleft lip and palate. Plast Reconstr Surg 2012;129:249-52. https://doi.org/10.1097/PRS.0b013e318230c8bb
  9. Bauer FX, Gull FD, Roth M, Ritschl LM, Rau A, Gau D, et al. A prospective longitudinal study of postnatal dentoalveolar and palatal growth: the anatomical basis for CAD/CAM-assisted production of cleft-lippalate feeding plates. Clin Anat 2017;30:846-54. https://doi.org/10.1002/ca.22892
  10. Tankittiwat P, Pisek A, Manosudprasit M, Punyavong P, Manosudprasit A, Phaoseree N, et al. Function of nasoalveolar molding devices in bilateral complete cleft lip and palate: a 3-dimensional maxillary arch analysis. Cleft Palate Craniofac J 2021;58:1389-97. https://doi.org/10.1177/1055665621990184
  11. Bhutiani N, Tripathi T, Rai P. Active nasoalveolar molding using 3-directional expansion screw for arch alignment in bilateral cleft lip and palate. AJO-DO Clin Companion 2022;2:20-5. https://doi.org/10.1016/j.xaor.2021.12.003
  12. Suri S, Disthaporn S, Atenafu EG, Fisher DM. Presurgical presentation of columellar features, nostril anatomy, and alveolar alignment in bilateral cleft lip and palate after infant orthopedics with and without nasoalveolar molding. Cleft Palate Craniofac J 2012;49:314-24. https://doi.org/10.1597/10-204
  13. Zheng J, He H, Kuang W, Yuan W. Presurgical nasoalveolar molding with 3D printing for a patient with unilateral cleft lip, alveolus, and palate. Am J Orthod Dentofacial Orthop 2019;156:412-9. https://doi.org/10.1016/j.ajodo.2018.04.031