Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts
Over the last few decades it has been shown that nasoalveolar molding (NAM) has had an effect on the correction of nasal cartilage deformities and the alveolar process. This three-dimensional (3D) analysis evaluated the effects of NAM on the alveolar cleft region in patients with unilateral cleft li...
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Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2020-02, Vol.48 (2), p.141-147 |
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creator | Lautner, Nora Raith, Stefan Ooms, Mark Peters, Florian Hölzle, Frank Modabber, Ali |
description | Over the last few decades it has been shown that nasoalveolar molding (NAM) has had an effect on the correction of nasal cartilage deformities and the alveolar process. This three-dimensional (3D) analysis evaluated the effects of NAM on the alveolar cleft region in patients with unilateral cleft lip and palate.
Alveolar gap volumes were measured in a retrospective review of 40 dental casts of 20 patients with unilateral clef lip and palate before and after treatment. Ten patients who began undergoing NAM immediately after birth were included in this study. An additional 10 patients with unilateral clefts but without NAM were included as a control group. All of the casts (pretreatment and post-treatment) were 3D scanned, and the cleft volumes and anterior gap widths underwent computer-aided evaluations.
NAM resulted in a significant reduction (p |
doi_str_mv | 10.1016/j.jcms.2019.12.012 |
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Alveolar gap volumes were measured in a retrospective review of 40 dental casts of 20 patients with unilateral clef lip and palate before and after treatment. Ten patients who began undergoing NAM immediately after birth were included in this study. An additional 10 patients with unilateral clefts but without NAM were included as a control group. All of the casts (pretreatment and post-treatment) were 3D scanned, and the cleft volumes and anterior gap widths underwent computer-aided evaluations.
NAM resulted in a significant reduction (p < 0.05) in alveolar gap volume and anterior cleft width from birth until lip closure time, while half of the control group showed slight increases in cleft volume. Based on these results, NAM is an effective and helpful treatment that can be used to significantly reduce alveolar gap volume and anterior cleft width in patients with unilateral clefts. Harmonization of the dental arch and a reduction in the alveolar cleft region are desirable treatment goals.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2019.12.012</identifier><identifier>PMID: 31917062</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>3D analysis ; 3D scanner ; Alveolar Process ; Cleft Lip ; Cleft Palate ; Dentistry ; Humans ; Nasoalveolar molding ; Nose ; Retrospective Studies ; Treatment Outcome ; Unilateral cleft lip and palate</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2020-02, Vol.48 (2), p.141-147</ispartof><rights>2019 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2019 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-aa88543d60f1543c37e8035b1d722268d3d070f4fed2ebbf8f41b45e46362a0d3</citedby><cites>FETCH-LOGICAL-c356t-aa88543d60f1543c37e8035b1d722268d3d070f4fed2ebbf8f41b45e46362a0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcms.2019.12.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31917062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lautner, Nora</creatorcontrib><creatorcontrib>Raith, Stefan</creatorcontrib><creatorcontrib>Ooms, Mark</creatorcontrib><creatorcontrib>Peters, Florian</creatorcontrib><creatorcontrib>Hölzle, Frank</creatorcontrib><creatorcontrib>Modabber, Ali</creatorcontrib><title>Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Over the last few decades it has been shown that nasoalveolar molding (NAM) has had an effect on the correction of nasal cartilage deformities and the alveolar process. This three-dimensional (3D) analysis evaluated the effects of NAM on the alveolar cleft region in patients with unilateral cleft lip and palate.
Alveolar gap volumes were measured in a retrospective review of 40 dental casts of 20 patients with unilateral clef lip and palate before and after treatment. Ten patients who began undergoing NAM immediately after birth were included in this study. An additional 10 patients with unilateral clefts but without NAM were included as a control group. All of the casts (pretreatment and post-treatment) were 3D scanned, and the cleft volumes and anterior gap widths underwent computer-aided evaluations.
NAM resulted in a significant reduction (p < 0.05) in alveolar gap volume and anterior cleft width from birth until lip closure time, while half of the control group showed slight increases in cleft volume. Based on these results, NAM is an effective and helpful treatment that can be used to significantly reduce alveolar gap volume and anterior cleft width in patients with unilateral clefts. Harmonization of the dental arch and a reduction in the alveolar cleft region are desirable treatment goals.</description><subject>3D analysis</subject><subject>3D scanner</subject><subject>Alveolar Process</subject><subject>Cleft Lip</subject><subject>Cleft Palate</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Nasoalveolar molding</subject><subject>Nose</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Unilateral cleft lip and palate</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P3DAQhi1EVSj0D3BAOXJJ6rETxytxQYh-SCv1AmfLscfglRMvdrIS_76OFjj2NB7peV9rHkKugDZAQfzYNTsz5oZR2DTAGgrshJyD7GXdAmxOy5sCrTuQ7Ix8y3lHKRVUbr6SMw4b6Klg5-Tt8SUh1taPOGUfJx0qPOiw6LksVXTV_IIVOodmXrdJ56jDAWPQqRpjsH56rgq4UocYlhE_Mp_Us95XfqqWyQc9YyofmIBuzpfki9Mh4_f3eUGefj483v-ut39__bm_29aGd2KutZaya7kV1EGZhvcoKe8GsD1jTEjLLe2pax1ahsPgpGthaDtsBRdMU8svyM2xd5_i64J5VqPPBkPQE8YlK8Z5B0IWvKDsiJoUc07o1D75Uac3BVStytVOrcrVqlwBU0V5CV2_9y_DiPYz8uG4ALdHAMuVB49JZeNxMmh9KlqVjf5__f8Alb2T1w</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Lautner, Nora</creator><creator>Raith, Stefan</creator><creator>Ooms, Mark</creator><creator>Peters, Florian</creator><creator>Hölzle, Frank</creator><creator>Modabber, Ali</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202002</creationdate><title>Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts</title><author>Lautner, Nora ; Raith, Stefan ; Ooms, Mark ; Peters, Florian ; Hölzle, Frank ; Modabber, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-aa88543d60f1543c37e8035b1d722268d3d070f4fed2ebbf8f41b45e46362a0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>3D analysis</topic><topic>3D scanner</topic><topic>Alveolar Process</topic><topic>Cleft Lip</topic><topic>Cleft Palate</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Nasoalveolar molding</topic><topic>Nose</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Unilateral cleft lip and palate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lautner, Nora</creatorcontrib><creatorcontrib>Raith, Stefan</creatorcontrib><creatorcontrib>Ooms, Mark</creatorcontrib><creatorcontrib>Peters, Florian</creatorcontrib><creatorcontrib>Hölzle, Frank</creatorcontrib><creatorcontrib>Modabber, Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lautner, Nora</au><au>Raith, Stefan</au><au>Ooms, Mark</au><au>Peters, Florian</au><au>Hölzle, Frank</au><au>Modabber, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2020-02</date><risdate>2020</risdate><volume>48</volume><issue>2</issue><spage>141</spage><epage>147</epage><pages>141-147</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Over the last few decades it has been shown that nasoalveolar molding (NAM) has had an effect on the correction of nasal cartilage deformities and the alveolar process. This three-dimensional (3D) analysis evaluated the effects of NAM on the alveolar cleft region in patients with unilateral cleft lip and palate.
Alveolar gap volumes were measured in a retrospective review of 40 dental casts of 20 patients with unilateral clef lip and palate before and after treatment. Ten patients who began undergoing NAM immediately after birth were included in this study. An additional 10 patients with unilateral clefts but without NAM were included as a control group. All of the casts (pretreatment and post-treatment) were 3D scanned, and the cleft volumes and anterior gap widths underwent computer-aided evaluations.
NAM resulted in a significant reduction (p < 0.05) in alveolar gap volume and anterior cleft width from birth until lip closure time, while half of the control group showed slight increases in cleft volume. Based on these results, NAM is an effective and helpful treatment that can be used to significantly reduce alveolar gap volume and anterior cleft width in patients with unilateral clefts. Harmonization of the dental arch and a reduction in the alveolar cleft region are desirable treatment goals.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>31917062</pmid><doi>10.1016/j.jcms.2019.12.012</doi><tpages>7</tpages></addata></record> |
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subjects | 3D analysis 3D scanner Alveolar Process Cleft Lip Cleft Palate Dentistry Humans Nasoalveolar molding Nose Retrospective Studies Treatment Outcome Unilateral cleft lip and palate |
title | Three-dimensional evaluation of the effect of nasoalveolar molding on the volume of the alveolar gap in unilateral clefts |
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