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Alternative approaches to managing the cleft alveolus
V P Sabarinath1, Vasant Radhakrishnan2, P V Hazarey3
1Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia. sabari23@rediffmail.com
The Journal of Clinical Pediatric Dentistry
|March 4, 2014
Summary
Alveolar cleft repair in infants can be improved using nasoalveolar molding (NAM) and dentoalveolar distraction (DAD). These techniques address oral cleft deformities, increasing the chances of successful surgical outcomes by managing alveolar segments.
Area of Science:
- Craniofacial surgery
- Pediatric dentistry
- Oral and maxillofacial surgery
Background:
- Alveolar clefts are a component of oral cleft deformities requiring specific surgical intervention.
- Surgical outcomes for alveolar cleft repair are influenced by various patient and procedural factors.
- Secondary alveolar bone graft failure can occur, necessitating alternative treatment strategies.
Purpose of the Study:
- To present case reports on the combined use of nasoalveolar molding (NAM) and dentoalveolar distraction (DAD) for alveolar cleft repair.
- To illustrate how NAM and DAD can address complex alveolar cleft deformities.
- To highlight a synergistic surgical approach for improved alveolar cleft repair outcomes.
Main Methods:
- Application of nasoalveolar molding (NAM) in infants to shape alveolar segments.
- Utilization of dentoalveolar distraction (DAD) as an alternative or adjunct to traditional bone grafting.
- Integration of NAM and DAD in a staged surgical protocol for alveolar cleft management.
Main Results:
- Successful management of alveolar cleft deformities in two pediatric cases using NAM and DAD.
- Demonstration of the feasibility and potential benefits of combining molding and distraction techniques.
- Improved outcomes in alveolar cleft repair through a synergistic surgical approach.
Conclusions:
- Nasoalveolar molding (NAM) and dentoalveolar distraction (DAD) offer a viable approach for treating alveolar cleft deformities.
- A combined surgical strategy involving NAM and DAD can enhance the success rate of alveolar cleft repair.
- Identifying factors for graft failure can guide the selection of alternative methods like DAD for improved patient care.
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