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Nasoalveolar Molding
Mairaj K Ahmed1, Jeremiah Y Kim2, Lisa R Jolly3
1Division of Orthodontics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA; Division of Plastic and Reconstructive Surgery, Departments of Dentistry/Oral Maxillofacial Surgery, Otolaryngology and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Surgery, New York Eye and Ear Infirmary, New York, NY, USA.
Facial Plastic Surgery Clinics of North America
|October 16, 2025
Summary
Nasoalveolar molding (NAM) is a presurgical infant therapy for cleft lip and palate. It improves nasolabial aesthetics and may reduce revision surgeries and financial costs.
Area of Science:
- Craniofacial surgery
- Pediatric dentistry
- Orthodontics
Background:
- Nasoalveolar molding (NAM) is a presurgical orthopedic treatment for infants with cleft lip and palate.
- It aims to improve alveolar and nasolabial esthetics before surgical repair.
- NAM offers significant clinical and psychosocial benefits for patients and caregivers.
Purpose of the Study:
- To provide a comprehensive overview of Nasoalveolar molding (NAM) therapy.
- To discuss clinical indications, treatment timelines, and challenges associated with NAM.
- To highlight the potential of emerging digital workflows in NAM treatment.
Main Methods:
- Review of clinical applications and variations in NAM appliances and protocols.
- Discussion of patient, caregiver, and clinician experiences with NAM.
- Exploration of digital workflow advancements in orthopedic therapy.
Main Results:
- NAM treatment leads to improved palatal, alveolar, and nasolabial parameters.
- Potential reduction in the need for revision surgeries and associated financial burden.
- Positive psychosocial impact on caregivers and enhanced patient outcomes.
Conclusions:
- Nasoalveolar molding is an effective presurgical intervention for cleft lip and palate.
- Digital workflows show promise for optimizing NAM treatment and patient care.
- Continued research and development in NAM protocols are essential for advancing care.
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