A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique
Science Journal of Clinical Medicine
Volume 5, Issue 4-1, July 2016, Pages: 1-6
Received: Dec. 23, 2015;
Accepted: Feb. 23, 2016;
Published: Mar. 23, 2016
Views 4428 Downloads 217
Rohit Raghavan, Dept of Prosthodontics, Royal Dental College, Palakkad Dst, Kerala
Biswas PP, Dept of Orthodontics, Royal Dental College, Palakkad Dst, Kerala
Shaju George, Dept of Oral and Maxillofacial Surgery, Royal Dental College, Palakkad Dst, Kerala
Shiji M. Kunjappan, Department of Orthodontics, Vinayaka Missions Sankarachariyar Dental College, Salem, Tamil Nadu, India
Follow on us
Rehabilitation of cleft lip and palate (CLP) patients is a challenge for all the concerned members of the cleft team, and various treatment modalities have obtained aesthetic results. Nasoalveolar molding (NAM) has gained wide acceptance and evidence in cleft therapy. Nasal moulding seems to be more beneficial and effective in unilateral cleft lip and palate patients. The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with repair of cleft deformity that is of minimal severity. For the fabrication of such appliances, an impression of the defect is necessary. Impression making in infants with cleft lip and palate is a challenging task.
Cleft Lip and Palate, Impression Procedure, Infantile Orthopaedics, Nasoalveolar Molding
To cite this article
Shiji M. Kunjappan,
A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique, Science Journal of Clinical Medicine. Special Issue: Clinical Conspectus on Cleft Deformities.
Vol. 5, No. 4-1,
2016, pp. 1-6.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Levy-Bercowski D, Abreu A, Deleon E, Looney S, Stockstill J, Weiler M Et Al. Complications And Solutions In Presurgical Nasoalveolar Molding Therapy. The Cleft Palate-Craniofacial Journal. 2009; 46(5): 521-528.
Grayson B, Maull D. Nasoalveolar Molding for Infants Born With Clefts of The Lip, Alveolus, and Palate. Clinics in Plastic Surgery. 2004; 31(2): 149-158.
Murthy P, Deshmukh S. Pre Surgical Nasoalveolar Molding: Changing Paradigms in Early Cleft Lip and Palate Rehabilitation. J Int Oral Health. 2013; 5(2): 70-80.
Laxmikanth S, Karagi T, Shetty A, Shetty S. Nasoalveolar Molding: A Review. JCRI. 2014; 1(3): 108-113.
Abdel-Rahman N, Abbas I, El-Kassaby M. A Stepwise Guide for Easy, Rapid and Accurate Oral Impression Taking for Newborn Cleft Lip/Palate Infants. Journal of American Science. 2012; (8): 1.
Grayson B. Presurgical Naso Alveolar Molding In Infants With Cleft Lip And Palate'. Cleft Palate Craniofacial Journal. 1999; 36(6): 486-498.
Esenlik E. Presurgical Infant Orthopedics for Cleft Lip and Palate: AReview. Journal of Surgery [Jurnalul de chirurgie] May 2015; 11(1): 313-318.
Prerna Kataria, Pradeep Shukla, Gaurav Malhotra, Ruhina Malgotra, Presurgical Nasoalveolar Molding: The Potential in Cleft Management? - A Review of Literature. Journal of Dental Herald. April 2015; 2(2).
Puri T, Patel D. Presurgical Nasoalveolar Molding in Patients with Unilateral and Bilateral Clefts-Changing Concepts and Current Approach. Journal of Cleft Lip Palate and Craniofacial Anomalies. 2015; 2(2): 98.
Emadian Razavi E. Nasoalveolar Molding: Part 1 - A General Overview. Int J Dent Med Res. 2015; 1(6): 157-159.
Shetye P, Grayson B. Presurgical Nasoalveolar Moulding Treatment in Cleft Lip and Palate Patients. Indian Journal of Plastic Surgery. 2009; 42(3): 56.
Grayson B, Maull D. Nasoalveolar Molding for Infants Born With Clefts of the Lip, Alveolus, and Palate. Seminars in Plastic Surgery. 2005; 19(04): 294-301.
Rizwaan A S, Sujoy B, Rajlakshmi B, Atif K, Prosthetic Rehabilitation Of Cleft Compromised Newborns: A Review. Journal of Clinical and Diagnostic Research December 2010; 4: 3632-3638.
Barry H. Grayson and Pradip R. Shetye, Presurgical nasoalveolar moulding treatment in cleft lip and palate patients, Indian Journal of Plastic Surgery. October 2009; 42(Suppl): S56–S61.