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KMID : 0361920210510060428
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Korean Journal of Orthodontics
2021 Volume.51 No. 6 p.428 ~ p.434
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A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome
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Gonca Merve
Ozel Mehmet Birol
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Abstract
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Craniofacial clefts are extremely rare deformities. Tessier’s classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.
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KEYWORD
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Appliances, Cleft lip and palate, Craniofacial anomalies, Functional
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