A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique

Rohit Raghavan; Biswas PP; Shaju George; Shiji M. Kunjappan

doi:doi:10.11648/j.sjcm.s.2016050401.11

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A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique

Rohit Raghavan, Biswas PP, Shaju George, Shiji M. Kunjappan

Published in Science Journal of Clinical Medicine (Volume 5, Issue 4-1)

Received: 23 December 2015 Accepted: 23 February 2016 Published: 23 March 2016

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Abstract

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.

Published in	Science Journal of Clinical Medicine (Volume 5, Issue 4-1) This article belongs to the Special Issue Clinical Conspectus on Cleft Deformities
DOI	10.11648/j.sjcm.s.2016050401.11
Page(s)	1-6
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Cleft Lip and Palate, Impression Procedure, Infantile Orthopaedics, Nasoalveolar Molding

References

[1]	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.
[2]	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.
[3]	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.
[4]	Laxmikanth S, Karagi T, Shetty A, Shetty S. Nasoalveolar Molding: A Review. JCRI. 2014; 1(3): 108-113.
[5]	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.
[6]	Grayson B. Presurgical Naso Alveolar Molding In Infants With Cleft Lip And Palate'. Cleft Palate Craniofacial Journal. 1999; 36(6): 486-498.
[7]	Esenlik E. Presurgical Infant Orthopedics for Cleft Lip and Palate: AReview. Journal of Surgery [Jurnalul de chirurgie] May 2015; 11(1): 313-318.
[8]	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).
[9]	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.
[10]	Emadian Razavi E. Nasoalveolar Molding: Part 1 - A General Overview. Int J Dent Med Res. 2015; 1(6): 157-159.
[11]	Shetye P, Grayson B. Presurgical Nasoalveolar Moulding Treatment in Cleft Lip and Palate Patients. Indian Journal of Plastic Surgery. 2009; 42(3): 56.
[12]	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.
[13]	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.
[14]	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.

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APA Style

Rohit Raghavan, Biswas PP, Shaju George, Shiji M. Kunjappan. (2016). A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Science Journal of Clinical Medicine, 5(4-1), 1-6. https://doi.org/10.11648/j.sjcm.s.2016050401.11

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ACS Style

Rohit Raghavan; Biswas PP; Shaju George; Shiji M. Kunjappan. A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Sci. J. Clin. Med. 2016, 5(4-1), 1-6. doi: 10.11648/j.sjcm.s.2016050401.11

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AMA Style

Rohit Raghavan, Biswas PP, Shaju George, Shiji M. Kunjappan. A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Sci J Clin Med. 2016;5(4-1):1-6. doi: 10.11648/j.sjcm.s.2016050401.11

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@article{10.11648/j.sjcm.s.2016050401.11,
  author = {Rohit Raghavan and Biswas PP and Shaju George and Shiji M. Kunjappan},
  title = {A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique},
  journal = {Science Journal of Clinical Medicine},
  volume = {5},
  number = {4-1},
  pages = {1-6},
  doi = {10.11648/j.sjcm.s.2016050401.11},
  url = {https://doi.org/10.11648/j.sjcm.s.2016050401.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.s.2016050401.11},
  abstract = {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.},
 year = {2016}
}

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TY  - JOUR
T1  - A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique
AU  - Rohit Raghavan
AU  - Biswas PP
AU  - Shaju George
AU  - Shiji M. Kunjappan
Y1  - 2016/03/23
PY  - 2016
N1  - https://doi.org/10.11648/j.sjcm.s.2016050401.11
DO  - 10.11648/j.sjcm.s.2016050401.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 1
EP  - 6
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.s.2016050401.11
AB  - 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.
VL  - 5
IS  - 4-1
ER  -

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Author Information

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

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Plain Text BibTeX RIS

APA Style

Rohit Raghavan, Biswas PP, Shaju George, Shiji M. Kunjappan. (2016). A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Science Journal of Clinical Medicine, 5(4-1), 1-6. https://doi.org/10.11648/j.sjcm.s.2016050401.11

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ACS Style

Rohit Raghavan; Biswas PP; Shaju George; Shiji M. Kunjappan. A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Sci. J. Clin. Med. 2016, 5(4-1), 1-6. doi: 10.11648/j.sjcm.s.2016050401.11

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AMA Style

Rohit Raghavan, Biswas PP, Shaju George, Shiji M. Kunjappan. A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique. Sci J Clin Med. 2016;5(4-1):1-6. doi: 10.11648/j.sjcm.s.2016050401.11

Copy | Download

@article{10.11648/j.sjcm.s.2016050401.11,
  author = {Rohit Raghavan and Biswas PP and Shaju George and Shiji M. Kunjappan},
  title = {A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique},
  journal = {Science Journal of Clinical Medicine},
  volume = {5},
  number = {4-1},
  pages = {1-6},
  doi = {10.11648/j.sjcm.s.2016050401.11},
  url = {https://doi.org/10.11648/j.sjcm.s.2016050401.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.s.2016050401.11},
  abstract = {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.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - A Stepwise Procedure for the Fabrication of the NAM Appliance Using Grayson’s Technique
AU  - Rohit Raghavan
AU  - Biswas PP
AU  - Shaju George
AU  - Shiji M. Kunjappan
Y1  - 2016/03/23
PY  - 2016
N1  - https://doi.org/10.11648/j.sjcm.s.2016050401.11
DO  - 10.11648/j.sjcm.s.2016050401.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 1
EP  - 6
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.s.2016050401.11
AB  - 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.
VL  - 5
IS  - 4-1
ER  -

Copy | Download