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Parhofer, R.* ; Rau, A.* ; Strobel, K.* ; Gölz, L.* ; Stark, R.G. ; Ritschl, L.M.* ; Wolff, K.D.* ; Kesting, M.R.* ; Grill, F.D.* ; Seidel, C.L.*

The impact of passive alveolar molding vs. nasoalveolar molding on cleft width and other parameters of maxillary growth in unilateral cleft lip palate.

Clin. Oral Investig. 27, 5001-5009 (2023)
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Objective: Passive alveolar molding (PAM) and nasoalveolar molding (NAM) are established presurgical infant orthodontic (PSIO) therapies for cleft lip palate (CLP) patients. PAM guides maxillary growth with a modified Hotz appliance, while NAM also uses extraoral taping and includes nasal stents. The effects of these techniques on alveolar arch growth have rarely been compared. Material and methods: We retrospectively compared 3D-scanned maxillary models obtained before and after PSIO from infants with unilateral, non-syndromic CLP treated with PAM (n = 16) versus NAM (n = 13). Nine anatomical points were set digitally by four raters and transversal/sagittal distances and rotations of the maxilla were measured. Results: Both appliances reduced the anterior cleft, but NAM percentage wise more. NAM decreased the anterior and medial transversal width compared to PAM, which led to no change. With both appliances, the posterior width increased. The alveolar arch length of the great and small segments and the sagittal length of the maxilla increased with PAM but only partially with NAM. However, NAM induced a significant greater medial rotation of the larger and smaller segment compared to PAM with respect to the lateral angle. Conclusions: NAM and PAM presented some significant differences regarding maxillary growth. While NAM reduced the anterior cleft and effectively rotated the segments medially, PAM allowed more transversal and sagittal growth. Clinical relevance: The results of this study should be taken into consideration when to decide whether to use PAM or NAM, since they show a different outcome within the first few months. Further studies are necessary regarding long-term differences.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Cleft Lip Palate ; Maxillary Growth ; Nasoalveolar Molding ; Passive Alveolar Molding ; Presurgical Orthodontics; Infant Orthopedics; Arch Dimensions; Nasal; Appliance; Children; Repair
Language english
Publication Year 2023
HGF-reported in Year 2023
ISSN (print) / ISBN 1432-6981
e-ISSN 1436-3771
Journal Clinical Oral Investigations
Quellenangaben Volume: 27, Issue: 9, Pages: 5001-5009 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Tiergartenstrasse 17, D-69121 Heidelberg, Germany
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)
POF-Topic(s) 30202 - Environmental Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-505300-001
DOI 10.1007/s00784-023-05119-7
WOS ID 001014744600001
Scopus ID 85162888696
PubMed ID 37353667
Erfassungsdatum 2023-10-18
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