Unilateral Complete Cleft Lip and Palate
Conditions
Keywords
3-dimensional, aligner, NAM, segmentation, Approximation
Brief summary
study will provide nasoalveolar molding (NAM) treatment, special care for infants born with cleft lip and palate. This novel appliance will help to provide the care in accurate and easy form by help of both digital work flow and new material which provide a unique properties.
Detailed description
A sample of 10 infants born with unilateral cleft lip and palate (UCLP) ranging in age from seven to 45 days who meet the inclusion criteria will be recruited and subjected to the following study procedures: maxillary impression, extraoral scanning for nasolabial area and facial photos. For digital workflow; the following steps will be done: 1. Digital model preparation. 2. Model segmentation and modification. 3. Virtual treatment simulation. 4. Virtual appliance construction. 5. Three-dimensional aligner printing. After aligners printing, each infant will be delivered his own set of aligners. The nasal stent will be fixed to the aligner then delivered with a meticulous demonstration for parents regarding adhesive placement, insertion, and removal. Parents will be instructed to remove the aligner once per day for proper cleaning. Infants will be followed up every two weeks till maxillary arch segments approximation and improvement of nasolabial tissue morphology. Finally, post-treatment records will be taken. • Study Setting: The study will be performed in the clinic of the Orthodontic Department, Faculty of Dentistry, Ain-Shams University. • Study procedure: Infants who meet the inclusion criteria and approve participation in the study will be included. An informed consent will be signed by the infant's parents before their enrollment in the study in which the aim of the study, the methodology, and possible complications will be clearly described. This research will be reviewed by the Research Ethics Committee, Faculty of Dentistry, Ain Shams University. IX. Statistical Analysis Methods of assessment 1. Pre-operative T1 and postoperative T2 models will be digitally measured, assessed and compared. 2. Pre-operative T1 and postoperative T2 soft tissue scans will be digitally measured, assessed and compared. 3. Final virtual models and final infant models will be digitally compared. 4. Total treatment duration will be calculated. Finally, data will be tabulated and statistically analyzed
Interventions
DEVICE: photopolymer resin material graphy Tera Harz 85 will be used to print 3D printed aligners for NAM treatment
3d printed NAM aligner is made from novel photopolymer resin as a novel device
Sponsors
Ain Shams University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 45 Days
Healthy volunteers
No
Inclusion criteria
1. Non-syndromic complete unilateral cleft lip, alveolus, and palate. 2. Age is up to 45 days. 3. Cleft size more than 5mm between anterior margins of cleft segments.
Exclusion criteria
1. Infants are diagnosed with other congenital malformations. 2. Parents refusing NAM treatment. 3. Parents are unable to attend the clinic every 2 weeks. 4. Infants are born with another form of clefts like facial and median clefts.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| approximation of segments of maxillary arch | almost 1.5 month | measuring the alveolar cleft size before and after the treatment to assess the amount of cleft reduction on the scanned models in millimeter |
Countries
Egypt
Contacts
Primary ContactMaha S Sayed, as. lecturer
Backup ContactMaha S Sayed, as. lecturer
Outcome results
None listed