Single visit custom made flexible feeding obturator for an infant with tetralogy of fallot

Cleft lip and palate (CLP) is one of the most common craniofacial anomaly affecting newborns. In the early years of life to survive baby requires nutrition from the mother. Lip seal of infant is affected because of cleft palate and thereby feeding is greatly compromised. As there is communication between nasal cavity and oral cavity there are more chances of aspiration of milk into the lungs. The main role of pedodontist is to fabricate a palatal obturator which facilitates feeding. In this article we have discussed fabrication of feeding obturator in single visit in infants with cleft palate. How to cite this article Tirupathi SP, Ragulakollu R, Reddy V. Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature. Int J Clin Pediatr Dent 2020;13(2):186–191.

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“…Infant should be fully awake, nonsedated, and some authors recommend not feeding the infant 2 hours prior to impression procedure. 14 …”

Section: Discussionmentioning

confidence: 99%

“…Various positions such as supine position, 16 face downward position, 14 , 17 – 19 upright position 20 , 21 are recommended during impression making.…”

Section: Discussionmentioning

confidence: 99%

Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Tirupathi

Rajesh

Reddy

2020

International Journal of Clinical Pediatric Dentistry

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“…The impression material generally used for this purpose is putty type vinyl polysiloxane as it has a higher viscosity than reduces swallowing and aspiration, its inability to cause trauma to the soft tissues and its ability to produces good surface details even with multiple pours and stills having good dimensional stability. 10 An obturator that is fabricated acts as a barrier between the nasal and the oral cavity upon which when an infant applies pressure, can suck the milk from the nipple and can also guard against the tongue entering the palatal shelves that would interfere with the growth of the palatal shelves towards the midline. 11 An appropriate time for surgery is considered to be between 9-18 months when the condition of the child is suitable to undergo a general anaesthetic procedure, blood investigations, cultures, and sensitivity tests.…”

Section: Discussionmentioning

confidence: 99%

Delivery of a Feeding Obturator in a New Born Child: A Case Report

Trivedi

Mehta²

2020

Int. J. Drug Res. Dental Sci

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Obturators are custom made plastic material that is made to fit the precise contour of the hard and the soft palate that extends onwards to seal off the mouth from the nasal cavity. Fabricated by an orthodontist or a prosthodontist, it requires frequent replacements as the baby grows and preferably given at 2-3 days after birth. Breastfeeding in a cleft baby is difficult although there are a few compromised techniques that are employed such as breastfeeding positions, compression technique, supplementer usage, and nipple shield alone or in combination. Once the obturator is delivered the child stops regurgitation or vomiting as the lining of the nasal cavity is protected. Breastfeeding is very essential as it also facilitates the proper development of jawbones and facial muscles and in order to do that feeding of a child since day one of birth is a very important prerequisite that can be achieved by delivering an efficient palatal obturator.

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“…A variety of impression materials such as alginate, low fusing compound, and polysulfide material may be used to make a definite impression. [4] In the present case, a putty type polyvinyl siloxane was used to make an impression because of its high viscosity reduces the danger of aspiration or swallowing and its relatively good detail registration property. PRECAUTION TO BE TAKEN WHILE IMPRESSION MAKING - A mouth mirror should be used to depress the tongue and maintain the airway patency all the time.…”

Section: Discussionmentioning

confidence: 99%

“…Feeding appliance is a favorable feeding option in an infant with cleft lip and palate, as it creates a separation between oral and nasal cavities and provides a rigid surface to oppose the breast or nipple during suckling. [4] This article represents a case report of a modified feeding appliance using a copper wire for retention in an infant with cleft lip and palate.…”

Section: Introductionmentioning

confidence: 99%

An innovative modified feeding appliance for an infant with cleft lip and cleft palate: A case report

Naveen

Prasad

Kashinath

et al. 2019

J Family Med Prim Care

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Cleft lip and palate is one of the most common craniofacial anomalies of humans. A child born with cleft lip and palate may experience difficulties while feeding due to lack of seal of the oral cavity due to incomplete facial and palatal structures. Difficulty in feeding leads to inadequate nutrition and affects the health of the infant. Feeding difficulties should be assessed and intervened as early as possible, as they are an important aspect of the multidisciplinary team approach in the management of cleft lip and palate. Feeding appliance is a favorable feeding option in these infants as it creates a separation between oral and nasal cavities and thus helps in creating a negative intraoral pressure during suckling. This case report represents a fabrication of feeding appliance for a 2-day-old neonate born with cleft lip and palate, using copper wire as a retainer for the appliance.

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Single visit custom made flexible feeding obturator for an infant with tetralogy of fallot

Cited by 6 publications

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Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Delivery of a Feeding Obturator in a New Born Child: A Case Report

An innovative modified feeding appliance for an infant with cleft lip and cleft palate: A case report

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