Single visit feeding appliance for 1-day-old neonate with cleft palate using safe dental putty-gauze hybrid impression technique for maxillary impression

Rathee, Manu

doi:10.4103/2006-8808.184938

Cited by 11 publications

(7 citation statements)

References 9 publications

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“…The prosthetic rehabilitation by flexible plate is a suitable option for newborns with cleft until the time of surgical closure of cleft or until new ways of intrauterine fetal cleft closure using endoscopic approach are well set. 9…”

Section: Discussionmentioning

confidence: 99%

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Barjatya

Masih²,

Chand³

et al. 2022

APRD

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Inborn cleft lip and palate is utmost encountered craniofacial anomaly. The ultimate issue a newborn with cleft lip and palate faces is the crisis in feeding, nasal puke and choking which additionally leads to nutrition scarcity and ultimately affects the overall grown of an infant. Feeding obturator bridges the space and facilitates feeding. This clinical case series demonstrates construction of a flexible obturator in 18 days old and 2 months old baby with cleft lip and palate. (Veau type III)

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Section: Discussionmentioning

confidence: 99%

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Barjatya

Masih²,

Chand³

et al. 2022

APRD

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show abstract

“…The traditional procedure of taking impressions for CLP instills a great level of anxiety among oral health providers, which can lead to several complications including difficulty in removal of impressions, cyanotic events, and asphyxiation 22 , 23 . Anxiety as measured by heart rate was significantly lower when the oral health care provider used the tray method compared to the finger technique, indicating greater control when using the tray technique.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the novel impression tray “cleftray” for infants with cleft lip and palate: a randomized controlled clinical trial

Kalaskar¹,

Bhaje²,

Balasubramanian³

et al. 2021

JKAOMS

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Objectives Cleft lip and palate (CLP) is one of the most common congenital deformities with worldwide prevalence. It causes a range of issues for infants that mainly involve difficulty in feeding due to abnormal oronasal communication. For this purpose, feeding plates are provided to infants to act as an artificial palate to aid in feeding. The most crucial procedure in fabrication of a feeding plate is creation of the impression using the traditional finger technique or impression trays. This preliminary research aims to compare the effectiveness of novel impression trays with that of the traditional finger technique for recording impressions of infants with CLP. Materials and Methods This randomized controlled trial was conducted among 30 infants who were divided into two groups based on the method of obtaining impressions Group I, finger technique; Group II, specialized acrylic tray (cleftray). Results Use of cleftray required less impression time, a reduced amount of material, no incidence of cyanosis/choking in infants, and lower anxiety among doctors compared to the traditional method. Additionally, there was no distortion of cleft impressions, recorded maxillary tuberosity, or other fine details. Therefore, the novel impression tray (cleftray) exhibited superior outcomes in all the parameters compared to the finger technique. Conclusion Within the limitations of this study, we conclude that impression trays are superior to the traditional finger, spoon, or ice cream stick methods of creating impressions of CLP. However, it is necessary to conduct more clinical trials on a larger population based on other parameters to compare the effectiveness of the two techniques to draw definitive conclusions.

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“…17 This should be started as early as possible to help them maintain normal weight and to prevent regurgitation so that they can undergo surgery at the recommended time. 18,19 The feeding plate obturator is a prosthetic work which is usually fabricated by a prosthodontist or general dentist or a plastic surgeon. 20 which creates a rigid platform on which a baby can press the nipple to create sufficient negative pressure that allows for adequate suckling of milk.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and practice of feeding plate obturators among medical doctors in Kanti children’s hospital

Pathak

Bhattarai

et al. 2021

J. Nep. Prosthodon. Soc.

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Introduction: Cleft lip and cleft palate (CLCP) affects several systems and functions of the child and result in social and psychological problems.Therefore early repair of CLCP is imperative. Every cleft center follows its own surgical treatment protocol. Before closure of palatal defects, babies with cleft palate have great difficulty in feeding. To overcome this feeding difficulties, use of special bottles, nipples, initial palatal obturator therapy are used. The first exposure of those children are primarily the medical doctors including pediatricians from where they are generally referred to the concerned speciality for repair of CLCP. The aim of this study was to assess the knowledge and practice of orofacial clefts and feeding plate obturator among medical doctors working in Kanti Children’s Hospital (KCH). Method: This was a questionnaire based survey among medical doctors working in KCH. The pretested questionnaire with 7 questions each on the knowledge and practice of feeding plate obturator was distributed among the medical doctors and data was collected. The data collected were subjected to statistical analysis using frequency of responses and percentages. Results: Of the total 57 study participants, 32 (56.1%) were males and 25 (43.9%) were females. Majority i.e. 61.4% belonged to 31-40 years age group. 91.2% study participants faced the cleft lip/ palate related feeding difficulties 0-5 times/month while 5 (8.8%) faced this condition 6-10 times/ month. Majority of the infants who were less than 28 days (43.9%) attended the OPD due to difficultyin feeding/ swallowing (57.9%) followed by regurgitation/ aspiration (22.8%). 49.1% of the participants thought feeding plate oburator as the best way to feed a cleft patient on discharge from hospital. In their clinical practice, three fourth of paticipants (70.2%) had never seen a patient with feeding plate obturator, half of the participants (50.9%) didn’t advise for feeding plate obturator for patients withcleft palate and 89.5% were not aware of the replacement of feeding plate obturator. Conclusion: There is low exposure regarding the feeding plate obturator among medical doctors in KCH which needs to be reinforced through meaningful continuing education and training programs.

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Single visit feeding appliance for 1-day-old neonate with cleft palate using safe dental putty-gauze hybrid impression technique for maxillary impression

Cited by 11 publications

References 9 publications

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Effectiveness of the novel impression tray “cleftray” for infants with cleft lip and palate: a randomized controlled clinical trial

Knowledge and practice of feeding plate obturators among medical doctors in Kanti children’s hospital

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