RT - Journal of Clinical Pediatric Dentistry ID - 10.17796/1053-4625-45.2.9 T1 - A Staged Expansion Screw Protocol to Retract the Premaxilla In BCLP Infants with Delayed Nasoalveolar Molding A1 - Rohan Bhagat A1 - Meghna Vandekar A1 - Nikhilesh R. Vaid A1 - Jae Hyun Park A1 - Yoon-Ah Kook K1 - Cleft lip and cleft palate; Presurgical nasoalveolar molding; Nasoalveolar molding; Expansion screw appliance YR - 2021 SP - 123 AB -

Currently, the treatment protocol for cleft palate at several centers around the world involves primary lip repair around 3-4 months of age, using presurgical nasoalveolar molding, which is done soon after birth. Unfortunately, in cases where treatment is delayed, the potential for repositioning the nasoalveolar apparatus is severely limited. The purpose of this paper is to illustrate a novel use of an expansion screw appliance to aid in the faster and more efficient active molding of the premaxillary and lateral maxillary segments in infants for whom the start of PNAM therapy is delayed, without the side effects commonly seen with pin-retained active molding appliances.