Preoperative intraoral view: Defect in soft and hard palate 

Preoperative intraoral view: Defect in soft and hard palate 

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Nutrition is important in every stage of child development. A child born with cleft lip and palate may experience difficulties while feeding due to the 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. Children with cleft lip and palate need c...

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... This procedure may be carried out swiftly, safely, and without endangering the baby. Additionally, the delivery of the obturator can occur concurrently with the session during which the impression is created, typically within 45 minutes of the patient's attendance at the dental office [1], [40], [41]. ...
... There are many problems that could be associated with the fabrication and usage of the feeding appliances in CLP infants, one of them is the regular examinations of the oral mucosa are necessary due to its fragility and susceptibility to damage from the obturator; growth necessitates constant modifications and replacement [53], [54]. Also they might be coupled with bad oral hygiene, which might result in fungus overgrowth on the palate if the appropriate cleansing instructions for the prosthesis are not fulfilled [41], [54], [55]. Associated with risks faced during impression making for the obturator, likewise difficulties retrieving the impression materials engaging the undercuts, and, due to breakdown of the impression material as it is taken out from the oral cavity with a consequent airway blockage and cyanotic events [53]. ...
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Cleft palate, Infants, obturator, feeding appliance One of the most prevalent structural birth malformations is cleft lip and palate, which is a common congenital anomaly. Feeding, facial development, swallowing, speaking, as well as psychosocial issues that have an effect on the infant and parent, are just a few of the systems and functions that are impacted by its effects. Standard feeding methods could not provide the baby the right nourishment. If the problem is significant enough obturators for feeding will assist the baby get suction and will make it easier for the baby to eat properly. Also obturators can facilitate weight gain, and proper nourishment of the infant with the cleft lip and/or palate before having repair surgery. For this reason the purpose of this study was to give the reader, caregivers, and health centers concerned with the care of infants with cleft lip and palate the necessary information about the feeding obturators, indications of their use, types, and benefits. This work is licensed under a Creative Commons Attribution Non-Commercial 4.0 International License.
... With high ration of obturators usage 67% in infants with both cleft lip and palate and less percentage 33% in isolated cleft palate patients. Twenty-three infants were excluded whom were affected with isolated cleft lip and soft palate affection 34,35 . Based on lowe, in 1990 pacifiers increase the sucking efficiency with mandibular stimulation. ...
... Adequate nutrition is the main priority in patients with cleft lip and palate, and technique should be found so that feeding is as close to normal breastfeeding as possible. [5] A feeding appliance bridges the gap between oral and nasal cavities. Feeding obturator becomes urgent in cleft lip and palate infants as surgical treatment usually starts at 2-3 months of age. ...
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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.
... Prosthetic treatment should be considered as part of rehabilitation since various prosthetic obturators can be provided in order to close existing defect both in newborns and adults [9,10]. The purpose of this case report is to present possible prosthetic treatment in patient with cleft palate and alveolar ridge. ...
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A 56 year old man presented with one-sided cleft palate, affecting alveolar ridge in the upper left canine region. Patient was unable to eat and drink without having the food fall out through his mouths opening into his nose. During first visit, patient underwent x-ray analysis to identify how deeply the bone damage has affected his maxilla. It revealed deep bone penetration, connecting the base of the nose with the mouth. We suggested one of the most effective methods for treating these types of cases – a removable partial denture, which was made to work as an obturator at the same time, closing the space, which causes difficulties to the patient. This case report represents a rare presentation and treatment of cleft palate by using removable partial dentures (RPDs) to close the gap, connecting the patient’s mouth with the nose structures.
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Congenital Cleft lip and palate is a craniofacial defect which results into difficulty in feeding because of the communication between the oral and nasal cavities. Feeding plate restores the gap between the oral and nasal cavities and helps in feeding and reduces the chances of airway problems, regurgitations. This clinical report describes a design and method of fabricating a feeding plate in an 8-day old neonate with a cleft lip and palate.