title: A modified muscle-activated maxillary orthopedic appliance for presurgical nasoalveolar molding in infants with unilateral cleft lip and palate.
abstract: OBJECTIVE
  The purpose of this article is to describe a modified appliance and treatment approach for presurgical nasoalveolar molding in infants with unilateral cleft lip and palate.
  
  
  METHODS
  This approach uses a plate held in with outriggers, which prevents the cleft-widening effect of the tongue, helps with tongue tip placement, and utilizes the functional movements of the facial musculature to guide and relocate the major segment medially to its normal position. Nasal molding is undertaken after most of the lateromedial correction of the alveolar position.
  
  
  CONCLUSIONS
  This technique helps to improve alveolar position, nasal septum alignment, nasal symmetry, and nasal tip projection prior to lip repair.
authors.affiliation: Division of Orthodontics, Department of Oral Health Sciences, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sunjay
authors.initials: S
authors.lastname: Suri
authors.forename: Bryan D
authors.initials: BD
authors.lastname: Tompson
mesh_terms: D000539:Alveolar Process / Q000002:abnormalities; D002971:Cleft Lip / Q000628:therapy*; D002972:Cleft Palate / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008437:Maxilla; D020247:Myofunctional Therapy / Q000295:instrumentation*; D009666:Nose / Q000002:abnormalities; D016382:Orthodontic Appliance Design; D009973:Orthodontics, Preventive / Q000295:instrumentation*; D010158:Palatal Obturators; D011300:Preoperative Care; D015607:Stents