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Article

Evaluation of a Digital Protocol for Pre-Surgical Orthopedic Treatment of Cleft Lip and Palate in Newborn Patients: A Pilot Study

1
School of Dentistry, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy
2
Department of Orthodontics, School of Dentistry, University of Genova, Largo Rossana Benzi 10, 16132 Genova, Italy
3
School of Dentistry, Department of General Surgery and Medical and Surgical Specialties, University of Catania, Via S. Sofia 78, 95123 Catania, Italy
*
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(4), 111; https://doi.org/10.3390/dj7040111
Received: 21 July 2019 / Revised: 25 November 2019 / Accepted: 3 December 2019 / Published: 9 December 2019
(This article belongs to the Special Issue Pathogenesis of Periodontal Disease)
The aim of this study was to evaluate the accuracy, invasiveness and impact on clinical results of a digital oral impression protocol in the pre-surgical orthopedic treatment (PSOT) of newborn cleft lip and palate (CLP) patients undergoing primary alveolar surgical repair. Six patients were divided, according to impression technique used, into a digital (intraoral scanner (IOS)) and a non-digital (tray and putty (T&P)) group. Parents considered IOS impressions to be less invasive, compared to T&P impressions. The clinician that took all the impressions considered the IOS to be less stressful compared to the T&P method. In two T&P patients, the impression was repeated because some important anatomical details were missing, in one case due to patient regurgitation during the first attempt. No impression was repeated, and any adverse event was reported in the IOS group. There were no significant differences between these two protocols in pre-surgical alveolar gap reduction and surgical challenge. The study results indicate that this digital protocol can accelerate the production process of the passive molding plate with an instantaneous transmission of the digital impression to the dental lab, maintaining the same accuracy level and clinical outcomes of classical techniques and reducing the invasiveness of impression taking, avoiding any risk of impression material ingestion or inhalation. View Full-Text
Keywords: cleft lip and palate; PSOT; molding plate; digital oral impression; gingivoperiosteoplasty cleft lip and palate; PSOT; molding plate; digital oral impression; gingivoperiosteoplasty
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MDPI and ACS Style

Dalessandri, D.; Tonni, I.; Laffranchi, L.; Migliorati, M.; Isola, G.; Bonetti, S.; Visconti, L.; Paganelli, C. Evaluation of a Digital Protocol for Pre-Surgical Orthopedic Treatment of Cleft Lip and Palate in Newborn Patients: A Pilot Study. Dent. J. 2019, 7, 111. https://doi.org/10.3390/dj7040111

AMA Style

Dalessandri D, Tonni I, Laffranchi L, Migliorati M, Isola G, Bonetti S, Visconti L, Paganelli C. Evaluation of a Digital Protocol for Pre-Surgical Orthopedic Treatment of Cleft Lip and Palate in Newborn Patients: A Pilot Study. Dentistry Journal. 2019; 7(4):111. https://doi.org/10.3390/dj7040111

Chicago/Turabian Style

Dalessandri, Domenico, Ingrid Tonni, Laura Laffranchi, Marco Migliorati, Gaetano Isola, Stefano Bonetti, Luca Visconti, and Corrado Paganelli. 2019. "Evaluation of a Digital Protocol for Pre-Surgical Orthopedic Treatment of Cleft Lip and Palate in Newborn Patients: A Pilot Study" Dentistry Journal 7, no. 4: 111. https://doi.org/10.3390/dj7040111

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