Improving the Outcomes of Nasoalveolar Molding in Complete Bilateral Cleft Lip and Palate Neonates Using a Modification in the Design of the Conventional Molding Appliance.

Before the commencement of NAM therapy, an impression of the infant's maxillary arch wastaken using a additional silicone elastomeric impression material (regular viscosity).The procedure involved a customized acrylic tray and was conducted with the infant fullyawake, positioned head facing the clinician, and securely held by an assistant in theclinic. The impression should record accurately all the maxillary arch extending to thelabial vestibule anteriorly and to the maxillary tuberosity posteriorly and registeringall the undercuts around the vomer. The impression poured in hard stone , wax patternmade on the master cast , flasking and curing with clear heat cure acrylic resin andfinishing and polishing before delivering to the baby.