Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
Cleft Palate Craniofac J. 2022 May;59(5):609-613. doi: 10.1177/10556656211017404. Epub 2021 May 20.
Nasoalveolar molding (NAM) is a presurgical orthopedic procedure, mainly focusing upon the aesthetic outcome of the treatment goal by reducing the number of reconstructive surgeries performed later for the purpose of esthetics. It was reported a very small proportion of pediatric dentists are providing presurgical intervention and the practice of NAM still side stepping among various dental practitioners.
The study was aimed to assess the knowledge and attitude among various dental specialties regarding NAM procedure in cleft patients.
A questionnaire-based cross-sectional survey was carried out among 180 dental professionals (pedodontists, orthodontists, prosthodontists, oral surgeons). A total of 180 questionnaires were prepared, out of which 98 were filled through direct personal interview and 82 were circulated via Google forms. Results were analyzed using chi-square test, Mann-Whitney test, and Kruskal-Wallis test.
There was statistically significant difference in the cumulative knowledge scores between specialty with < .001; 99% of the participants think one should opt for NAM before cleft lip and palate surgery and 39% participants prefer pedodontists to carry out NAM procedure.
Dental specialists in India have a positive attitude toward presurgical orthopedics. Majority of them agreed that there is great improvement in the aesthetic outcomes of surgeries after NAM intervention.
鼻牙槽成形术（NAM）是一种术前矫形术，主要通过减少后期为美观而进行的重建手术次数来关注治疗目标的美学效果。据报道，只有一小部分儿童牙医提供术前干预，而且 NAM 的实践在各种牙科医生中仍然很少见。
本研究旨在评估各种牙科专业人士对腭裂患者 NAM 手术的知识和态度。
对 180 名牙科专业人员（儿童牙医、正畸医生、修复医生、口腔颌面外科医生）进行了基于问卷的横断面调查。共准备了 180 份问卷，其中 98 份通过直接个人访谈填写，82 份通过 Google 表格分发。使用卡方检验、Mann-Whitney 检验和 Kruskal-Wallis 检验对结果进行分析。
专业之间的累积知识得分存在统计学显著差异（ <.001）；99%的参与者认为应该在唇腭裂手术前选择 NAM，39%的参与者更喜欢儿童牙医进行 NAM 手术。
印度的牙科专家对术前矫形术持有积极的态度。他们大多数人都同意，NAM 干预后手术的美学效果有了很大的改善。
