Air Force Postgraduate Dental School and Uniformed Services University of the Health Sciences, Postgraduate Dental College, Joint Base San Antonio, Lackland Air Force Base, TX, USA.
Uniformed Services University of Health Sciences, Nellis Air Force Base, NV, USA.
Cleft Palate Craniofac J. 2023 Sep;60(9):1176-1181. doi: 10.1177/10556656221095393. Epub 2022 Apr 28.
We present a novel digital workflow to provide presurgical infant orthopedic (PSIO) treatment for a patient with a unilateral cleft lip/palate utilizing nasoalveolar molding (NAM) and a custom postsurgical nasal stent.
Within the US military healthcare system, the Joint Base San Antonio Craniofacial Anomalies Team utilizes dental scanners, predictive 3D modeling software, and 3D printing technology in a digital workflow for NAM appliance fabrication.
Soft tissue facial scanning, peri-oral scanning, and dental putty impressions are used to facilitate fabrication and measure outcomes. Digital modeling software and 3D resin printing are utilized to manufacture the prescribed devices.
Extra-oral facial scans and intra-oral impressions are compared between 3 timepoints: pre-treatment, posttreatment with NAM, and postsurgical treatment.
The ability to share workflows, establish outcome standards, and streamline patient care will continue to advance best practices in digital PSIO.
我们提出了一种新的数字化工作流程，利用鼻牙槽塑形（NAM）和定制的术后鼻支架，为单侧唇腭裂患者提供术前婴儿矫形（PSIO）治疗。
在美国军事医疗保健系统中，圣安东尼奥联合基地颅面畸形团队在 NAM 矫正器制造中使用牙科扫描仪、预测性 3D 建模软件和 3D 打印技术进行数字化工作流程。
软组织面部扫描、口周扫描和牙泥印模用于促进制造和测量结果。数字建模软件和 3D 树脂打印用于制造规定的设备。
在 3 个时间点（治疗前、NAM 治疗后和手术后）比较了面部外扫描和口腔内印模。
共享工作流程、建立结果标准和简化患者护理的能力将继续推动数字 PSIO 的最佳实践。
