Hülsbeck Albert, Northoff Lisa-Marie, Kahl-Nieke Bärbel
Poliklinik für Kieferorthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
Z Geburtshilfe Neonatol. 2024 Aug;228(4):386-391. doi: 10.1055/a-2267-4555. Epub 2024 Mar 22.
The treatment of newborns with craniofacial abnormalities such as cleft lip and/or palate poses special challenges for healthcare providers. Often, the collaboration of an interdisciplinary team of pediatricians, orthodontists, and oral and maxillofacial surgeons is necessary. Therapy using feeding or stimulation plates can improve feeding and strengthen orofacial muscle tone. The treatment of patients with cleft lip and palate using conventionally manufactured feeding plates as well as the treatment of patients with reduced orofacial muscle tone through stimulation plates therapy are established and widely used methods. The conventional production of these plate appliances can lead to serious complications such as swallowing of impression material and airway obstruction due to aspiration. Through an innovative, entirely digital workflow using computer-assisted design and manufacturing of the appliances in a 3D printer, risks can be minimized and time and costs can be saved. This article aims to explain the digital workflow of treating newborns with 3D CAD/CAM feeding and stimulation plates through two case studies.
治疗患有唇腭裂等颅面畸形的新生儿对医疗服务提供者来说是一项特殊挑战。通常，儿科医生、正畸医生以及口腔颌面外科医生组成的跨学科团队进行协作是必要的。使用喂养板或刺激板进行治疗可以改善喂养情况并增强口面部肌肉张力。使用传统制造的喂养板治疗唇腭裂患者以及通过刺激板疗法治疗口面部肌肉张力降低的患者是既定且广泛使用的方法。这些板状矫治器的传统生产可能会导致严重并发症，如吞咽印模材料以及因误吸导致气道阻塞。通过一种创新的、完全数字化的工作流程，利用计算机辅助设计并在3D打印机中制造矫治器，可以将风险降至最低，并节省时间和成本。本文旨在通过两个案例研究来解释使用3D CAD/CAM喂养和刺激板治疗新生儿的数字化工作流程。
