3.9 Article

Customized Tray for Impression Taking in Children With Cleft Lip and Palate

Journal

CLEFT PALATE CRANIOFACIAL JOURNAL
Volume 60, Issue 9, Pages 1168-1171

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/10556656221095713

Keywords

cleft lip; cleft palate; dental cast; molding; impression

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This paper presents customized trays for babies with different types of cleft lip and palate, which are used in the outpatient routine at Hospital of Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP). The trays improve the quality of impressions and accurately reproduce the anatomical features of dental arches in babies with oral clefts.
The assessment of rehabilitation outcomes requires a patient documentation protocol, including records obtained at standardized ages, to compare different types of surgeries, their effects, as well as between different rehabilitation centers. The aim of this paper was to present proper trays for babies with different types of cleft lip and palate, which are used in the outpatient routine at Hospital of Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP). The customized trays are made with self-curing acrylic resin. The tray must have suitable depth to copy the buccal sulcus, and wax is usually applied to contour the tray edge, and the adjustment of the tray to the fornix, making the tray specific for each child. The impression precludes the utilization of dental casts for diagnosis, treatment plan, and research measurements. In the clinical practice at HRAC-USP, it was observed that customized trays increased the quality of impression, accurately reproducing anatomical features of dental arches of babies with oral clefts.

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