Workshop in NasoAlveolar Molding (NAM) for Cleft Lip and Palate

First Annual Duke University Workshop in Presurgical Infant Orthopedics and Orthodontic Treatment for Patients with Clefts of the Lip and Palate: From Birth to Mixed Dentition

NAM Course Director

Pedro E. Santiago, DMD
Director, Duke Oral Health
Director, Craniofacial Orthodontics

Invited Professor

Barry H. Grayson, DDS
Department of Plastic Surgery
NYU Langone Medical Center

NAM COURSE OBJECTIVES

The participants will be able to: 

• Understand and describe the nasal, labial, and alveolar anatomical deformities associated with unilateral and bilateral cleft lip and palate. 
• Describe the objectives for NasoAlveolar Molding therapy in unilateral and bilateral cases.
• Construct and adjust a NAM appliance for patients with unilateral and bilateral cleft lip and palate.
• Define the biomechanical principles that distinguish between making changes in shape and position of cleft alveolar segments. 
• Describe the biomechanics underlying molding of the deformed nose and alveolar processes. 
• Assemble an elastic/taping system to achieve effective operation of the NAM appliance. 
• List the most common complications associated with NAM along with the most effective ways to prevent them from occurring
• Describe the orthopedic and orthodontic maxillary arch preparation for a secondary alveolar bone graft procedure
• Describe the indications and biomechanics for maxillary protraction (face mask therapy)
• Describe the objectives and biomechanics for limited orthodontic treatment in the mixed dentition 

NAM Course Agenda

Day one: Full day

• Unilateral and Bilateral Cleft Lip and Palate Anatomical Deformity
• NasoAlveolar Molding Technique for Unilateral Cleft Lip and Palate
• Construction, Adjustments, and Biomechanics of the Unilateral Cleft Lip and Palate NAM Appliance

Day Two: Full day

• Nasoalveolar Molding Technique for Bilateral Cleft Lip and Palate
• Construction, Adjustments, and Biomechanics of the Unilateral Cleft Lip and Palate NAM Appliance
• Orthopedic and Orthodontic Treatment in Mixed Dentition 

Day Three: Half day

• Visit to Duke Craniofacial Orthodontic Clinic to observe live NAM and mixed dentition cases