{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:28:33Z","timestamp":1789475313476,"version":"build-2803163510"},"reference-count":13,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T00:00:00Z","timestamp":1552435200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The neonate premaxilla in bilateral cleft lip and palate is often protruding and displaced laterally. Surgeons prefer the premaxilla to be repositioned and centralized to allow a tension-free primary lip repair. This report describes the fabrication of a premaxillary bonnet appliance with silicone material and its successful use in 2 cases of bilateral cleft lip and palate (BCLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants:<\/jats:title>\n                    <jats:p>Two male BCLP patients of ages 34 days and 10 days, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Nonsurgical repositioning of the premaxillary segment using silicone cup\u2013bonnet appliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The duration of active treatment by silicone appliance was 36 days in case 1 and 75 days in case 2. The retention period was 2 months and 3 months, respectively. The appliance made of room temperature vulcanizing (RTV) silicone is flexible and softer in comparison to the rigid conventional acrylic appliance and is therefore almost atraumatic. A gentler appliance resulted in enhanced compliance and acceptance by the neonates. There was a noticeable change in the position of the discernible asymmetric premaxilla. Analysis of frontal facial photographs revealed an angular change in the position of the premaxilla (C) by 12\u00b0 in case 1 and 6\u00b0 in case 2 in reference to the midfacial plane.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This silicone appliance provides enhanced compliance and improved retention compared to acrylic appliance since it is a more gentle, flexible, and less traumatic alternative to a rigid acrylic appliance. Further, the RTV silicone appliance can be 3-dimensionally printed for better accuracy following intraoral scanning and thus eliminating the need for impression making in cleft newborns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665619833865","type":"journal-article","created":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T01:34:05Z","timestamp":1552527245000},"page":"1115-1119","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Pristine Approach for the Prominent Premaxilla in Bilateral Cleft Lip and Palate (BCLP) Cases"],"prefix":"10.1177","volume":"56","author":[{"given":"Nitika","family":"Monga","sequence":"first","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Om P.","family":"Kharbanda","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,13]]},"reference":[{"key":"bibr1-1055665619833865","first-page":"1","volume":"2015","author":"Alqutaibi AY","year":"2015","journal-title":"Int J Contemp Dent Med Rev"},{"key":"bibr2-1055665619833865","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-015-1589-y"},{"key":"bibr3-1055665619833865","first-page":"80","volume-title":"Biomaterials science: an introduction to materials in medicine","author":"Colas A","year":"2004"},{"key":"bibr4-1055665619833865","first-page":"697","volume-title":"Biomaterials science: an introduction to materials in medicine","author":"Colas A","year":"2004"},{"key":"bibr5-1055665619833865","unstructured":"Factor II, Incorporated. 2013. Available at: http:\/\/www.factor2.com\/v\/vspfiles\/msds_2015\/a-rtv-40%20tech.pdf. 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