{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:07:47Z","timestamp":1791590867455,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/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":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim is to compare the facial esthetics following nasoalveolar molding (NAM) versus computer-aided design NAM (CAD\/NAM) in patients with bilateral cleft lip\/palate (CLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The trial is a randomized comparative trial with a 1:1 allocation ratio.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Thirty infants with bilateral complete cleft lip and palate were recruited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Patients were randomized between NAM and CAD\/NAM groups. The treatment steps described by Grayson were followed for the NAM group. In the CAD\/NAM group, digitized maxillary models were made to create a series of modified virtual models, which were used to fabricate the molding plates using 3-dimensional printing technology. The nasal stents were then added to the intraoral plates following the Grayson method. The study lasted for 4 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes<\/jats:title>\n                    <jats:p>The assessment of the changes observed in the interlabial gap and nasolabial esthetics was done using standardized 2-dimensional photographs. The correlation between dental arch changes and extraoral facial esthetics was studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both modalities showed improvement in nasolabial esthetics before the lip surgery. No statistically significant difference was found between NAM and CAD\/NAM groups in any of the assessed variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both interventions were effective in the management of infants with bilateral CLP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221093176","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T02:04:50Z","timestamp":1649988290000},"page":"1078-1089","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Evaluation of Facial Esthetics Following NAM Versus CAD\/NAM in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3482-1603","authenticated-orcid":false,"given":"Noha A.","family":"El-Ashmawi","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona M. Salah","family":"Fayed","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr","family":"El-Beialy","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed E.","family":"Fares","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, Fayoum University Hospital, Fayoum, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled H.","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,14]]},"reference":[{"key":"bibr1-10556656221093176","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003082"},{"key":"bibr2-10556656221093176","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0193_pnomip_2.0.co_2"},{"key":"bibr3-10556656221093176","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199803000-00009"},{"key":"bibr4-10556656221093176","author":"Padovano WM","journal-title":"Cleft Palate-Craniofacial 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