{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T19:14:58Z","timestamp":1793301298880,"version":"4.5.0"},"reference-count":79,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFB"],"abstract":"<jats:p>Deciding on the implementation or modification of steps in daily clinical care is a nuanced process that demands careful evaluation. This is crucial not only for selecting the most appropriate solution but also for achieving the best treatment outcome. Thus, implementing a workflow for treating cleft lip and\/or palate patients with a presurgical orthodontic cleft-covering plate needs to consider objective factors, prioritized from most to least important: safety and quality level, user-friendliness, feasibility, and, finally, efficiency and cost. The goal of this workflow is to integrate CAD\/CAM technologies into daily clinical routine to enhance technical and clinical efficiency, reduce the burden of cleft care, and simplify the implementation of these technologies in other facilities. To achieve this, a methodology based on intraoral scanning and additive manufacturing is employed to produce patient-specific passive palatal plates. The approach describes possible pitfalls and their resolution within the routine of a cleft centre, along with an exemplary case scenario. Comparative analysis between the digital workflow and the conventional process demonstrated the digital approach to be safer, higher in quality, more user-friendly, feasible, and cost- and time-effective than the conventional process.<\/jats:p>","DOI":"10.3390\/jfb15100301","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:01:54Z","timestamp":1728388914000},"page":"301","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Complete Digital Workflow for Manufacturing Presurgical Orthodontic Palatal Plates in Newborns and Infants with Cleft Lip and\/or Palate"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1771-0650","authenticated-orcid":false,"given":"Christina","family":"Weismann","sequence":"first","affiliation":[{"name":"Department of Orthodontics, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1645-929X","authenticated-orcid":false,"given":"Alexander B.","family":"Xepapadeas","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3350-0290","authenticated-orcid":false,"given":"Marit","family":"Bockstedte","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Koos","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8428-725X","authenticated-orcid":false,"given":"Michael","family":"Krimmel","sequence":"additional","affiliation":[{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Department of Oral and Maxillofacial Surgery, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-0066","authenticated-orcid":false,"given":"Christian F.","family":"Poets","sequence":"additional","affiliation":[{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Department of Neonatology, University Hospital T\u00fcbingen, Calwerstr, 7, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9618-5016","authenticated-orcid":false,"given":"Maite","family":"Aretxabaleta","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"},{"name":"Centre for Cleft Lip, Palate and Craniofacial Malformations, University Hospital T\u00fcbingen, Osianderstr, 2-8, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/ejo\/26.1.7","article-title":"The complex genetics of cleft lip and palate","volume":"26","author":"Cobourne","year":"2004","journal-title":"Eur. 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