Fabrication of a flexible feeding plate prosthesis in a baby with Pierre Robin syndrome: A Case Report

The Pierre Robin sequence (PRS) is a congenital condition characterized by a triad of features, namely retrognathia, glossoptosis and cleft palate. These characteristics can lead to significant respiratory obstruction and feeding difficulties, which can be life-threatening if not properly managed. Given the complexity of PRS, a multidisciplinary approach is essential. This typically involves the collaboration of specialists in neonatologists, pediatricians, pediatric dentists, Prosthodontists, Otolaryngologists, Maxillofacial surgeons, orthodontists, speech therapists, and Nutritionists, etc. The first ones to encounter in this multidisciplinary treatment approach are prosthodontists, who fabricates a feeding plate for the neonate to aid the patient in having proper nutrition which ultimately leads to weight gain of the baby, so that it can get prepared for the operative procedures. The novel technique described in the article introduces the use of a custom-made flexible feeding obturator. This intraoral appliance is designed to address the specific challenges associated with feeding in infants with PRS. Traditional feeding obturators often come with various limitations and may not effectively alleviate the feeding difficulties encountered by these infants. The flexible feeding obturator, being custom-made, offers a tailored solution that improves feeding efficiency and reduces the associated risks. It helps maintain a proper position of the tongue and jaw, thus minimizing respiratory obstruction and improving overall feeding outcomes for infants and their parents. Key Words Cleft palate, Flexible Feeding plate, Piere Robin syndrome