Creation of Adam 2.0 Appliance for Nasoalveolar Moulding of Cleft Lip and Palate: Case Report

Cleft lip and/or palate are the most common craniofacial anomalies in children.Nasoalveolar moulding is crucial because it can successfully close the gap.This ensures a better surgical outcome.The presented case report is of a five-day female infant with a unilateral cleft lip and palate.She was initially given a removable acrylic plate to mould the segments.However, the plate failed due to noncompliance of the parents.To remove the obstacle of parent compliance, a fixed plate was planned.The patient was treated by an appliance called the Creation of Adam 2.0.It consisted of two parts, both parts were retained via screws in the palatal segments.The traction force was applied via the power chain engaged in the attachments.With the help of this appliance, the cleft defect was reduced to about 1 mm at the end of the treatment in two weeks.