Parents’ Acceptance to Alveolar and Nasoalveolar Molding Appliances during Early Cleft Lip and Palate Care: A Call for High-Quality Research

Mohamed Abd El-Ghafour; Sherif A. Elkordy; Mona M. Salah  Fayed; Amr Ragab  El-Beialy; Faten Hussein Kamel  Eid

doi:10.3889/oamjms.2020.3856

Authors

Mohamed Abd El-Ghafour Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
Sherif A. Elkordy Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
Mona M. Salah Fayed Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
Amr Ragab El-Beialy Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
Faten Hussein Kamel Eid Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2020.3856

Keywords:

Cleft Lip anD Palate, Nasoalveolar molding, Parents satisfaction

Abstract

AIM: Acceptance and compliance of the parents are an essential pillar in the success of pre-surgical infant orthopedic (PSIO) treatment. The aim of this systematic review is to evaluate the burden of care associated with the alveolar molding (AM) and nasoalveolar molding (NAM) appliances as experienced by the parents with unilateral complete cleft lip and palate (UCLP) infants.

METHODS: An electronic search was carried on by two reviewers in eight search engines, as well as a manual search till July 2019. Randomized controlled trials (RCTs) comparing AM/NAM appliances to controls in infants with UCLP were selected. Risk of bias was evaluated using Cochrane risk of bias assessment tool for RCTs.

RESULTS: One RCT was included in the qualitative analysis. Non-significant differences were found in the amount of mothers’ satisfaction between the intervention and control groups.

CONCLUSIONS: Insufficient low-quality evidence is available regarding the effects of AM and NAM on parents’ satisfaction and burden of care. No conclusions can be withdrawn from the existing studies. High-quality research is needed to elucidate the degree of parents’ acceptance to the molding appliances.

PROSPERO registration number: CRD42016043174.

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