PMC4959410_01
Extraoral view showing bilateral cleft lip
JSTCR-7-7-g001.jpg
PMC4959410_01_JSTCR-7-7-g001.jpg
F1
On extraoral examination, there was bilateral complete cleft lip with forward placed premaxilla [Figure 1].
Intraoral view showing cleft lip and palate
JSTCR-7-7-g002.jpg
PMC4959410_01_JSTCR-7-7-g002.jpg
F2
Intraoral examination revealed a median cleft of the palate involving complete soft and hard palate [Figure 2].
Dental putty loaded on the index finger
JSTCR-7-7-g003.jpg
PMC4959410_01_JSTCR-7-7-g003.jpg
F3
Fast setting elastomeric putty impression material (Express  STD, 3M ESPE, USA) was mixed and loaded on the index finger and an adequately large piece of gauze was wrapped all over the loaded impression material with loose ends wrapped toward the hand [Figures 3 and 4].
Gauze wrapped around the putty impression material loaded on the finger
JSTCR-7-7-g004.jpg
PMC4959410_01_JSTCR-7-7-g004.jpg
F4
Fast setting elastomeric putty impression material (Express  STD, 3M ESPE, USA) was mixed and loaded on the index finger and an adequately large piece of gauze was wrapped all over the loaded impression material with loose ends wrapped toward the hand [Figures 3 and 4].
Maxillary impression made with functional movements by neonate
JSTCR-7-7-g005.jpg
PMC4959410_01_JSTCR-7-7-g005.jpg
F5
The gauze permitted control over the material and restricted the excessive displacement of impression material toward the nasal cavity and pharynx [Figure 5].
Hybrid impression retrieved in toto
JSTCR-7-7-g006.jpg
PMC4959410_01_JSTCR-7-7-g006.jpg
F6
After the impression material was set, the impression was removed in toto from the patient's mouth [Figures 6 and 7].
Dental putty maxillary impression
JSTCR-7-7-g007.jpg
PMC4959410_01_JSTCR-7-7-g007.jpg
F7
After the impression material was set, the impression was removed in toto from the patient's mouth [Figures 6 and 7].
Master cast
JSTCR-7-7-g008.jpg
PMC4959410_01_JSTCR-7-7-g008.jpg
F8
Then, the impression was poured in dental stone (Kalstone, Kalabhai Karson Pvt Ltd)., Mumbai, Maharashtra, India) and the master cast was obtained [Figure 8].
Clear soft feeding obturator with safety thread attached
JSTCR-7-7-g009.jpg
PMC4959410_01_JSTCR-7-7-g009.jpg
F9
Single visit feeding obturator was fabricated using clear, flexible thermal-forming material with a midline extraoral extension for a hole to tie a safety thread [Figure 9].
Feeding obturator in situ
JSTCR-7-7-g010.jpg
PMC4959410_01_JSTCR-7-7-g010.jpg
F10
The neonate could comfortably perform sucking with the feeding obturator [Figure 10].