Treating Cleft Lip and Palate in Infants

Treating Cleft Lip and Palate in Infants

Since 2008, Roseman Dental & Orthodontics has been collaborating with Nevada Early Intervention Services and the Southern Nevada Cleft Palate & Craniofacial Team that helps children born with cleft lip and palate. This team is the only cleft lip/palate craniofacial team in Southern Nevada.

Every fourth Tuesday of the month, Roseman Dental & Orthodontics’ orthodontic residents and faculty volunteer at the monthly clinic held at the Nevada Early Intervention Services office. The Clinic provides children up to the age of 18 and their families with a comprehensive approach and management of care which includes diagnosis, recommended treatment, psychosocial support and more all at no cost. Those served include children with cleft lip and/or cleft palate and other cranio conditions, craniofacial abnormalities, and congenital anomalies.

Roseman Dental & Orthodontics has initiated a new approach to cleft treatment – the Nasoalveolar molding or NAM – in conjunction with a plastic surgeon that minimizes the effects of surgery and maximizes the innate growth potential of the children, leading to fewer surgeries over their lifetime.

Roseman Dental & Orthodontics has been performing NAMs at its Nevada location since 2012. Roseman Dental & Orthodontics’ NAM team consists of all the medical specialists necessary for a child’s care and development including pediatric dentists, plastic surgeons, pediatricians, ENT, audiologists, nutritionists, and speech pathologists.

Graphic explaining facts on cleft lip and palate facts.


What is Nasoalveolar Molding (NAM)?

NAM is a nonsurgical way to reshape the gums, lip, and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries a child needs because it makes the cleft less severe. A NAM is used mainly for children with large or wide clefts and has greatly changed cleft repair.

  • It reduces the cleft inside the mouth.
  • It reduces the gap in the upper lip.
  • It lifts and narrows the nose.

Surgery takes place after the molding is complete when the child is around age four to six months.

Previously, a child with a large cleft needed many surgeries between birth and age 18, putting the child at risk for psychological and social challenges. The first surgery pulled the lip together, the second improved the position of the lip, two more would shape the nose, then another — often including a bone graft — would close the palate, and so on.

With a NAM, orthodontists at Roseman Dental can reduce a large cleft in the months before surgery. A NAM also improves the shape and position of the lip and nose. With a smaller cleft, there is less tension when the surgeon closes the cleft. Molding the lip and nose in advance can mean less reshaping is needed during surgery. With a better result from the first surgery, a child may need fewer surgeries later in childhood.

How does a NAM work?

NAM works by gently directing the growth of a baby’s gums and the shape of their nose during the first few months after birth, when these tissues are soft and easy to mold.

Parents work with orthodontists at Roseman Dental during NAM therapy. Just days after the baby is born, the orthodontist fits the baby with a custom molding plate that looks like a retainer issued after braces. The baby wears the molding plate 24 hours a day, seven days a week, including when they are feeding. The plate is held in place using denture adhesive.  Medical tape is then placed from cheek to cheek over the cleft to help mold the bones inside the mouth as well as the lips.  Parents, taught by the orthodontists, change the tape and clean the molding plate at home as needed (usually three to four times each day).

Every one to two weeks, the orthodontist makes small changes to the shape of the molding plate to guide the baby’s gums as they grow. Each visit takes about 40 to 60 minutes.

As the tape is closing the bones, a metal prong with a soft material covering inserts into the nose to form the molding plate. This post (called a nasal stent) slides easily into the baby’s nostril. It slowly lifts up the nose and shapes the nostril on the side of the cleft.  This stent is removed approximately one week before the lip and nose repair surgery.

How does a NAM feel for the baby?

The molding plate and nasal stent are not painful. After getting used to the plate for a few days, many babies seem happier wearing it than they did without it. This may happen because the plate acts as a palate (roof of the mouth). It keeps your baby’s tongue from pushing into the cleft, making feeding easier for the baby. Without a NAM, infants have a very difficult time feeding.

See recent Las Vegas Review-Journal article about one of Roseman Dental & Orthodontics’ patients by clicking HERE.

If you are expecting a baby with cleft palate or lip, or know someone that needs help, please contact our Nevada location, Roseman Dental & Orthodontics, at 702-968-5222.

Oral Health and Your Overall Health

Oral Health and Your Overall Health

News flash – oral health is so much more than just your teeth! Your mouth is the window to the health of your body. Oral health includes not only the health of your teeth, but also your gums, bones, ligaments, muscles, glands, and nerves. Your ability to speak, smile, smell, taste, touch, chew, swallow, and make facial expressions to show feelings and emotions is impacted negatively or positively based on the condition of your oral health. Having good oral health gives an individual confidence in their self-image and sense of well-being.

Mouth and Body Connection

If your mouth is not healthy you could face far more serious consequences than just a simple toothache; however, the mouth is a fascinating thing. It can warn you of the start of more serious health conditions. It can show signs of nutritional deficiencies, general infection, and the onset of systemic diseases – diseases that can affect other parts of the body or the entire body – such as diabetes and AIDS. Diabetes complications can occur when you have inflammation of the gum tissue and periodontal disease (a disease more common in diabetic patients). These, in combination, can make it harder to control your blood sugar and make your diabetes symptoms worse.

Gum disease, an indicator of poor oral health and a chronic inflammatory condition, is linked to illnesses such as:

  • Heart Disease – A disease that is most known as coronary artery disease or cardiovascular disease. This disease causes decreased blood flow to the heart which can cause a heart attack.
  • Respiratory Disease – A disease that affects the lungs and other parts of the respiratory system. Respiratory diseases may be caused by infection, smoking tobacco, or breathing in secondhand tobacco smoke, radon, asbestos, or other forms of air pollution. Respiratory diseases include asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, pneumonia, and lung cancer. Also called lung disorder and pulmonary disease.
  • Osteoporosis – A bone disease that occurs when the body loses too much bone, makes too little bone, or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps.
  • Rheumatoid Arthritis – An autoimmune and inflammatory disease where your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body.

Good Oral Health = Good Overall Health

It is important to establish good hygiene habits so that your oral health does not negatively impact your overall health. There are a variety of steps that can be taken to make sure that your oral health is in tiptop shape.

Oral Health Tips. Brush 2x daily for 2 minutes. Drink water with fluoride. Floss daily. Balanced diet, limit sugary foods. Visit dentist every 6 months. Good oral health = Good overall health.

  • Brushing your teeth twice a day & after every meal for two minutes with fluoride toothpaste
  • Drinking water with fluoride
  • Flossing daily
  • Eating a balanced diet
  • Limiting sweet snacks between meals
  • Staying away from sugary foods and drinks and try not to sip or eat on them all day. If you want a sugary food or drink, have one at mealtimes.
  • Visiting your dentist at least every six months for cleanings, prevention and treatment of cavities

Good Oral Health Saves Lives

Taking preventative steps and teaching your family good oral hygiene routines now can not only save their oral health, but also save their lives. With the new year, set a new goal to make your oral health a priority. Last year caused many of us to get behind on our oral health due to dental offices being closed. Dental offices are back up and running so don’t delay, schedule your appointment and make sure your oral health is in tiptop shape.

Contact Roseman Dental to schedule your dental exam.

Nevada Location
Utah Location

Orthodontic Treatment

Orthodontic Treatment

Not everyone is born with straight teeth. Many people have crooked teeth that can cause many issues for their oral health which then affects their overall health. Orthodontic treatment works to align teeth to ensure proper function of teeth and create healthy smiles.


Straightening your teeth is more than aesthetic, it improves your overall oral health. Improperly aligned teeth are harder to clean and can cause tooth decay and many other painful dental disorders – leading to extensive and expensive dental procedures. In addition, misaligned teeth can make it harder to chew – leading to headaches, shoulder and back pain, and even temporomandibular joint (TMJ) disorders.

Orthodontic treatment aligns your teeth to form a better bite decreasing the risk of future, and potentially costly dental problems.

How Does Orthodontic Treatment Work?

Orthodontic treatment involves a variety of appliances used to create changes in jaw bones, facial bones, and soft tissue while teeth are moved into their new positions. During an orthodontic consultation, you will meet with an orthodontist to have a thorough examination of your teeth and mouth. They review your dental records – x-rays, photos, and models of your teeth. From here your orthodontist will advise you on which approach is right for you and work to develop a custom treatment plan.

Orthodontic Treatment Options

Orthodontic treatment is for everyone and works to correct teeth and jaws that are positioned improperly. There are a variety of fixed and removeable appliances that an orthodontist may recommend for treatment. Depending on how severe your situation, your orthodontist may require traditional metal, clear, or Invisalign® braces for your treatment, as well as additional removable appliances.

  • Metal Braces: Made from a high-grade stainless steel, these braces provide the highest-quality treatment. Metal braces are the most common type of braces. They consist of bands, wires, and brackets that are adhered to your teeth. Historically they’ve been considered unattractive, but now they are smaller, more comfortable and attractive.
  • Ceramic (clear) Braces: This form of braces includes bands, wires, and brackets. Although like metal, ceramic braces are made from a clear, ceramic material – allowing a more discreet option.
  • Invisalign®: Unlike metal and ceramic braces, Invisalign® is a removable aligner. Rather than wires and brackets, Invisalign® utilizes a clear material that fits over your teeth. Although this is the most discreet option, it is only available to those with specific orthodontic bite problems.

How Do I Know if I Need Braces?

Several problems could lead to orthodontic treatment. An overbite, underbite, crossbite, or open bite may be a culprit to needing treatment. In addition, a misplaced midline, spacing, or crowding could also be cause for treatment.

  • Overbite – your upper front teeth stick out over your lower teeth
  • Underbite – your lower teeth are too far forward, and your upper teeth are too far back
  • Crossbite – when your mouth is closed, the upper teeth sit behind the lower teeth
  • Open Bite – a vertical gap exists between your front lower and upper teeth when biting down
  • Misplaced Midline – center of your upper and lower teeth doesn’t line up
  • Spacing – random gaps or spaces between teeth causing your teeth to not completely fill up your mouth
  • Crowding – when the dental ridge in your mouth doesn’t have enough room for all your teeth

With the use of diagnostic tools such as clinical exams, plastic models of your teeth, and x-rays an orthodontist will be able to correctly determine which treatment is right for you.

How Long Will I Need to Wear Braces?

Treatment time varies depending on each patient’s specific diagnosis and treatment plan. In general, most patient’s treatment times range from 12 to 24 months. For those with problems that are harder to correct or adults, treatment may take up to three years. If problems are less severe or you’re a good candidate for clear aligners, such as Invisalign®, treatment may take as little as 6 to 12 months.

How Much Does Orthodontic Treatment Cost?

Cost of treatment is dependent on several variables. Types of braces, age of patient, type of orthodontic issue being corrected, and length of treatment are just some of the variables that could contribute to your final cost of treatment. For instance, traditional metal braces tend to be less expensive than clear braces or aligners. While cost is dependent on various factors, the average cost of orthodontic treatment for children can vary between $2,000-7,000. For adult braces or aligners, the cost can range anywhere from $3,000-8,000. These are estimated costs. The exact cost will depend on your needs, the factors mentioned above, and any dental insurance you may have to cover orthodontic treatment.

When teeth are properly aligned it’s easier to practice good oral hygiene such as brushing and flossing. In addition, orthodontic treatment will help give you the freedom to smile without holding back! If you’re experiencing any of the above problems, schedule a free orthodontic screening and consultation (Nevada location only) with Roseman Dental & Orthodontics. We’re dedicated to increasing your confidence and helping you maintain good oral health.

Nevada Location

New Year, New Deal – $250 Dental Care Voucher Offer

New Year, New Deal – $250 Dental Care Voucher Offer

2020 was a challenging year for everyone. COVID-19 hit home for all of us and affected our personal and professional lives in one way or another. Roseman Dental understands that some were impacted financially in 2020 and may still be struggling. When money is tight sacrifices are made. Roseman Dental doesn’t want your oral health to be one of those sacrifices.

Between January 4 and March 31, Roseman Dental is offering new and existing patients a $250 voucher* (restrictions apply) to be used for dental care. New patients will also receive credit for the cost of their initial examination and necessary radiographs. At Roseman Dental, your health is our #1 priority.

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Importance of Keeping Up on Your Oral Health

Oral health is central to your overall health. Oral health includes your teeth, mouth and surrounding craniofacial structures (skull & face). Having good oral health assists in improving your ability to speak, smile, smell, taste, touch, chew, swallow, and make facial expressions to show feelings and emotions.

To keep up on your oral health you should be

  • Brushing your teeth twice a day for two minutes with fluoride toothpaste
  • Drinking water with fluoride
  • Flossing daily
  • Eating a balanced diet
  • Limiting sweet snacks between meals
  • Staying away from sugary foods and drinks and try not to sip or eat on them all day. If you want a sugary food or drink, have one at mealtimes.
  • Visiting your dentist regularly

If good oral health is not maintained, you are at risk of things such as cavities and periodontal disease, both of which can impact your overall health.

Barriers to Good Oral Health

  • Limited access to and availability of dental services
  • Lack of awareness of the need for care
  • Cost
  • Fear of the dentist/dental procedures

With the $250 voucher*, Roseman Dental hopes to eliminate the cost barrier for you and your family. Let’s make 2021 a year dedicated to our oral and overall health.

Utah Location
Nevada Location

*Offer only valid at Roseman Dental Utah Location