Nasoalveolar Molding (NAM) is a non-surgical, pre-surgical orthopedic treatment used for babies born with cleft lip and/or cleft palate. It helps shape the gums, lips, and nostrils before cleft lip surgery, improving the final surgical outcome.

Why Is NAM Important?

✔️ Reduces the Gap – Gradually brings the cleft segments closer together.
✔️ Improves Nose Shape – Corrects nostril asymmetry in cleft lip cases.
✔️ Enhances Surgical Outcomes – Leads to better lip and nose shape after surgery.
✔️ Reduces the Need for Future Surgeries – Improves facial symmetry.

When Should NAM Treatment Start?

🍼 Best time: Within the first 1–2 weeks of birth, before the baby’s facial bones harden.
⏳ Duration: Usually lasts 3–4 months, leading up to the first cleft lip surgery.

How Does NAM Work?

🔹 A custom-made plastic molding plate (like a retainer) is fitted inside the baby’s mouth.
🔹 It is adjusted weekly or biweekly by a specialist to gradually move the cleft segments closer.
🔹 A nasal stent (a small wire with a soft pad) helps reshape the nostril and nose structure.

Benefits of NAM Treatment

✅ Minimizes the cleft gap, reducing the extent of surgery.
✅ Creates a more natural nose shape, reducing the need for nasal revision later.
✅ Improves feeding by making it easier for the baby to suck and swallow.
✅ Enhances speech development by supporting better palate formation.

Challenges & Parental Involvement

👶 Frequent Appointments – Regular adjustments by the orthodontist are needed.
🧼 Daily Cleaning Required – Parents must clean the molding plate to prevent infections.
💤 Baby Adaptation – Initial discomfort may occur, but babies adapt quickly.

What Happens After NAM?

🔹 Cleft Lip Repair Surgery (3–6 months old) – Performed after NAM is complete.
🔹 Cleft Palate Repair (9–18 months old) – If needed, done later.
🔹 Speech Therapy, Orthodontics, or Additional Surgeries – May be needed as the child grows.

Is NAM Right for Your Baby?

NAM is highly recommended for babies with a wide cleft to improve surgical outcomes.