Abstract
Orthodontics is the branch where great pioneers exists and they come with varying opinion leading to controversies. Nasoalveolar molding (NAM) is a form of presurgical infant orthopedics (PSIO) whose goal is to reduce the severity of the cleft deformity and improve surgical outcomes. The data on efficacy and benefit of NAM are mixed. Those in favor of NAM report improved nasal symmetry and appearance, reduced overall costs, psychosocial benefit to family, and decreased need for early nasal revision. Those in opposition to NAM argue NAM causes increased caregiver burden, poor patient compliance, increased costs in the short term, relapse of nasal symmetry in the first year, and no conclusive data of improved outcomes. For cleft palate repair controversy exist with timing of cleft repair, each with it’s own advantage and disadvantage with no conclusive results. These two controversies has been discussed here.
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