Lawrence E. Brecht, DDS




Title:  Advances in Cleft Care A 10 Year Evaluation of Early Intervention Techniques: Do They Work?


Synopsis:  The care of the cleft palate patient requires rigorous longitudinal study to evaluate the efficacy of our treatment interventions. This presentation will provide a 10 year follow up on new treatment modalities developed at NYU and first presented to this Academy in 1998. The advances and pitfalls associated with our cleft protocol will be reviewed as well as the pertinent literature that was generated in our study of nasoalveolar molding and columella elongation. A review of the NYU protocol for the older adult cleft patient will also be discussed.


Course Objectives:

1)      To provide and understanding of the advantages and disadvantages of nasoalveolar molding (NAM) and columella elongation.

2)      To review the literature associated with NAM

3)      To understand a treatment rationale for the adult cleft patient


Bio:  Academy Fellow Dr. Brecht is Clinical Associate Professor of Prosthodontics and Occlusion in the Division of Prosthodontics and Restorative Dentistry at New York University College of Dentistry.  He also serves as the Director of Maxillofacial Prosthetics in the Jonathan & Maxine Ferencz Advanced Education Program in Prosthodontics at NYU.  He has a joint appointment at the Institute of Reconstructive Plastic Surgery of New York University School of Medicine where he is Director of the Center for Craniofacial Prosthetics and serves on the Institute's Cleft Palate, Craniofacial and Ear Anomalies teams.  He received his DDS from New York University and his Certificates in both Prosthodontics, as well as Maxillofacial Prosthetics from the New York Veterans Administration Hospital.  He is the Secretary of The Greater New York Academy of Prosthodontics, a Fellow of the American Academy of Maxillofacial Prosthetics, and a member of the American College of Prosthodontists and the American Cleft Palate/Craniofacial Association.  He serves on the Board of Directors of both the ACP and AAMP. His clinical research interests include nasoalveolar molding and the extraoral application of osseointegration in both pediatric and adult patients.  He is also active in The Smile Train and Forward Face-charitable organizations devoted to the care of cleft and craniofacial patients in need.  Dr. Brecht has made numerous contributions to the cleft palate and maxillofacial prosthetics literature.  He maintains a practice limited to prosthodontics and maxillofacial prosthetics in New York City.