中国实用口腔科杂志

• 论著 • 上一篇    下一篇

单侧完全性唇腭裂上下牙弓关系评价研究

姚品伊1a范存晖1a刘沂1b夏青2李然1a房晓旭1a徐晓琳1a田忠辉1a   

  1. 1. 青岛大学医学院·附属医院a口腔正畸科,b口腔修复技工中心,山东  青岛  266003;2. 日照岚山瑞美牙科诊所,山东  日照  276800
  • 出版日期:2018-05-15 发布日期:2018-06-05
  • 基金资助:

    山东省科技发展计划项目(2014GGH218012)

  • Online:2018-05-15 Published:2018-06-05

摘要:

目的 评价单侧完全性唇腭裂(UCLP)患者上、下颌牙弓关系的协调性,并与亚洲和欧洲几大著名唇腭裂治疗中心的研究结果进行比较,为唇腭裂继发牙牙合畸形的诊断、矫治设计和序列治疗提供依据。方法 回顾性分析2013年3月至2014年3月于青岛大学附属医院口腔正畸科就诊的52例UCLP患者治疗前的记存模型,按照Goslon Yardstick 评价系统和Eurocleft三分类法进行牙弓协调性评价。与中国台湾长庚医院、日本东京大学医院及欧洲6所唇腭裂治疗中心(A~F)的同类研究结果相比较,并进行统计学分析。结果 本中心UCLP患者Goslon Yardstick平均等级为3.75 ± 0.93,Goslon Yardstick等级为4的患者最多,占36.5%,59.6%患者属于差及较差的等级。与台湾长庚医院、东京大学医院及欧洲唇腭裂D治疗中心的结果相接近(P>0.05),比其他5所欧洲唇腭裂治疗中心患者的牙弓协调性差(P<0.05)。结论 UCLP患者上、下牙弓协调性差。青岛大学附属医院接受正畸治疗的UCLP患者,上下牙弓协调性与台湾长庚医院、东京大学医院、欧洲唇腭裂D治疗中心接近,比其他5所欧洲唇腭裂治疗中心牙弓协调性差。

关键词: 单侧完全性唇腭裂, Goslon Yardstick, 牙弓关系, 错牙合畸形

Abstract:

Objective    To evaluate the dental arch relationship of patients with unilateral complete cleft lip palate(UCLP)by comparing them with previous study and to provide theoretical basis on diagnosis,treatment plan design and team approach for patients with UCLP. Methods Totally 52 UCLP patients treated in the Department of Orthodontics in the Affiliated Hospital of Qingdao University during March 2013 to March 2014 were selected. The dental models of UCLP patients were categorized using Great Ormond Street,London and Oslo Yardstick(Goslon Yardstick)index. Compare the results with the Goslon Yardstick scores of Chang Gung Craniofacial Center,Hospital of Tokyo University and 6 Eurocleft centers reported in previous studies and make statistical analysis. Results Mean Goslon Yardstick score of UCLP treated in Affiliated Hospital of Qingdao University was 3.75±0.93;36.5% patients had a Goslon Score of 4,and 59.6% patients were classified into poor and very poor categories. The results of our center showed significant differences from those of Eurocleft centers A,B,C,E and F(P < 0.05),but did not differ significantly from those of Eurocleft center D,Chang Gung center or Hospital of Tokyo University(P > 0.05). Conclusion Dental arch relationship in patients with UCLP in the Affiliated Hospital of Qingdao University is poor,which is similar to that in Chang Gung Craniofacial Center,Hospital of Tokyo University and Eurocleft center D,but is poorer than the other fove Eurocleft centers.

Key words: unilateral complete cleft lip and palate, UCLP;Goslon Yardstick;dental arch relationship;malocclusion