口腔正畸矫治牙槽突植骨术后唇腭裂疗效分析

摘要

Objective: To evaluate orthodontic treatment of alveolar bone grafting surgery in the treatment of cleft lip and palate in the application results.Methods:A retrospective approach to our hospital between January 2011 to December 2012 50 cases of alveolar bone grafting in patients with cleft lip and palate for the study,including 25 males and 25 females,mean age (12.1±2.4) years old.The left side of cleft lip and palate patients in 27 cases,the right of cleft lip and palate patients in 18 cases,5 cases of complete bilateral cleft lip and palate patients.Angle Classification:ClassⅠ malocclusion 18 cases,Ⅱ class malocclusion 20 cases,Ⅲ malocclusion class clinical data of 31 cases were analyzed.Results:The molars have reachedⅠ class,or overcorrected ClassⅡ relationship dentition treatment period was significantly better than the permanent effect.Straightening before and after treatment SNA angle,SNB angle and ANB angle and quality of life improved significantly (P<0.05),statistically meaningful.Conclusion:The clinical orthodontic treatment in the treatment of bone grafting surgery has better effect in the alveolar cleft lip and palate,can effectively improve the quality of life of patients,is worthy of clinical application and promotion.%目的：探讨口腔正畸矫治在唇腭裂牙槽突植骨术后治疗中的应用效果。方法：采取回顾性方法对我院2011年1月～2012年12月间50例牙槽突植骨术唇腭裂患者为研究对象，其中，男25例，女25例，平均年龄为(12.1±2.4)岁。左侧完全性唇腭裂患者27例，右侧完全性唇腭裂患者18例，双侧完全性唇腭裂患者5例。安氏分类：Ⅰ类错合18例，Ⅱ类错合20例，Ⅲ类错合31例的临床资料进行分析。结果：磨牙均达到Ⅰ类，或者过矫正Ⅱ类关系，替牙期治疗效果明显的优于恒牙期效果。矫治疗前后SNA角、SNB角和ANB角以及生活质量有明显的改善(P＜0.05)，具统计学有意义。结论：临床中口腔正畸矫治在唇腭裂牙槽突植骨术后治疗中具有较好的应用效果，能够有效地高患者的生活质量。