口腔医学研究

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (11): 1040-1043.DOI: 10.13701/j.cnki.kqyxyj.2019.11.008

• 口腔颌面外科学研究 • 上一篇    下一篇

早期正畸治疗对唇腭裂患儿牙槽骨的影响

牛树强1, 陈江浩2*, 侯凤春1, 臧艳君1, 张倩倩1   

  1. 1. 青岛市口腔医院正畸科 山东 青岛 266001;
    2. 西安交通大学第一附属医院口腔科 陕西 西安 710061
  • 收稿日期:2019-05-08 出版日期:2019-11-28 发布日期:2019-11-21
  • 通讯作者: 陈江浩,E-mail:6539401@qq.com
  • 作者简介:牛树强(1980~ ),男,山东安丘人,硕士,主治医 师,研究方向:口腔正畸。
  • 基金资助:
    山东省医药卫生科技发展计划项目 (编号:2017WS742)

Effect of Early Orthodontic Treatment on Alveolar Bone in Patients with Cleft Lip Palate

NIU Shuqiang1, CHEN Jianghao2*, HOU Fengchun1, ZANG Yanjun1, ZHANG Qianqian1   

  1. 1. Department of Orthodontics, Qingdao Stomatological Hospital, Qingdao 266001, China;
    2. Department of Stomatology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
  • Received:2019-05-08 Online:2019-11-28 Published:2019-11-21

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摘要： 目的: 探究唇腭裂患儿接受早期正畸治疗牙槽骨的变化。方法: 收集我院2016年4月~2018年5月收治的唇腭裂患儿97例,根据患儿年龄分为早期正畸组(<6岁,n=55)与对照组(≥6岁,n=42)。两组患儿均给予正畸治疗,测量正畸前后两组患儿乳尖牙间距、磨牙间距、牙槽骨高度与密度,治疗后进行咀嚼测试,对患儿正畸前后进行面容满意度评分,记录患儿并发症发生情况。结果: 两组患儿治疗后乳尖牙间距与磨牙间距较治疗前均增加,且早期正畸组增加程度明显大于对照组(P<0.05);治疗后两组患儿视觉模拟满意度评分较治疗前均明显增加,且早期正畸组明显大于对照组(P<0.05);治疗后两组患儿牙槽骨高度较治疗前均明显上升,且早期正畸组明显高于对照组(P<0.05);治疗后两组患儿牙槽骨密度与治疗前比较差异无统计学意义(P>0.05);治疗后,两组患儿咀嚼效能较治疗前均明显升高,且早期正畸组明显高于对照组(P<0.05);早期正畸组与对照组患儿并发症发生率比较差异无统计学意义(P>0.05)。结论: 早期正畸治疗可有效改善唇腭裂患儿牙弓关系,优化牙槽骨健康状态,改善咀嚼效能,且安全性较高。

关键词: 唇腭裂, 早期正畸治疗, 上颌弓宽, 牙槽骨, 咀嚼效能

Abstract: Objective: To investigate the effect of early orthodontic treatment on alveolar bone in patients with cleft lip palate. Methods: Ninety-seven children with cleft lip palate admitted to our hospital from April 2016 to May 2018 were collected and divided into the early orthodontic group (<6 years old, n=55) and the control group (6 years old, n=42) according to their age. Both groups were given orthodontic treatment. The canine spacing, molar spacing, alveolar bone height and density, and masticatory efficiency were measured before and after orthodontic treatment. Then the facial satisfaction scores and complications were recorded. Results: The canine spacing and molar spacing increased in both groups after treatment, and were larger in the early orthodontic group than in the control group (P<0.05). The visual analogue satisfaction scores increased in both groups after treatment, and were higher in the early orthodontic group than in the control group (P<0.05). The alveolar bone height increased in both groups after treatment, and were higher in the early orthodontic group than in the control group (P<0.05). The alveolar bone density showed no difference between groups after treatment (P>0.05). The masticatory efficiency increased in both groups after treatment, and were better in the early orthodontic group than in the control group (P<0.05). Conclusion: Early orthodontic treatment can effectively and safely improve the dental arch relationship of children with cleft lip palate, optimize the health status of alveolar bone, and improve the masticatory efficiency.

Key words: cleft lip palate, early orthodontic treatment, maxillary arch width, alveolar bone, masticatory efficiency