口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (5): 450-456.DOI: 10.13701/j.cnki.kqyxyj.2026.05.016

• 研究生病例精粹——口腔正畸学系列(5) • 上一篇    

单侧不完全性唇腭裂患者牙槽突裂植骨术后正畸及正畸-正颌联合治疗1例

匡文颖1,2,3, 曹雯萱4, 黄珈昕4, 贺红1,2,3, 袁文钧1,2,3*   

  1. 1.口颌系统重建与再生全国重点实验口腔医学湖北省重点实验室,武汉大学口腔医学院 湖北 武汉 430079;
    2.武汉大学口腔医院正畸一科 湖北 武汉 430079;
    3.湖北省儿童牙颌面畸形临床医学研究中心 湖北 武汉 430079;
    4.武汉大学口腔医学院 湖北 武汉 430079
  • 收稿日期:2026-04-25 发布日期:2026-05-25
  • 通讯作者: *袁文钧,E-mail:yuanwenjun@whu.edu.cn
  • 作者简介:匡文颖(1990~ ),女,湖南娄底人,主治医师,博士,研究方向:口腔正畸学。

Postoperative Orthodontics after Alveolar Bone Grafting and Orthodontic-orthognathic Treatment in Patient with Unilateral Incomplete Cleft Lip and Palate: A Case Report

KUANG Wenying1,2,3, CAO Wenxuan4, HUANG Jiaxin4, HE Hong1,2,3, YUAN Wenjun1,2,3*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Orthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    3. Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    4. School of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2026-04-25 Published:2026-05-25

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摘要： 本文报道1例单侧不完全性唇腭裂患者牙槽突裂植骨术后正畸及正畸-正颌联合治疗过程。患者初诊时已行牙槽突裂植骨但效果欠佳,且存在骨性Ⅲ类错牙合畸形。治疗中先行植骨术后正畸干预,改善裂隙邻近牙位置及局部软硬组织条件;待生长发育基本结束后,借助视觉化治疗目标辅助制定正畸-正颌联合治疗方案。治疗后,患者前牙反牙合解除,覆牙合覆盖正常,咬合关系趋于稳定,面部协调性及裂隙区局部条件均较前改善。

关键词: 唇腭裂, 牙槽突裂, 植骨术后正畸, 正畸-正颌联合治疗, 视觉化治疗目标

Abstract: This article reports the postoperative orthodontic treatment after alveolar bone grafting and subsequent orthodontic-orthognathic treatment for a patient with unilateral incomplete cleft lip and palate. At the initial visit, the patient presented with an unfavorable outcome after alveolar bone grafting, and skeletal Class Ⅲ malocclusion. Postoperative orthodontic intervention was first performed to improve the position of the teeth adjacent to the cleft and the local soft and hard tissue conditions. After growth was nearly complete, a visual treatment objective was used to assist in planning combined orthodontic-orthognathic treatment. After treatment, the anterior crossbite was corrected, normal overbite and overjet were established, the occlusion became stable, and both facial harmony and local cleft-site conditions improved.

Key words: cleft lip and palate, alveolar cleft, postoperative orthodontics, orthodontic-orthognathic treatment, visual treatment objective