角型单侧唇腭裂(UCLP)患者侧位x线头片的研究。前交叉咬合UCLP患者与前交叉咬合非UCLP患者、正常咬合UCLP患者及正常咬合非UCLP患者的比较。

O Aoshima, Y Satoh, R Imamura, T Yamashita
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引用次数: 1

摘要

我们于1994年在日本大学松户口腔医院正畸科就诊的51例唇腭裂患者中,发现49例单侧唇腭裂(UCLP)。其中以交叉咬合(前交叉咬合)型UCLP患者居多,占21例(41%)。在本研究中,我们回顾了79例错牙合患者,其中包括21例前交叉咬合UCLP,他们代表了唇腭裂患者中最大的亚群。将这21例患者与其他正常咬合的UCLP患者进行侧位x线头颅片形态学差异的比较,以建立正确的正畸诊断和治疗政策。除中-远端关系外,前交叉咬合UCLP组在骨骼模式和义齿-骨骼模式上与其他患者组存在差异。前交叉咬合UCLP组为凹型交叉咬合,正常咬合UCLP组为凸型错颌伴上颌过度发育。因此,我们认为,在前交叉咬合的UCLP患者中,正常化的反向咬合可以促进上颌的良好生长。
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A study of patients with Angle Class I unilateral cleft lip and palate (UCLP) using lateral roentgenographic cephalograms. A comparison between anterior cross-bite UCLP patients and anterior cross-bite non-UCLP, normal bite UCLP or normal bite non-UCLP patients.

In our previous study carried out in 1994, we found 49 patients with unilateral cleft lip and palate (UCLP) among 51 patients with cleft lip and palate who visited the Department of Orthodontics, Nihon University Dental Hospital at Matsudo. In particular, patients with cross-bite (anterior cross-bite) UCLP were predominant, accounting for 21 individuals (41%). In the present study, we reviewed 79 patients with malocclusion including 21 with anterior cross-bite UCLP, who represent the largest subpopulation among patients with cleft lip and palate. These 21 patients were compared with other UCLP patients showing normal bite with regard to morphological differences evident in lateral roentgenographic cephalograms, to establish a proper policy of orthodontic diagnosis and treatment of their condition. The anterior cross-bite UCLP group showed differences in the skeletal pattern and the denture to skeletal pattern from the other patient groups except for the mesio-distal relationship. The anterior cross-bite UCLP group had cross-bite of the concave type, while the normal bite UCLP group had malocclusion of the convex type accompanied by maxillary overdevelopment. Thus, it is suggested that normalization of reversed occlusion leads to favorable growth of the upper jaw in UCLP patients with anterior cross-bite.

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