[单侧唇腭裂患儿上颌牙弓宽度和长度的长期评估]
[Long-term evaluation of width and length of the maxillary dental arch in unilateral cleft lip and palate children].
作者信息
Fudalej Piotr, Obloj Barbara, Dudkiewicz Zofia
机构信息
Klinika Chirurgii Dzieci i Młodziezy, Instytut Matki i Dziecka, ul. Kasprzaka 17a, 01-211 Warszawa, Poland.
出版信息
Med Wieku Rozwoj. 2005 Oct-Dec;9(4):781-9.
AIM
To compare the width and length of a maxillary dental arch in unilateral cleft lip and palate (UCLP) children treated during the first year of life with a one-stage repair of the lip and palate and a control group.
MATERIAL AND METHODS
25 UCLP 10-12 years old subjects treated in the first year of life compared to 26 subjects with normal morphology of the dental arches. Intermolar and interpremolar widths and the length of the dental arch were measured. The difference between the groups was assessed by the T test for independent samples.
RESULTS
The intermolar width was similar in both groups. The interpremolar width and the length of the dental arch were smaller in the treated group. However the difference in the interpremolar width between the groups was small -- approximately 2 mm.
CONCLUSIONS
One-stage surgical repair of the cleft lip and palate performed in the first year of life prevents a serious constriction of the maxillary dental arch. However a final verification of the treatment protocol employed in our Centre for Craniofacial Disorders will only be possible after the completion of maxillary growth.
目的
比较在出生后第一年接受唇腭裂一期修复治疗的单侧唇腭裂（UCLP）儿童与对照组儿童上颌牙弓的宽度和长度。
材料与方法
将25名10 - 12岁在出生后第一年接受治疗的UCLP受试者与26名牙弓形态正常的受试者进行比较。测量了磨牙间和前磨牙间宽度以及牙弓长度。通过独立样本t检验评估两组之间的差异。
结果
两组的磨牙间宽度相似。治疗组的前磨牙间宽度和牙弓长度较小。然而，两组之间前磨牙间宽度的差异较小——约2毫米。
结论
在出生后第一年进行唇腭裂一期手术修复可防止上颌牙弓严重狭窄。然而，只有在上颌生长完成后，才能对我们颅面疾病中心采用的治疗方案进行最终验证。
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