单侧完全性唇腭裂患者牙槽突裂植骨术后的正畸治疗效果
Orthodontic treatment results following grafting autologous mandibular bone to the alveolar cleft in patients with a complete unilateral cleft.
作者信息
de Ruiter Ad, van der Bilt Andries, Meijer Gert, Koole Ronald
机构信息
Department of Oral and Maxillofacial Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
出版信息
Cleft Palate Craniofac J. 2010 Jan;47(1):35-42. doi: 10.1597/08-095.1.
OBJECTIVE
To analyze orthodontic treatment results following mandibular symphysis bone grafting and postoperative orthodontic treatment.
DESIGN
Randomized selection of 75 patients out of 308 with unilateral cleft of lip, alveolus, and palate, operated upon according to protocol between 1990 and 2008 in the Wilhelmina Children's Hospital, Utrecht, The Netherlands.
MAIN OUTCOME MEASURE
Goslon Yardstick rating changes of dental arch relationship. Significant agreement (p < .001) was observed between the two assessments carried out with an interval of 3 months (Cohen's kappa = .963, p < .001).
RESULTS
Following mandibular bone grafting and orthodontic treatment in 65.3% of the patients, the aim of treatment (Goslon Yardstick groups 1 and 2) had been achieved. The applied before/after Goslon allocations showed high improvement significance (p < .001).
CONCLUSIONS
Postoperative orthodontic treatment in patients following grafting with mandibular symphysis bone showed excellent results.
目的
分析下颌骨联合处植骨及术后正畸治疗的正畸治疗效果。
设计
从308名单侧唇、牙槽突及腭裂患者中随机选取75例，于1990年至2008年期间在荷兰乌得勒支的威廉敏娜儿童医院按照方案进行手术。
主要观察指标
牙弓关系的戈斯隆标尺评分变化。在间隔3个月进行的两次评估之间观察到显著一致性（p <.001）（科恩kappa系数 =.963，p <.001）。
结果
65.3%的患者在下颌骨植骨及正畸治疗后达到了治疗目标（戈斯隆标尺1组和2组）。应用的戈斯隆前后分配显示出高度的改善显著性（p <.001）。
结论
下颌骨联合处植骨患者的术后正畸治疗效果极佳。
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