Jones M L, Sugar A W
Department of Child Dental Health, University of Wales College of Medicine, Heath Park, Cardiff, UK.
J R Coll Surg Edinb. 1990 Dec;35(6):376-86.
Three patients are presented from a larger case series of adolescent cleft lip and palate patients to illustrate a combined approach to the treatment of severe facial and dentoalveolar discrepancy. The following treatment regime was employed: orthopaedic expansion of the maxillary dentoalveolus; tertiary bone grafting of the alveolar cleft; upper and lower dental arch alignment and decompensation; and orthognathic surgery to correct the skeletal defect by means of a maxillary single unit advancement. The advantages of tertiary grafting (when secondary grafting has not been carried out) in the orthodontic and surgical management of these patients is discussed.
本文展示了来自一个更大的青少年唇腭裂患者病例系列中的三名患者，以说明治疗严重面部和牙-牙槽骨差异的联合方法。采用了以下治疗方案：上颌牙-牙槽骨的正畸扩弓；牙槽嵴裂的三期骨移植；上下牙弓排齐与去代偿；以及通过上颌单节段前移进行正颌手术以纠正骨骼缺损。本文还讨论了在这些患者的正畸和外科治疗中三期植骨（未进行二期植骨时）的优势。
