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一名成年双侧唇腭裂患者的多学科治疗病例报告。

A case report of multidisciplinary treatment of an adult patient with bilateral cleft lip and palate.

作者信息

Fukunaga Tomohiro, Honjo Tadashi, Sakai Yuichi, Sasaki Kiyo, Takano-Yamamoto Teruko, Yamashiro Takashi

出版信息

Cleft Palate Craniofac J. 2014 Nov;51(6):711-21. doi: 10.1597/11-113. Epub 2011 Nov 8.

DOI:10.1597/11-113
PMID:22066976
Abstract

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.

摘要

这是一篇关于通过骨移植联合后续口腔修复治疗双侧唇腭裂患者正畸成功的病例报告。一名双侧唇腭裂成年患者表现为凹面型、前牙及侧方反合、明显深覆合以及双侧牙槽嵴裂残留。由于咬合塌陷,其颌骨运动模式不稳定且不规则。双侧骨移植的正畸治疗通过下颌在息止间隙内向下向后旋转改善了他的凹面型,获得了最佳咬合以及功能稳定且平滑的颌骨运动。经过6年的保持期,未检测到骨骼复发,其咬合稳定性令人满意。

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