Kuijpers-Jagtman A M, Mink van der Molen A B, Bierenbroodspot F, Borstlap W A
Ned Tijdschr Tandheelkd. 2015 Nov;122(11):637-42. doi: 10.5177/ntvt.2015.11.15212.
Cleft lip and palate is a common congenital malformation with a prevalence of 1:600 newborns. Children with orofacial clefts are treated by an interdisciplinary team of specialists while parents and child play a key role in their own care process. The orthodontic and facial orthopedic treatment of a child with a cleft takes many years. Children often get bored of the long treatment and this can cause problems with compliance and oral hygiene. Therefore it is advisable to distinguish 5 well-defined stages in the orthodontic treatment and to attempt to have some 'orthodontics free' time in between. The 3 orthodontic treatment phases between the age of 9 and 20 years consist of orthodontic treatment concerning the closing of the cleft with a bone transplant, the treatment of the permanent dentition and, finally, a possible combined orthodontic surgical treatment at the end of the period of growth. Good interdisciplinary collaboration among the different dental disciplines is essential in this regard.
唇腭裂是一种常见的先天性畸形，新生儿患病率为1:600。患有口面部裂隙的儿童由多学科专家团队进行治疗，而父母和孩子在自身护理过程中起着关键作用。唇腭裂儿童的正畸和正颌治疗需要多年时间。孩子们常常会对漫长的治疗感到厌烦，这可能会导致依从性和口腔卫生方面的问题。因此，在正畸治疗中区分5个明确的阶段，并尝试在其间安排一些“无正畸治疗”时间是明智的。9至20岁之间的3个正畸治疗阶段包括：通过骨移植关闭裂隙的正畸治疗、恒牙列的治疗，以及最后在生长期末期可能进行的正畸外科联合治疗。在这方面，不同牙科专业之间良好的跨学科合作至关重要。
