Alberconi Thamara Frascarelli, Siqueira Gabriela Leticia Clavisio, Sathler Renata, Kelly Katherine A, Garib Daniela G
1 Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.
2 Department of Orthodontics and Pediatric Dentistry, University of Michigan, Ann Arbor, MI, USA.
Cleft Palate Craniofac J. 2018 Jan;55(1):74-78. doi: 10.1177/1055665617718825. Epub 2017 Dec 15.
To assess the orthodontic burden of care of patients from a Brazilian rehabilitation center (Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo [HRAC-USP]).
Retrospective.
Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo.
One hundred files of unilateral complete cleft lip and palate patients who had consecutively finished orthodontic rehabilitation at HRAC-USP were evaluated from January 2011 to January 2013. The duration of orthodontic treatment, number of visits, kilometers traveled, number of appliances and surgical procedures performed were recorded. The sample was divided into 2 subgroups according to severity the interarch relation (Goslon Yardstick score) at the beginning of orthodontic treatment. Mann-Whitney test was applied for intergroup comparison ( P < .05).
For the total sample (n = 100), the mean time of orthodontic treatment was 140.2 months, the mean number of orthodontic appointments was 61.8, the mean number of appliances was 10, the mean number of surgical procedures was 6.2, and the mean distance traveled to attend the center for orthodontic appointments was 38,978.5 km. The subgroup with the most severe malocclusion (Goslon yardsticks scores 4 and 5) showed a longer orthodontic treatment length, greater number of surgical procedures, and longer distance traveled than those presenting Goslon yardstick scores 1, 2, and 3.
Patients with greater severity of the initial malocclusion experienced a higher burden of care than patients with less severity of the initial malocclusion. To reduce the burden of care, research and efforts should focus on minimizing maxillary growth deficiency related to primary surgery.
评估巴西一家康复中心（圣保罗大学颅面畸形康复医院[HRAC-USP]）患者的正畸治疗负担。
回顾性研究。
圣保罗大学颅面畸形康复医院。
对2011年1月至2013年1月期间在HRAC-USP连续完成正畸康复治疗的100名单侧完全性唇腭裂患者的病历进行评估。记录正畸治疗时长、就诊次数、出行公里数、使用矫治器数量以及进行的外科手术数量。根据正畸治疗开始时牙弓间关系的严重程度（戈斯隆评分标准）将样本分为2个亚组。采用曼-惠特尼检验进行组间比较（P <.05）。
对于总样本（n = 100），正畸治疗的平均时长为140.2个月，正畸预约的平均次数为61.8次，矫治器的平均数量为10个，外科手术的平均数量为6.2次，前往正畸门诊中心的平均出行距离为38,978.5公里。错牙合畸形最严重的亚组（戈斯隆评分标准4级和5级）与戈斯隆评分标准1级、2级和3级的亚组相比，正畸治疗时间更长、外科手术数量更多、出行距离更远。
初始错牙合畸形程度较重的患者比程度较轻的患者护理负担更高。为减轻护理负担，研究和工作应聚焦于尽量减少与初次手术相关的上颌骨生长不足。
