Fang Xiao-Xu, Fan Cun-Hui, Xue Qing, Xu Tao, Xiao Wen-Lin, Tian Zhong-Hui, Xu Xiao-Lin
Dept. of Orthodontics, The Affiliated Hospital of Qingdao University, Qingdao 266003, China;School of Stomatology, Qingdao University, Qingdao 266003, China.
Dept. of Orthodontics, The Affiliated Hospital of Taishan Medical University, Taian 271000, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2019 Apr 1;37(2):180-186. doi: 10.7518/hxkq.2019.02.010.
The purpose of the study is to investigate the relationship between dental calcification stages (DCS) and cervical vertebral maturation stages (CVMS) in patients with unilateral complete cleft lips and palates (UCLP) and to provide a theoretical basis for the treatment time selection of cleft lip and palate (CLP) patients.
A total of 123 UCLP patients and 215 non-CLP subjects were selected. The DCS of the left mandibular canine, premolar, and second molar in non-CLP subjects and on both cleft sides of UCLP patients were assessed utilizing the Demirjian method. CVMS was observed utilizing the Baccetti method. The results were analyzed by Spearman rank correlation, and the correlation coefficients were compared.
There was a correlation between the CVMS and the DCS of the left mandibular canine, the first premolar, the second premolar, and the second molar in the non-CLP subjects and on both cleft sides of the UCLP patients (r=0.762-0.864, P<0.05; r=0.809-0.914, P<0.05, respectively). The correlation between the CVMS and the DCS of the mandibular first premolar was highest among the UCLP patients. Except for the first and the second premolars of UCLP females, the correlation between the DCS and the CVMS of the other teeth did not differ among the non-CLP subjects (P>0.05).
DCS can be utilized as a biological index to determine the growth development statuses. The correlation between the CVMS and the DCS of the mandibular first premolar was the highest.
本研究旨在探讨单侧完全性唇腭裂(UCLP)患者的牙齿钙化阶段(DCS)与颈椎成熟阶段(CVMS)之间的关系,为唇腭裂(CLP)患者治疗时机的选择提供理论依据。
共选取123例UCLP患者和215例非CLP受试者。采用Demirjian法评估非CLP受试者及UCLP患者双侧裂隙侧左下颌尖牙、前磨牙和第二磨牙的DCS。采用Baccetti法观察CVMS。结果采用Spearman等级相关性分析,并比较相关系数。
非CLP受试者及UCLP患者双侧裂隙侧左下颌尖牙、第一前磨牙、第二前磨牙和第二磨牙的CVMS与DCS之间存在相关性(r分别为0.762 - 0.864,P < 0.05;r为0.809 - 0.914,P < 0.05)。UCLP患者中,CVMS与下颌第一前磨牙DCS之间的相关性最高。除UCLP女性的第一和第二前磨牙外,非CLP受试者其他牙齿的DCS与CVMS之间的相关性无差异(P > 0.05)。
DCS可作为确定生长发育状态的生物学指标。CVMS与下颌第一前磨牙DCS之间的相关性最高。