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腭裂患者上颌后缩是由内在因素导致的,而不仅仅是由于早期的手术治疗。

Retrognathic maxilla in individuals born with oral clefts is due to intrinsic factors and not only due to early surgical treatment.

出版信息

Angle Orthod. 2021 Mar 1;91(2):243-247. doi: 10.2319/060620-521.1.

DOI:10.2319/060620-521.1
PMID:33351889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8028493/
Abstract

OBJECTIVES

To determine if the skeletal form of individuals born with oral clefts was associated with maxillary position.

MATERIALS AND METHODS

Lateral cephalometric radiographs of 90 individuals 8 to 12 years old born with or without cleft lip and palate paired by age and sex were used. Skull base length, cranial base angle, cranial deflection angle, and maxillary skeletal length and position were studied. Also, mandibular skeletal length and position, lower anterior facial height, and dental position were defined. Individuals were divided into three groups: 30 individuals born with cleft lip and palate with Class III malocclusion (UCLP Class III), 30 individuals born with cleft lip and palate with Class I malocclusion (UCLP Class I), and 30 individuals born without cleft lip and palate with Class III malocclusion (non-cleft Class III).

RESULTS

When comparing the UCLP Class III group with the UCLP Class I group, there were differences in maxillary position (P < .001) and mandibular position (P = .004) found. No differences were found when comparing the UCLP Class III group with the non-cleft Class III group.

CONCLUSIONS

There are intrinsic factors that affect craniofacial morphology of individuals born with cleft lip and palate.

摘要

目的

确定患有唇腭裂个体的骨骼形态是否与上颌位置有关。

材料与方法

本研究纳入了 90 名 8 至 12 岁的个体,这些个体均患有或未患有唇腭裂,并按照年龄和性别进行了配对。研究了颅底长度、颅基底角、颅偏斜角、上颌骨长度和位置,以及下颌骨长度和位置、下前颜面高度和牙位。个体被分为三组:30 名患有唇腭裂伴 III 类错颌畸形的个体(UCLP Class III),30 名患有唇腭裂伴 I 类错颌畸形的个体(UCLP Class I)和 30 名未患有唇腭裂伴 III 类错颌畸形的个体(非唇腭裂 Class III)。

结果

当比较 UCLP Class III 组与 UCLP Class I 组时,发现上颌位置(P <.001)和下颌位置(P =.004)存在差异。当比较 UCLP Class III 组与非唇腭裂 Class III 组时,未发现差异。

结论

患有唇腭裂的个体的颅面形态存在内在因素的影响。

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本文引用的文献

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Relationship between cephalometric cranial base and anterior-posterior features in an Iranian population.伊朗人群中头影测量颅底与前后部特征之间的关系。
Dent Res J (Isfahan). 2020 Jan 21;17(1):60-65. eCollection 2020 Jan-Feb.
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Morphological variability in unrepaired bilateral clefts with and without cleft palate evaluated with geometric morphometrics.运用几何形态测量学评估未修复双侧唇裂伴或不伴腭裂的形态学可变性。
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3D comparison of dental arch stability in patients with and without cleft lip and palate after orthodontic/rehabilitative treatment.正畸/修复治疗后唇腭裂患者与非唇腭裂患者牙弓稳定性的三维比较。
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Orthodontics and Genetics.正畸学与遗传学
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5
Bone-anchored maxillary protraction in unilateral cleft lip and palate: a cephalometric appraisal.骨性上颌前牵引在单侧唇腭裂中的应用:头影测量评估。
Eur J Orthod. 2019 Sep 21;41(5):537-543. doi: 10.1093/ejo/cjz005.
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Long-term stability of maxillary protraction therapy in Class III patients with complete unilateral cleft lip and palate.上颌骨牵引治疗完全性单侧唇腭裂 III 类患者的长期稳定性。
Angle Orthod. 2019 Mar;89(2):214-220. doi: 10.2319/070418-501.1. Epub 2018 Nov 28.
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Craniofacial cephalometric morphologies in different cleft types: a retrospective cross-sectional study of 212 patients.不同类型唇腭裂患者的颅面头影测量形态:212 例回顾性横断面研究。
Oral Radiol. 2018 May;34(2):127-135. doi: 10.1007/s11282-017-0290-z. Epub 2017 Jun 6.
8
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Genetic polymorphisms underlying the skeletal Class III phenotype.骨骼Ⅲ类错(牙合)畸形相关的基因多态性。
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