Division of Facial Abnormalities, Department of Dentofacial Orthopedics and Orthodontics, Wroclaw Medical University, Poland.
Dent Med Probl. 2020 Oct-Dec;57(4):411-416. doi: 10.17219/dmp/125874.
Cleft lip and palate (CLP) cause severe malocclusion, which requires numerous orthodontic interventions in specialized centers. There is little literature regarding the overall orthodontic burden of care for these patients.
The aim of the study was the evaluation of orthodontic-care burden for patients treated in the Division of Facial Abnormalities at the Department of Dentofacial Orthopedics and Orthodontics of Wroclaw Medical University in Poland.
The medical data of patients with complete unilateral and bilateral cleft lip and palate (ULCP and BLCP) who finished orthodontic treatment between 2012 and 2019 was evaluated. The duration of orthodontic treatment, the number of removable appliances, the number of kilometers traveled as well as the number of visits and surgical procedures performed were recorded. The sample was divided into 2 groups according to the World Health Organization (WHO) International Classification of Diseases (ICD-10) diagnosis codes. All data was subjected to statistical analysis.
For the UCLP patients (n = 54), the mean time of orthodontic treatment was 9.24 years, the mean number of orthodontic appointments was 62.91, the mean number of removable appliances was 4.12, the mean number of surgical procedures was 3.35, and the mean distance traveled to visit the center for orthodontic appointments was 5,466.95 km. For the BCLP patients (n = 19), the mean time of orthodontic treatment was 10.16 years, the mean number of orthodontic appointments was 66.26, the mean number of removable appliances was 4.12, the mean number of surgical procedures was 4.05, and the mean distance traveled to visit the center for orthodontic appointments was 3,758.23 km.
The orthodontic treatment of patients with UCLP and BCLP is very burdensome for the patients. However, the burden of care in the Division of Facial Abnormalities at the Department of Dentofacial Orthopedics and Orthodontics of Wroclaw Medical University in Poland is not greater than in other European countries.
唇腭裂（CLP）导致严重的错颌畸形，需要在专业中心进行多次正畸治疗。关于这些患者整体正畸治疗负担的文献很少。
本研究旨在评估波兰弗罗茨瓦夫医科大学口腔颌面正畸科面部畸形科治疗的患者的正畸治疗负担。
评估了 2012 年至 2019 年期间完成正畸治疗的单侧完全唇腭裂（UCLP）和双侧完全唇腭裂（BLCP）患者的医疗数据。记录了正畸治疗的持续时间、可摘矫治器的数量、旅行的公里数以及就诊次数和手术次数。根据世界卫生组织（WHO）国际疾病分类（ICD-10）诊断代码，将样本分为 2 组。对所有数据进行了统计学分析。
对于 UCLP 患者（n=54），正畸治疗的平均时间为 9.24 年，平均就诊次数为 62.91 次，可摘矫治器的平均数量为 4.12 个，平均手术次数为 3.35 次，就诊中心的平均旅行距离为 5466.95 公里。对于 BCLP 患者（n=19），正畸治疗的平均时间为 10.16 年，平均就诊次数为 66.26 次，可摘矫治器的平均数量为 4.12 个，平均手术次数为 4.05 次，就诊中心的平均旅行距离为 3758.23 公里。
UCLP 和 BCLP 患者的正畸治疗对患者来说负担非常重。然而，波兰弗罗茨瓦夫医科大学口腔颌面正畸科面部畸形科的护理负担并不大于其他欧洲国家。
