Ulusoy Mutluol Esra, Koyuncu Sema, Ceylan Rıdvan, Akın Mehmet
Department of Orthodontics, Selçuk University, Faculty of Dentistry, Konya, Turkey.
Department of Orthodontics, Alanya Alaaddin Keykubat University, Faculty of Dentistry, Antalya, Turkey.
Turk J Orthod. 2022 Sep;35(3):207-215. doi: 10.5152/TurkJOrthod.2022.21164.
The purpose of this retrospective study was to assess the alteration in the facial soft tissue thickness after rapid maxillary expansion with facemask treatment in bilateral cleft lip and palate (BCLP) Class III patients and noncleft Class III patients.
Case records including lateral cephalograms of 30 patients (19 females, 11 males) treated using a rapid maxillary expansion with facemask treatment were analyzed. Group I (age: 11.4 ± 1.02 years) (10 females, 5 males) consisted of noncleft skeletal Class III patients, and group II (age: 10.8 ± 0.84 years) (9 females, 6 males) comprised skeletal Class III patients with bilateral cleft lip and palate. Fifteen hard tissue and 10 soft tissue measurements were made at the beginning and at the end of the treatment to evaluate the change with rapid maxillary expansion combined facemask treatment.
The bilateral cleft lip and palate group displayed a statistically significant increase in the thickness of the subnasale, labrale superius, labrale inferius, labiomentale, and pogonion, whereas the thickness of the stomion was found to be significantly decreased. The noncleft group demonstrated a statistically significant decrease in the thickness of the stomion and gnathion. There was a statistically significant difference between the bilateral cleft lip and palate and noncleft groups in the facial soft tissue thickness measurements at labrale superius, gnathion, and subnasale points and in Y axis, U1-SN, U1-NA in the hard tissue measurements.
The results of the study indicated that the rapid maxillary expansion with facemask treatment produced diverse alterations in the facial soft tissue thickness of bilateral cleft lip and palate patients and noncleft Class III patients.
本回顾性研究的目的是评估双侧唇腭裂（BCLP）Ⅲ类患者和非腭裂Ⅲ类患者在使用面罩进行快速上颌扩弓治疗后面部软组织厚度的变化。
分析了30例接受快速上颌扩弓联合面罩治疗患者（19例女性，11例男性）的病例记录，包括头颅侧位片。第一组（年龄：11.4±1.02岁）（10例女性，5例男性）为非腭裂骨骼Ⅲ类患者，第二组（年龄：10.8±0.84岁）（9例女性，6例男性）为双侧唇腭裂骨骼Ⅲ类患者。在治疗开始和结束时进行15项硬组织和10项软组织测量，以评估快速上颌扩弓联合面罩治疗后的变化。
双侧唇腭裂组鼻下点、上唇缘点、下唇缘点、唇颏点和颏前点的厚度有统计学意义的增加，而口角点厚度有显著降低。非腭裂组口角点和颌下点厚度有统计学意义的降低。双侧唇腭裂组和非腭裂组在上唇缘点、颌下点和鼻下点的面部软组织厚度测量以及硬组织测量中的Y轴、U1-SN、U1-NA方面存在统计学意义的差异。
研究结果表明，快速上颌扩弓联合面罩治疗在双侧唇腭裂患者和非腭裂Ⅲ类患者的面部软组织厚度上产生了不同的变化。
