Wang Jue, Li Yuanyuan, Wu Ming, Shi Bing, Zheng Qian, Liu Renkai, Li Chenghao
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2025 Apr 1;43(2):197-203. doi: 10.7518/hxkq.2024.2024094.
This study aims to investigate factors influencing dental arch development in patients aged 0-6 years with cleft palate after Sommerlad-Furlow (SF) palatoplasty.
A total of 183 patients who underwent primary SF repair for cleft lip and palate before 18 months of age were included. Follow-ups were conducted at different ages, and digital dental casts of the maxillary dental arch were obtained using 3-matic Research 12.0 software. The length and width of the dental arch and palate were measured to explore developmental changes in the maxillary dental arch of the patients after the procedure. The study also investigated the influence of gender, age, cleft palate type, and relaxation incision on maxillary dental arch development.
After SF, maxillary dental arch measurements showed statistically significant differences between children aged 0-2 years and those aged 3-6 years (<0.05). However, no statistically significant differences were observed among different age groups within the 3-6 years range. Statistically significant differences were detected between males and females, with males having greater width of the posterior dental arch and palate (=0.001) and shorter length of the anterior dental arch and entire dental arch (<0.05). The unilateral cleft lip and palate group had shorter dental arch length (<0.01) and wider posterior palate (<0.01) than the cleft palate only group. Maxillary dental arch measurements had no statistically significant differences between groups with or without a relaxing incision.
Gender and age influence the width of the maxillary dental arch in children aged 0-6 years after SF, while age and cleft palate type affect dental arch length.
本研究旨在调查年龄在0至6岁的腭裂患者在Sommerlad-Furlow（SF）腭成形术后牙弓发育的影响因素。
纳入183例18个月龄前接受唇腭裂一期SF修复术的患者。在不同年龄进行随访，使用3-matic Research 12.0软件获取上颌牙弓的数字化牙模。测量牙弓和腭部的长度与宽度，以探究术后患者上颌牙弓的发育变化。该研究还调查了性别、年龄、腭裂类型和松弛切口对上颌牙弓发育的影响。
SF术后，0至2岁儿童与3至6岁儿童的上颌牙弓测量结果存在统计学显著差异（<0.05）。然而，在3至6岁范围内的不同年龄组之间未观察到统计学显著差异。男性与女性之间检测到统计学显著差异，男性的后牙弓和腭部宽度更大（=0.001），前牙弓和整个牙弓长度更短（<0.05）。单侧唇腭裂组的牙弓长度比仅腭裂组短（<0.01），后腭更宽（<0.01）。有或无松弛切口组之间的上颌牙弓测量结果无统计学显著差异。
性别和年龄影响0至6岁儿童在SF术后上颌牙弓的宽度，而年龄和腭裂类型影响牙弓长度。
