国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (3): 345-350.doi: 10.7518/gjkq.2020064

• 综述 • 上一篇    下一篇

牙槽突裂的裂隙特点及正畸治疗对唇腭裂患者牙槽突植骨术的影响

陈艺尹,刘俊圻,李承浩()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科 成都 610041
  • 收稿日期:2019-11-10 修回日期:2020-02-12 出版日期:2020-05-01 发布日期:2020-05-08
  • 通讯作者: 李承浩 E-mail:leechenghao_cn@163.com
  • 作者简介:陈艺尹,学士,Email：hxkqchenyiyin@163.com
  • 基金资助:
    四川省科技计划项目(0040305302044)

Effects of cleft characteristics and orthodontic treatment on alveolar bone grafting in patients with cleft lip and palate

Chen Yiyin,Liu Junqi,Li Chenghao()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-11-10 Revised:2020-02-12 Online:2020-05-01 Published:2020-05-08
  • Contact: Chenghao Li E-mail:leechenghao_cn@163.com
  • Supported by:
    Science and Technology Planning Project of Sichuan Province(0040305302044)

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摘要：

牙槽突裂是位于唇腭裂患者上颌牙弓处的骨缺损,常发生于侧切牙与尖牙之间。由于先天性裂隙、早期手术治疗所致瘢痕挛缩及唇肌压迫等原因,患者多并发严重的上颌骨横向发育障碍。牙槽突植骨术作为唇腭裂序列治疗中的重要步骤,是修补上颌骨裂隙和矫正上颌横向发育不足的有效手段。众多临床实践及研究发现,正畸治疗的时机选择与牙槽突植骨术的成功率及预后效果密不可分,同时,牙槽突裂的裂隙特点对牙槽突植骨术产生的影响也不可忽视。本文就牙槽突裂的裂隙特点与正畸治疗时机对牙槽突植骨术成功率及预后的影响两方面进行综述,以期为唇腭裂患者临床治疗方案的选择及实验研究的设计提供一定的依据。

关键词: 牙槽突植骨术, 牙槽突裂, 裂隙特点, 正畸治疗

Abstract:

Alveolar cleft is a bone defect located in the maxillary dental arch and usually occurs between the lateral incisors and canine. Owing to congenital cleft, early surgical scar contracture, and lip muscle oppression, most patients experience severe maxillary transverse developmental disorders. As a critical step in the cleft lip and palate team approach, alveolar bone grafting effectively repairs the maxillary fissure and corrects maxillary transverse developmental disorders. Many studies and clinical practices have indicated that the timing of orthodontic treatment and the characteristics of alveolar cleft are closely related to the success rate and prognosis of this technique. In this paper, the effects of cleft characteristics and timing of orthodontic treatment on the success rate and prognosis of alveolar bone grafting were reviewed to provide a basis for the selection of clinical treatment programs and the design of scientific research for patients with cleft lip and palate.

Key words: alveolar bone grafting, alveolar cleft, cleft characteristics, orthodontic treatment

中图分类号: 

  • R782.2
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