国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (2): 144-152.doi: 10.7518/gjkq.2022040
张琦1,2(),范存晖1,2(),杨茜1,2,李然3,徐晓琳4,丁玮1,2,王文惠1,2,杨彩秀1,2
Zhang Qi1,2(),Fan Cunhui1,2(),Yang Qian1,2,Li Ran3,Xu Xiaolin4,Ding Wei1,2,Wang Wenhui1,2,Yang Caixiu1,2
摘要:
目的 研究替牙期骨性Ⅲ类单侧完全性唇腭裂(UCLP)患者和非唇腭裂骨性Ⅲ类患者牙弓形态的差异。方法 选取替牙期骨性Ⅲ类UCLP患者23例、非唇腭裂骨性Ⅲ类患者24例为试验组;年龄相仿的个别正常𬌗患者24例为对照组。在石膏模型上测量3组患者的牙弓宽度及长度。使用SPSS 26.0统计软件对数据进行统计分析。结果 1)UCLP组上颌裂隙侧牙弓宽度及长度均小于非裂隙侧(P<0.01),骨性Ⅲ类组双侧差异无统计学意义(P>0.05)。2)UCLP组上颌裂隙侧牙弓宽度及长度小于骨性Ⅲ类组,2组均小于正常𬌗组(P<0.05);上颌非裂隙侧牙弓长度小于骨性Ⅲ类,2组均小于正常𬌗组;上颌非裂隙侧牙弓宽度除尖牙区外,其余各段(前磨牙和磨牙区)与骨性Ⅲ类组差异无统计学意义(P>0.05)。3)UCLP组骨性Ⅲ类组下颌牙弓的宽度及长度差异无统计学意义(P>0.05),均大于正常𬌗组(P<0.05)。结论 替牙期UCLP患者上颌牙弓较骨性Ⅲ类患者更窄、更短,且不对称;下颌牙弓在该期与骨性Ⅲ类患者尚无明显差异。对于UCLP反𬌗及牙弓缩窄患者的治疗应采取个性化、有针对性的差异性扩弓矫治方案。
中图分类号:
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