单侧完全性唇腭裂患者前牙区牙槽骨开窗、骨开裂的锥形束CT研究

doi:10.19439/j.sjos.2019.04.012

上海口腔医学 ›› 2019, Vol. 28 ›› Issue (4): 397-401.doi: 10.19439/j.sjos.2019.04.012

单侧完全性唇腭裂患者前牙区牙槽骨开窗、骨开裂的锥形束CT研究

敬怡, 肖立伟

中南大学湘雅二医院口腔医学中心,湖南长沙 410011

收稿日期:2018-09-14 修回日期:2018-11-13 出版日期:2019-08-25 发布日期:2019-09-23
通讯作者: 肖立伟,E-mail:xlw69@163.com
作者简介:敬怡（1993-）,女,硕士研究生,E-mail:2278078109@qq.com
基金资助:
中南大学中央高校基本科研业务费专项资金（2018zzts971）

The prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate: a cone-beam CT study

JING Yi, XIAO Li-wei

Medical Center of Stomatology, The Second Xiangya Hospital, Central South University. Changsha 410011, Hunan Province, China

Received:2018-09-14 Revised:2018-11-13 Online:2019-08-25 Published:2019-09-23

摘要/Abstract

摘要： 目的利用锥形束CT（cone-beam CT,CBCT）研究单侧完全性唇腭裂（unilateral cleft lip and palate,UCLP）患者前牙区牙槽骨开窗、骨开裂的发生率。方法选取2014年6月—2017年9月就诊于中南大学湘雅二医院的UCLP患者42例（男25例,女17例）。匹配性别和年龄,纳入42例骨性Ⅲ类非唇腭裂患者为对照组。利用CBCT评估UCLP组与对照组前牙区骨开窗和骨开裂的发生率,采用SPSS 22.0软件包对数据进行统计学分析。结果裂隙侧、非裂隙侧及对照组前牙骨开裂发生率分别为50.88%、42.39%和28.77%。UCLP组裂隙侧上颌前牙同名牙骨开裂的发生率均显著高于对照组（P<0.05）,非裂隙侧上颌侧切牙骨开裂的发生率显著高于对照组（P<0.05）,裂隙侧上颌中切牙骨开裂发生率显著高于非裂隙侧（P<0.05）。裂隙侧、非裂隙侧与对照组前牙区骨开裂均好发于唇侧。骨开窗的发生率在裂隙侧、非裂隙侧及对照组间无显著差异（P>0.05）。结论在UCLP患者中,牙槽骨开窗和骨开裂较常见,临床治疗中应引起重视。

关键词: 骨开窗, 骨开裂, 唇腭裂, 锥形束CT

Abstract: PURPOSE: To assess the prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate(UCLP). METHODS: Twenty-five males and seventeen females with UCLP who visited The Second Xiangya Hospital from June 2014 to September 2017 were selected. Forty-two age- and sex- matched non-cleft skeletal III patients were enrolled as the control group. Cone-beam CT（CBCT） scans were evaluated to detect fenestration and dehiscence.The data were analyzed using SPSS 22.0 software package. RESULTS: The prevalence of dehiscence of anterior teeth was 50.88% on the cleft side,42.39% on the non-cleft side and 28.77% on the controls, respectively. Dehiscence of maxillary teeth was more common on cleft side than the controls (P<0.05), and dehiscence of maxillary lateral incisor was common on non-cleft side compared with the control (P<0.05). Maxillary central incisor on the cleft side showed a higher prevalence of dehiscence compared with the non-cleft side (P<0.05). Most of the dehiscence was detected on the buccal side. Fenestration of the teeth showed no significant difference among the cleft side, non-cleft side and the control (P>0.05). CONCLUSIONS: Adolescent patients with UCLP show a high prevalence of fenestration and dehiscence,which deserves to be taken into consideration during clinical treatment.

Key words: Fenestration, Dehiscence, Cleft lip and palate, Cone-beam CT

中图分类号:

R783.5

敬怡, 肖立伟. 单侧完全性唇腭裂患者前牙区牙槽骨开窗、骨开裂的锥形束CT研究[J]. 上海口腔医学, 2019, 28(4): 397-401.

JING Yi, XIAO Li-wei. The prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate: a cone-beam CT study[J]. Shanghai Journal of Stomatology, 2019, 28(4): 397-401.

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单侧完全性唇腭裂患者前牙区牙槽骨开窗、骨开裂的锥形束CT研究

The prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate: a cone-beam CT study

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