CAJ | 학술논문

目的：分析研究牙槽突裂牙颌特性，制定相应的治疗计划。方法：口腔颌面外科医师与正畸科医师共同会诊，记录129例患者的临床检查结果（牙位，咬合关系，有无多生牙、畸形牙、残根残冠，尖牙的萌出情况，牙弓形态，裂隙的宽窄等），分析影像学资料及牙颌模型，制定手术或手术前治疗计划。结果：可按期植骨组为45例（34.9%），延期植骨组为84例（65.1%）。在延期植骨组中，51例患者（39.5%）需要术前正畸，44例患者（34.1%）需要术前拔牙，11例患者（8.5%）需要术前修复较大的腭部穿孔。按期植骨组中：单侧唇裂伴牙槽突裂患者（unilateral cleft lip and alveolus， UCLA）最多，其次为双侧唇腭裂伴牙槽突裂患者（bilateral cleft lip and palate，BCLP），然后是单侧唇腭裂伴牙槽突裂患者（unilateral cleft lip and palate，UCLP）。而需要术前正畸干预的延期植骨组中，患者数量比较BCLP>UCLP>UCLA；需要拔牙的延期植骨患者数量UCLP>BCLP>UCLA；需要修复硬腭前部瘘口的患者数量BCLP>UCLP。结论：除年龄因素外，牙槽突裂患者的牙颌特性对手术的成功率有重大影响，也应作为选择治疗时机的重要参考。
목적：분석연구아조돌렬아합특성，제정상응적치료계화。방법：구강합면외과의사여정기과의사공동회진，기록129례환자적림상검사결과（아위，교합관계，유무다생아、기형아、잔근잔관，첨아적맹출정황，아궁형태，렬극적관착등），분석영상학자료급아합모형，제정수술혹수술전치료계화。결과：가안기식골조위45례（34.9%），연기식골조위84례（65.1%）。재연기식골조중，51례환자（39.5%）수요술전정기，44례환자（34.1%）수요술전발아，11례환자（8.5%）수요술전수복교대적악부천공。안기식골조중：단측진렬반아조돌렬환자（unilateral cleft lip and alveolus， UCLA）최다，기차위쌍측진악렬반아조돌렬환자（bilateral cleft lip and palate，BCLP），연후시단측진악렬반아조돌렬환자（unilateral cleft lip and palate，UCLP）。이수요술전정기간예적연기식골조중，환자수량비교BCLP>UCLP>UCLA；수요발아적연기식골환자수량UCLP>BCLP>UCLA；수요수복경악전부루구적환자수량BCLP>UCLP。결론：제년령인소외，아조돌렬환자적아합특성대수술적성공솔유중대영향，야응작위선택치료시궤적중요삼고。
Objective:This study aimed to establish a therapeutic schedule according to the morphologic characteristics of 129 residual alveolar clefts before alveolar bone grafting (ABG). Methods: Information of each patient was collected including the position of teeth near the clefts, the width of cleft, the relationship of cleft segments and the presence of palatal fistula. All patients were divided into two groups according to the evaluation results, one group eligible for ABG on time, and the other group for whom ABG had to be delayed. Results: 45 patients (34.9%) belonged to the on-time ABG group, while 84 patients (65.1%) belonged to the delayed-ABG group. 51 patients (39.5%)required pre-ABG orthodontic treatment;44 patients (34.1%) required extraction before the ABG;and 11 patients (8.5%) required surgical procedures to obstruct the large palatal fistula. Conclusion: Right timing is necessary for ABG because morphologic characteristics of the cleft would have a strong impact on the success rate.