正颌联合正畸在矫治唇腭裂术后牙颌面畸形中的应用意义

义 郑
2020 亚洲临床医学杂志  
Objective: Clinical analysis of the significance and implications of the use of orthognathic combination orthodontics in the correction of post-operative cleft lip and palate deformities. Methods: A total of 90 patients with post-cleft lip and palate surgery and maxillofacial deformities were included in our hospital to conduct a comparative treatment study, which was set from January 2017 to December 2019. According to the differences in the treatment plan of patients grouped into groups,
more » ... ol group, observation group, 45 cases in each group. The control group received only orthognathic treatment, while the observation group received combined orthognathic and orthodontic treatment. Compare the changes of skull imaging diagnostic indexes, treatment effect, prognosis, complications and recurrence before and after treatment. Results: There was no statistical difference in the comparison of cranial imaging diagnostic indices (SNB, ANB, UI-NA, LI-NB) between the two groups before treatment, P>0.05; after treatment, patients' SNB, ANB, UI-NA and LI-NB improved significantly compared with those before treatment, and the improvement of the observation group was greater than that of the control group in the same period, P<0.05; the effective rate of the treatment in the observation group was higher than that of the control group, P<0.05; the efficiency of the treatment in the observation group was higher than that of the control group, P<0.05; the rate of prognostic complications and recurrence was lower in the observation group than in the control group, P < 0.05. Conclusion: The combined orthognathic and maxillofacial orthodontic solution in the treatment of post-cleft lip and palate deformities is effective in correcting patients' dental occlusion problems based on effective improvement of their maxillofacial deformities, and can positively reduce the complication rate after orthognathic surgery and control the prognosis safely.
doi:10.26549/yzlcyxzz.v3i6.5847 fatcat:3r2e5v4hzbeblkzrbglbnfzjuy