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1、山東大學(xué)碩士學(xué)位論文及上唇一審美平面距UL.E(mm)明顯增加,上下唇交角A’UL—B’LL明顯減??;下唇基角SN’B'、下唇傾角B’LL.FH、下唇頦突角LL-N'-Pos及下唇一審美平面距LL.E均減??;3.前牙軸傾度:上前牙唇傾,下前牙舌傾,U1.SN角、Ul-NA角及Ul小jA距均明顯增大,L1-NB距減?。?.牙弓寬度:上頜慢速擴(kuò)弓后,恒牙晚期UCLP患者牙群模型三組樣本第一前磨牙間寬度4-4、第一前磨牙舌尖間距離4‘一4’及第二前磨牙間寬度5.5數(shù)值在治療前、擴(kuò)弓結(jié)束后及保持半年后的差異有統(tǒng)計(jì)學(xué)意義,而且保持效果差異有統(tǒng)計(jì)學(xué)意義,●第
2、一磨牙間寬度6.6三組樣本的差異無(wú)統(tǒng)計(jì)學(xué)意義,上頜尖牙間寬度3.3數(shù)值在擴(kuò)弓前后差異有統(tǒng)計(jì)學(xué)意義,但擴(kuò)弓后與保持半年后的差異無(wú)統(tǒng)計(jì)學(xué)意義。即正畸治療后,尖牙區(qū)和前磨牙區(qū)的牙弓寬度有明顯增加,前磨牙區(qū)擴(kuò)弓效果比較穩(wěn)定,但基骨弓與牙槽弓的寬度變化無(wú)統(tǒng)計(jì)學(xué)差異。結(jié)論:恒牙晚期UCLP術(shù)后患者經(jīng)正畸治療,骨骼、面部軟硬組織及咬合關(guān)系均有較理想的治療效果。通過(guò)上頜慢速擴(kuò)弓聯(lián)合固定矯治,上頜骨矢狀面發(fā)生前移,上頜牙弓寬度增加,下頜骨未見(jiàn)顯著的變化,咬合關(guān)系得到有效改善,同時(shí)患者軟組織側(cè)貌有明顯改善,表現(xiàn)為凹面型趨向于直面型,上唇凸度增加,上唇變飽滿(mǎn),下唇外翻
3、現(xiàn)象改善,上下頜更加協(xié)調(diào)。關(guān)鍵詞:恒牙晚期:?jiǎn)蝹?cè)完全性唇腭裂患者;正畸治療●2●FOREObjective"Forthecleftlipandpalatepost-surgerycharacteristicsofcompleteUnilateralCleftLipandPalate(UCLP)patients’teeth,occlusion,softandhardtissuesinlatepermanentdentition,thepurposeofthisstudywastoinvestigatetheclinicaleffectsoforth
4、odontictreatmentsincludingslowmaxillaryarchexpansionandfixedapplianceforthesekindsofpatientsonfacetypes,narrowmaxillarydentalarchandocclusionrelationswitllmeasuringrelateddatawhichincludeX-raylateralskullfilmsbeforetherapy,aftersixmonthsmaxillaryexpansionmaintainingandteethmo
5、delsofpre-expansion,post-expansionandaftersixmonthsmaintainingandtoprovidethereliabletheoreticbasisfororthodontictreatmentsforthecleftlipandpalatepost—surgerycompleteUCLPpatientsinlatepermanentdentition.MaterialsandMethods:TencompleteUCLPpatientswhoarecleftlipandpalatepost-su
6、rgeryinlatepermanentdentition(From15to17yearsold)wereincludedinthisresearch.Everypatientwastreatedbyorthodontictreatmentsincludingslowmaxillaryexpansionwithexpansionscrews’removableapplianceandfixedappliance.TherelateddataaboutX-raylateralskullfilmsbeforetherapyandaftersixmon
7、thsmaxillaryexpansionmaintaining,thearchwidth,alveolararchwidthandarchwidthofthebaseboneinteethmodelsofpre-therapy,post—expansionandaftersixmonthsmaintainingweremeasured.TheresultswerecomparedwitllSPSS18.0statistical3●loweranteriorteethleanedtothetongue,theanglesofUI—SN,U1·NA
8、andthedistanceofU1-NAwereincreasedsignificantly,thedistanceofL1-NBwa