在初级裂口 palatal 修复:对大尺寸和大突起的影响:在初级裂口 palatal 修复期间,口脂肪辅助:对大尺寸和大突起的影响
Camille M Herzog1, Sean P Edwards2, Steven J Kasten3
1Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
概括
在初级口腔裂口修复中使用口腔脂肪移植 (BFP) 可能会改善上腺的生长,但可能会阻碍永久的牙喷发,往往需要后期手术.
科学领域:
- 面外科手术 面外科手术
- 儿科牙科 儿科牙科
- 口腔和大面部外科手术
背景情况:
- 初级裂口 palatal 修复的目的是恢复功能和美学.
- 口腔脂肪 (BFP) 移植用于重建性外科手术.
- BFP对上腺生长和牙发育的影响需要进一步研究.
研究的目的:
- 为了评估上腺生长差异与BFP在初级裂口 palatal修复期间使用.
- 为了确定二次BFP修订的必要性,由于受抑制的永久性突爆发.
主要方法:
- 对患有口唇裂的患者进行了回顾性队列研究.
- 对牙大尺寸的正统牙科前牙科模型的分析.
- 评价永久的尾大突发的模式.
主要成果:
- BFP组表现出增加尾后部宽度和改善尾尾关系的趋势.
- 两组之间对大扩张的需要没有显著差异.
- 70.6%的BFP病例需要二次修订,原因是受抑制的牙喷发.
结论:
- 在儿童时期,BFP移植可能会增强横向大的生长.
- 使用BFP并不能消除对正牙大扩张的需要.
- 由于 eruption 问题,BFP 重定位的二次手术干预是常见的.
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