［原著］当科における2次的顎裂部骨移植後の臨床的検討

概要

論文の詳細を見る
One of the most important aspects of secondary bone grafting is to allow for the closure of a cleft defect and provide a more ideal arch form orthodontically, without any prothesis. Recovery of the form and function by teeth movement to the bone grafted site was possible, if such anomaly was not severe. It was difficult to reconstruct the alveolar cleft, if large anomalies, such as missing teeth, existed. Almost all severe cases had previously received prosthodontic treatment. This study evaluated the dental occlusion pattern affecting resorption of the transplanted bone. A total of 107 alveolar bone graftings were performed in our clinic between 1994 and 2002. The age range at the time of bone grafting was 8 to 25 years. Results: Dental occlusion was performed in 50 (47.0%) out of 107 cases after bone grafting and was classified into 7 categories as follows : 14 cases of only orthodontic space closure with canine or lateral incisor, 11 cases with canine or lateral incisor and bridgework, 4 cases with canine or lateral incisor and partial denture, 8 cases of only partial denture, 2 cases with canine or lateral incisor and application of an implant, 4 cases of only bone grafting, 7 cases of unknown occlusion. Dental occlusion after bone grafting is important from the perspective of a team approach for cleft lip and palate patients.
琉球医学会,Ryukyu Medical Associationの論文