Congenital and Postnatal Factors Inducing Malocclusions in Japanese Unilateral Cleft Lip and Palate Patients-Determination Using Logistic Regression Analysis
Congenital and Postnatal Factors Inducing Malocclusions in Japanese Unilateral Cleft Lip and Palate Patients-Determination Using Logistic Regression Analysis
复制标题
DOI：
10.1597/11-150
复制
发表时间：
2013-07-01
期刊：
影响因子：
--
通讯作者：
Iida, Junichiro
中科院分区：
文献类型：
--
作者：
Kajii, Takashi S.;Alam, Mohammad K.;Iida, Junichiro
目的：评估先天性和出生后的因素，影响程度的错牙合畸形患者单侧唇腭裂使用多变量statistical analysis.Design：回顾性study.Patients：135例单侧唇腭裂患者的所有信息获得口腔检查和X光片在正畸诊所的初步检查和手术记录。正畸治疗前制作石膏模型。受试者的年龄范围为5 - 8岁，平均年龄为6.9岁。所有患者的初次手术均在大学医院进行。主要结果测量：GOSLON Yardstick被用来评估患者的牙弓关系（错牙合程度）。安氏III类错家族史、唇腭裂程度、唇腭裂侧上侧切牙先天缺失被认为是导致错牙合畸形的先天性因素。术前整形外科治疗，唇，腭成形术被选为产后因素。各种因素和牙弓关系之间的关联进行了评估，使用Logistic回归analysis.Results：根据调整后的比值比，III类家族史与显着较差的牙弓关系。腭成形术使用推回单独与牙弓的关系，显着比腭成形术使用推回与颊flaps.Conclusions：多变量分析表明，证据表明，一个积极的家族史III类和腭成形术使用推回单独与单侧唇腭裂患者更严重的错牙合畸形。
Objective: To assess the congenital and postnatal factors that affect degree of malocclusion in patients with unilateral cleft lip and palate using multivariate statistical analysis.Design: Retrospective study.Patients: All information on 135 subjects with unilateral cleft lip and palate was obtained from an oral examination and radiograph at the initial examination at an orthodontic clinic and from surgical records. Plaster models were taken before orthodontic treatment. The ages of the subjects ranged from 5 to 8 years with a mean age of 6.9 years. All primary surgeries for the patients were performed at a university hospital.Main Outcome Measures: The GOSLON Yardstick was used to assess the dental arch relationships (degree of malocclusion) in patients. Family history of Class III, degree of cleft, and congenitally missing upper lateral incisor on the cleft side were chosen as congenital factors inducing malocclusion. Presurgical orthopedic treatment, cheiloplasty, and palatoplasty were chosen as postnatal factors. Associations between various factors and dental arch relationships were assessed using logistic regression analysis.Results: According to adjusted odds ratios, family history of Class III is associated with a significantly worse dental arch relationship. Palatoplasty using push-back alone correlated to a dental arch relationship that was significantly worse than palatoplasty using push-back with a buccal flap.Conclusions: Multivariate analysis shows evidence that a positive family history of Class III and palatoplasty using push-back alone are associated with worse malocclusion of unilateral cleft lip and palate patients.