The effect of infant orthopedics on the occlusion of the deciduous dentition in children with complete unilateral cleft lip and palate (Dutchcleft)
The effect of infant orthopedics on the occlusion of the deciduous dentition in children with complete unilateral cleft lip and palate (Dutchcleft)
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DOI：
10.1597/03-051.1
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发表时间：
2004-11-01
期刊：
影响因子：
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通讯作者：
Prahl-Andersen, B
中科院分区：
文献类型：
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作者：
Bongaarts, CAM;Kuijpers-Jagtman, AM;Prahl-Andersen, B
目的：婴儿矫形术（IO）对单侧唇腭裂（UCLP）患者乳牙列咬合的影响的评估。设计：前瞻性、双臂、随机、对照临床试验，有三个参与的唇腭裂中心（荷兰语）。设置：奈梅亨大学医学中心、阿姆斯特丹牙科学术中心和鹿特丹迪克济特大学医院的腭裂中心，患者：包括患有完全UCLP的儿童（n = 54）。干预措施：在一个隐蔽的分配过程中，一半的患者被随机分配到戴一个板，直到手术关闭软腭（IO+），和另一半（IO-）没有一个plate.Mean结果Measures：牙弓关系进行了评估，在4和6岁的5岁指数; Huddart-score;和测量覆盖，覆牙合，矢状面咬合。有没有发现IO+和IO-组之间的5岁的指数显着差异; Huddart-score;和覆盖，覆牙合，矢状occlusion.Conclusions：IO没有明显的影响，在乳牙列的咬合在4和6岁。仅考虑闭塞，UCLP患儿不需要进行IO。
Objective: Evaluation of the effect of infant orthopedics (IO) on the occlusion of the deciduous dentition in patients with unilateral cleft lip and palate (UCLP).Design: Prospective, two-arm, randomized, controlled clinical trial with three participating cleft palate centers (Dutchcleft).Setting: Cleft Palate Centers of the University Medical Center Nijmegen, Academic Center of Dentistry Amsterdam, and Dijkzigt University Hospital Rotterdam, The Netherlands.Patients: Children with complete UCLP (n = 54) were included. Interventions: In a concealed allocation procedure, half of the patients was randomized to wear a plate till surgical closure of the soft palate (IO+), and the other half (IO-) did not have a plate.Mean Outcome Measures: Dental arch relationships were assessed at 4 and 6 years of age with the 5-year-old index; the Huddart-score; and measurements of overjet, overbite, and sagittal occlusion.Results: There were no significant differences found between the IO+ and IO- groups for the 5-year-old index; the Huddart-score; and overjet, overbite, and sagittal occlusion.Conclusions: IO had no observable effect on the occlusion in the deciduous dentition at 4 and 6 years of age. Considering the occlusion only, there is no need to perform IO in children with UCLP.