摘要
目的:探索一种安全、有效、简便的方法,为单侧完全性唇腭裂患儿制取口腔内模型。该模型可满足制作上颌腭护板、鼻腭矫治器等所需要的条件。方法选取20例先天性单侧完全性唇腭裂患儿,排除唇腭裂修复术禁忌症,排外上呼吸道感染疾病患儿。在患儿完全清醒状态下,使用个别托盘,调制藻酸盐印模材料,在藻酸盐印模材料近干燥时置入患儿口内,制备患儿口内模型并灌注。结果以该模型为工作模制作的上颌腭护板、鼻腭矫治器,患儿配戴合适,能起到很好的矫治效果。结论该模型制备方法安全、简单,可以指导更多的基层医院的医生在不需要全麻的状态下,为更多的唇腭裂患者进行术前正畸治疗,完善唇腭裂序列治疗,提升新生儿唇腭裂手术效果,提高生活质量。
Abstract
Objective:To investigate a method of safety, effective, convenient, which used to make a impression for complete unilateral cleft lip and palate. The model is appropriation for making of upper jaw plate, nasopalatine appliance and other requirements. Methods:Selected 20 cases of congenital unilateral cleft lip and palate, exclude contraindication of cleft lip and palate repair, exclusive disease in children with upper respira-tory tract infection. Fully conscious state in children, using of individual impression trays, modulation of alginate impression materials, in the algi-nate impression materials nearly dry placement in the mouth, got the accurate impression of the maxillary and reperfused model. Result: Based on this model, working mould plate, maxillary palatal nasal appliance, children wear appropriate treatment, can play a very good effect. Conclu-sion:Model of safety, simple preparation method can let a doctor in basic hospital for more children with cleft lip and palate orthodontic treat-ment before operation, improve the treatment of cleft lip and palate sequence, improve operation effect of children with cleft lip and palate, im-prove the quality of life.
基金项目
昆明市科技局资助项目(2012-04-01- A- S-02-1015)