アブストラクト（35巻4号：神奈川歯学）

神奈川歯学

Japanese

Title　： 片側性唇顎裂患者へチームアプローチを行った症例
Subtitle　：
Authors　： 田中誠子, 宮川泰郎*, 柿澤卓**, 池田正一***, 佐藤貞雄
Authors（kana）　： たなかせいこ, みやがわやすお, かきざわたかし, いけだまさかず, さとうさだお
Organization　： 神奈川歯科大学歯科矯正学教室, *宮川矯正歯科クリニック, **東京歯科大学水道橋病院口腔外科, ***神奈川県立こども医療センター歯科
Journal　： 神奈川歯学
Volume　： 35
Number　： 4
Page　： 215-222
Year/Month　： 2000 / 12
Article　： 報告
Publisher　： 神奈川歯科大学学会
Abstract　： 唇顎口蓋裂に起因する不正咬合は, 上顎劣成長により相対的に下顎前突を呈することが多く, また, 歯の欠如, 形態異常, 口蓋残孔, 顎裂部の存在から治療を困難にしている. 今回, 唇顎裂患者が矯正歯科に来院し, 永久歯咬合の確立までに矯正治療, 大学附属病院口腔外科における顎裂部骨移植, 開業歯科医院における上顎左側側切歯先天性欠如部への補綴処置を, 各医療機関と緊密な連携をとり終了した症例について報告する. 症例 初診時年齢17歳3ヵ月の女性で, 歯ならびの改善を主訴として来院した. 1. 家族歴および既往歴 両親および同胞に口唇・口蓋裂はない. その他特記すべき事項はない. 2. 現病歴 上顎左側唇顎裂を伴って出生, 某医療センター形成外科にて, 生後5ヵ月時に上口唇形成術, 4歳7ヵ月時に口唇2次修正, 鼻修正手術を受けた. 現在までの矯正治療経験はなく, 同医療センターからの紹介により当科へ来院した. 3. 現症 1）顔貌所見 正貌は左右対称, 卵円形で, 上口唇の瘢痕が認められた.
Practice　： 歯科学
Keywords　： 片側性唇顎裂, 上顎側切歯先天性欠如, 顎裂部骨移植, 長期予後

English

Title　： Treatment for a Case of Unilateral Cleft Lip and Alveolus
Subtitle　：
Authors　： Seiko TANAKA, Yasuo MIYAGAWA*, Takashi KAKIZAWA**, Masakazu IKEDA***, Sadao SATO
Authors（kana）　：
Organization　： Department of Orthodontics,Kanagawa Dental College, *Miyagawa Orthodontic Clinic, **Department of Oral and Maxillofacial Surgery,Suidoubashi Hospital,Tokyo Dental College, ***Department of Dentistry,Kanagawa Children's Medical Center
Journal　： Kanagawa Shigaku
Volume　： 35
Number　： 4
Page　： 215-222
Year/Month　： 2000 / 12
Article　： Report
Publisher　： Kanagawa Odontological Society
Abstract　： Cleft lip and palate patients that are malformed congenitally often have cheilo-plasty soon after birth. And medical specialists inclusively participate in treatment for not only the restoration of function but also medical and physical health for life as they grow up. This report describes a case of treatment in a mandibular protrusion patient with left unilateral cleft lip and alveolar with congenital missing of the left lateral incisor in the maxilla. The patient was a young woman of age 17 years 3 months, at initial examination, and her complaint was crowding. Hellman's dental age was found to be IV A, the classification of Angle was class III malocclusion. Both anterior and left posterior molar teeth demonstrated cross bite, and over bite was -0.5mm, while over jet was -1.0mm. The alveolar cleft area was between the maxillary left incisor and the canine the maxillary left incisor leaned to that area, and they were missed left lateral incisor in the maxilla and right lateral incisor in the mandible. Posterior cross bite was corrected by a Quad Helix Appliance. Individual normal occlusion was established a gathered space to the alveolar cleft area using a Multi Bracket Appliance. Secondary bone grafting was performed to build a base for nasal ala and gnatho-cephalus-plasty. After observing the stability of maxilla dentition, the patient was treated for occlusion with prosthodontic treatment. By secondary bone grafting, the bone grafted between the incisor and canine in the alveolar cleft area can support teeth more strongly, and paralleling of both teeth was demonstrated. And it was also built a base of normal area by it. As a result, the prosthodontic treatment for collgenital absence of the maxillary lateral incisor was not difficult, like a treatment for normal alveolar patients. Now, it has been 3 years and 4 months since her secondary bone grafting, and 2 years and 2 months since her prosthodontic treatment, and her occlusion has remained stable.
Practice　： Dentistry
Keywords　：