正畸–修复联合治疗唇腭裂致骨性III类高角 患者病例1例

Combined Orthodontic and Restorative Treatment for a Patient with Skeletal Class III High-Angle Malocclusion Resulting from Cleft Lip and Palate: A Case Report

摘要: 背景：唇腭裂患者常伴有牙列缺损、牙列不齐等问题。本文报道1例正畸–修复联合治疗唇腭裂致骨性III类高角牙列不齐患者的临床过程。结果：治疗后，患者侧貌获得改善，牙列得到排齐，牙列完整性得以恢复，患者自信心有所提升。结论：本病例提示，对于唇腭裂未行植骨的患者，正畸–修复联合治疗可获得一定的积极效果，包括面型改善和牙列整齐度提高。但需注意，治疗存在局限性：患者高角面型有加重趋势，微笑美学效果欠佳，咬合关系为妥协性恢复。

Abstract: Background: Patients with cleft lip and palate often present with dental defects and malocclusion. This report describes the clinical course of a patient with skeletal Class III high-angle malocclusion resulting from cleft lip and palate who underwent combined orthodontic and restorative treatment. Results: Following treatment, the patient’s facial profile improved, the dentition was aligned, dental integrity was restored, and the patient’s self-confidence increased. Conclusion: This case suggests that for cleft lip and palate patients who have not undergone bone grafting, combined orthodontic and restorative treatment can yield certain positive outcomes, including facial profile improvement and increased dental alignment. However, it should be noted that the treatment has limitations: the patient’s high-angle facial profile tends to worsen, the aesthetic effect of the smile is suboptimal, and the occlusal relationship is restored in a compromised manner.