Yuldashev
A.A
Tashkent medical
academy, Department of Pediatric dentistry
GNATODINAMOMETRIC STUDY AFTER BONE GRAFTING
IN COMPLEX REHABILITATION OF PATIENTS WITH CONGENITAL CLEFT OF THE UPPER LIP,
ALVEOLAR PROCESS AND PALATE
Relevance: The congenital cleft of
lip, alveolar process, hard and soft palate (CCLAPP) is serious developmental
abnormality of dental alveolar system which is characterized by the expressed structural
and functional disturbances. After the main stages of complex after treatment
of patients
with a congenital cleft of lip and a palate there is a defect of an alveolar
process of the upper jaw elimination which is impossible without carrying out a
bone grafting.
Materials and methods: From 2009
for 2011 in the department of pediatric maxillofacial surgery of 3-rd clinics
of TMA examination and surgical treatment of defect of an alveolar process of
the upper jaw at 15 patients aged from 8 to 18 was conducted. The bone grafting
of cleft alveolar process of the upper jaw with use of spongiform substance
from an ileac bone and umbilical cord was done.
For the
purpose of an assessment of functional efficiency of basic teeth conducted
gnatodinamometric researches. Gnatodinamometric measuring was investigated by
us on incisors and canines, i.e. on teeth being on the edge of a ñleft. To all
patients it was carried out an bone grafting of defect of an alveolar process
of the upper jaw with autogenous bone graft and umbilical cord.
The received results and their discussion: At patients
about one - and bilateral congenital cleft lip and a palate after cheylo and
palatoplasty were taped teeth which biomechanical indicators are considerably
lowered, is inadequately perceived normal chewing loads, there is a mobility of
tooth that can bring to its the subsequent loss.
After
carrying out bone grafting of defect of an alveolar process of the upper jaw
with autogenous bone graft and umbilical cord use we received augmentation of a
gnatodinamometric indicators at incisors with 5,11±0,66 to 8,34±1,25 kg, at
canines - with 7,4±0,82 to 12,1±1,8 kg.
Conclusions: The received results
show expediency of carrying out an bone grafting of defect of an alveolar
process of the upper jaw with use of an ileac bone and a cord at (CCLAPP)
allows to rehabilitate patients of this category functional anatomically
completely.