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目的:探讨成年无牙患者腭裂术后的全口义齿修复问题。方法:临床接诊3例伴有先天性腭裂畸形的成年无牙患者,经腭裂整复术后6个月,采用钛金属增强义齿基托的强度并减轻义齿的重量,利用进入牙槽突唇侧裂隙的基托增加义齿的固位,常规完成全口义齿修复。结果:3例患者腭裂整复术后伤口愈合顺利,除牙槽突唇侧,上腭其余裂隙得以修复,3副全口义齿咬合关系良好、固位良好、外观满意,能咀嚼一般食物。结论:经适当的手术为全口义齿的基托固位创造条件,然后按照全口义齿的修复理论,加上熟练的操作技巧和认真的工作态度,伴有先天性腭裂畸形的成年无牙患者也可以像普通无牙患者一样,获得一副固位良好、咀嚼功能良好、造型美观的全口义齿,有利于该类患者身心健康的融入社会生活。
Objective: To investigate the repair of complete denture after cleft palate surgery in adult patients with toothless palsy. Methods: Three patients with congenital cleft palate deformity were treated clinically. Six months after cleft palate cleft surgery, titanium was used to increase the strength of denture base and reduce the denture weight. The base of the labial fissure increases the retention of the denture and generally completes the complete denture repair. Results: In 3 patients, the wounds healed well after cleft palate surgery. All the cleft palate was repaired in addition to the alveolar labium. The three complete dentures showed good occlusion, good retention and satisfactory appearance, which could chew common foods. Conclusion: The appropriate operation for the complete denture base retainer position to create conditions, and then in accordance with complete denture repair theory, coupled with skilled operation skills and serious working attitude, with congenital cleft palate deformity adult toothless Patients can also be like ordinary toothless patients, access to a well-retained, good chewing function, handsome in appearance denture, is conducive to the integration of physical and mental health of such patients into social life.