Clinical Statistics on Patients with Cleft Lip and/or Palate for 19 years in the Orthodontic Clinic, Kyushu University

Clinico-statistical analyses were carried out on 996 patients (525 males and 471 females) with cleft lip and/or palate in the Orthodontic Clinic, Kyushu University Dental Hospital, during about 19 years from August 1970 to December 1988. The findings were as follows: 1. The peak of the age of the pa...

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Published inJournal of Japanese Cleft Palate Association Vol. 14; no. 1; pp. 159 - 170
Main Authors SUZUKI, Akira, MUKAI, You, TAKAHAMA, Yasuhide, KONDOU, Yukiko, OHMIZO, Noritaka, KOUNO, Kintiko, WATANABE, Mieko
Format Journal Article
LanguageJapanese
Published Japanese Cleft Palate Association 01.06.1989
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Online AccessGet full text
ISSN0386-5185
2186-5701
DOI10.11224/cleftpalate1976.14.1_159

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Abstract Clinico-statistical analyses were carried out on 996 patients (525 males and 471 females) with cleft lip and/or palate in the Orthodontic Clinic, Kyushu University Dental Hospital, during about 19 years from August 1970 to December 1988. The findings were as follows: 1. The peak of the age of the patients at first visit to our Orthodontic clinic was 3 years old. 2. Distributions of cleft type were; cleft lip (CL) 6.0 %, cleft lip and jaw (CUJ) 17.4 %, cleft lip and palate (CLP) 59.8 %, isolated cleft palate (CP) 16.8 %. 3. Distributions of cleft site were; bilateral cleft 18.6 %, left side cleft 53.4 %, right side cleft 27.6 %. 4. Sex ratio (male: female) were; CL 1.4: 1, CLJ 1: 1, CLP 1.5: 1, CP 1: 2.4. 5. The occurence of the premature delivery (36 weeks and less) was significantly higher than of Japanese general subjects (p<0.05). There was no significant difference in the means of birth weight, birth height and mother's age. 6. The most frequent number of siblings was two (55.1 %). The rate of the first and second children in the birth rank was 85.8 % and the rate of the last child was 66.9 %. 7. Arch form in unilateral cleft lip and palate were; Overlap of alveolar processes 6.8 % Butt-joint contact between alveolar processes 81.4 % No contact between alveolar processes 11.8 % 8. The prevalence of cross-bite was 84.6 % in all patients,87.9 % in unilateral cleft lip and palate patients,94.0 % in bilateral cleft lip and palate paatients. 9. The rate of patients who rejected the orthodontic treatment were; 23.3 % in CL,16.7 % in CLJ,11.8 % in CLP,21.6 % in CP patients.
AbstractList Clinico-statistical analyses were carried out on 996 patients (525 males and 471 females) with cleft lip and/or palate in the Orthodontic Clinic, Kyushu University Dental Hospital, during about 19 years from August 1970 to December 1988.The findings were as follows:1. The peak of the age of the patients at first visit to our Orthodontic clinic was 3 years old.2. Distributions of cleft type were; cleft lip (CL) 6.0 %, cleft lip and jaw (CUJ) 17.4 %, cleft lip and palate (CLP) 59.8 %, isolated cleft palate (CP) 16.8 %.3. Distributions of cleft site were; bilateral cleft 18.6 %, left side cleft 53.4 %, right side cleft 27.6 %.4. Sex ratio (male: female) were; CL 1.4: 1, CLJ 1: 1, CLP 1.5: 1, CP 1: 2.4.5. The occurence of the premature delivery (36 weeks and less) was significantly higher than of Japanese general subjects (p<0.05). There was no significant difference in the means of birth weight, birth height and mother's age.6. The most frequent number of siblings was two (55.1 %). The rate of the first and second children in the birth rank was 85.8 % and the rate of the last child was 66.9 %.7. Arch form in unilateral cleft lip and palate were; Overlap of alveolar processes 6.8 % Butt-joint contact between alveolar processes 81.4 % No contact between alveolar processes 11.8 %8. The prevalence of cross-bite was 84.6 % in all patients,87.9 % in unilateral cleft lip and palate patients,94.0 % in bilateral cleft lip and palate paatients.9. The rate of patients who rejected the orthodontic treatment were; 23.3 % in CL,16.7 % in CLJ,11.8 % in CLP,21.6 % in CP patients. 九州大学歯学部附属病院矯正科における口唇裂口蓋裂患者の実態を把握するために,昭和45年8月の当科開設以来昭和63年末までに受診した口唇裂口蓋裂患者996名(男性525名,女性471名)を対象に臨床統計的観察を行い以下の結果を得た。1.初診時年齢のピークは3歳時であった。2.口唇裂口蓋裂の裂型別頻度は,唇裂6.0%,唇顎裂17.4%,唇顎口蓋裂59.8%,口蓋裂16.8%であった。3.裂の発生部位は左側53.4%,右側27.6%,両側18.6%であった。4.性差は唇裂で男性が女性の約1.4倍,唇顎裂では男女ほぼ同率,唇顎口蓋裂では男性が女性の約1.5倍,ロ蓋裂では女性が男性の約2.4倍であった。5.生下時の平均身・体重・低出生体重児の頻度は日本人一般平均と有意差は認められなかったが,早期出産傾向は有意に認められた。母親の年齢の影響は認められなかった。6.初診時における同胞数は2人が最も多く,出生順位は高位の者が多かった。末子である比率は66.9%であった。7.片側性唇顎口蓋裂患者の上顎歯列弓セグメントの接触状態は,接触型81.4%,遊離型11.8%,重複型6.8%であった。8.1歯以上の反対対咬(いわゆるクロスバイト)がある者は84.6%であった。反対対咬は前歯と破裂部位に隣接する歯牙に高頻度であった。乳歯列より永久歯列の方が反対対咬を呈する歯牙が多かった。9.当科受診後,矯正治療を受けなかった者の割合は,唇裂患者の23.3%,ロ蓋裂患者の21.6%,唇顎裂患者の16.7%,唇顎裂患者の11.8%であった。
Clinico-statistical analyses were carried out on 996 patients (525 males and 471 females) with cleft lip and/or palate in the Orthodontic Clinic, Kyushu University Dental Hospital, during about 19 years from August 1970 to December 1988. The findings were as follows: 1. The peak of the age of the patients at first visit to our Orthodontic clinic was 3 years old. 2. Distributions of cleft type were; cleft lip (CL) 6.0 %, cleft lip and jaw (CUJ) 17.4 %, cleft lip and palate (CLP) 59.8 %, isolated cleft palate (CP) 16.8 %. 3. Distributions of cleft site were; bilateral cleft 18.6 %, left side cleft 53.4 %, right side cleft 27.6 %. 4. Sex ratio (male: female) were; CL 1.4: 1, CLJ 1: 1, CLP 1.5: 1, CP 1: 2.4. 5. The occurence of the premature delivery (36 weeks and less) was significantly higher than of Japanese general subjects (p<0.05). There was no significant difference in the means of birth weight, birth height and mother's age. 6. The most frequent number of siblings was two (55.1 %). The rate of the first and second children in the birth rank was 85.8 % and the rate of the last child was 66.9 %. 7. Arch form in unilateral cleft lip and palate were; Overlap of alveolar processes 6.8 % Butt-joint contact between alveolar processes 81.4 % No contact between alveolar processes 11.8 % 8. The prevalence of cross-bite was 84.6 % in all patients,87.9 % in unilateral cleft lip and palate patients,94.0 % in bilateral cleft lip and palate paatients. 9. The rate of patients who rejected the orthodontic treatment were; 23.3 % in CL,16.7 % in CLJ,11.8 % in CLP,21.6 % in CP patients.
Author WATANABE, Mieko
TAKAHAMA, Yasuhide
KOUNO, Kintiko
SUZUKI, Akira
MUKAI, You
KONDOU, Yukiko
OHMIZO, Noritaka
Author_FL 大溝 法孝
鈴木 陽
渡辺 美恵子
近藤 由紀子
河野 紀美子
向井 陽
高濱 靖英
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15)夏目長門, 近藤和彦, 山本宇津実他: 愛知学院大学歯学部第2口腔外科学教室における口唇・口蓋裂患者の実態調査-昭和56年度入院症例を中心とした調査-. 日口蓋誌, 8: 143-155, 1983.
10)赤坂庸子: 唇, 顎, 口蓋裂の成因に関する統計学的ならびに細胞遺伝学的研究. 人遺誌, 15: 35-96, 1970.
11)田中俊彦: 口唇・顎・口蓋裂の臨床遺伝学的ならびに疫学的研究人遺誌, 16: 278-308, 1972.
12)本田光徳: 唇・顎・口蓋裂患者の臨床的研究(1)統計的観察. 日口蓋誌, 3: 50-59, 1978.
4)佐藤康守, 林幸則, 中川皓文他: 川崎医科大学附属病院矯正歯科における唇顎口蓋裂患者の受診状態について(その1). -矯正歯科開設にいたるまでの約9年間の臨床統計的観察-日口蓋誌, 11: 238-248, 1986.
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13)中山健太郎: 小児科学第5版181, 文光堂, 東京, 1985.
2)武内豊, 永坂信, 高橋雅一他: 北海道大学歯学部附属病院矯正科における唇顎口蓋裂患者の受診状態について. 日口蓋誌. 9: 166-171, 1984.
9)讃井善治: 口唇裂・口蓋裂の臨床統計的ならびに遺伝学的研究. 人遺誌, 7: 194-233, 1962.
7)宮崎正, 小浜源郁, 手島貞一他: 我が国における口唇裂口蓋裂の発生率について. 日口蓋誌, 10: 191-195, 1985.
3)北林治義, 大塚純正, 柴崎好伸他: 昭和大学歯科病院矯正科における開設以来過去3年間の口蓋裂患者の受診状態について. 日口蓋誌, 7: 93-98, 1982.
17)山城正宏, 儀澗裕, 本村和弥他: 口唇裂口蓋裂の臨床的研究-第2報, 過去8年問の統計的観察-. 日口蓋誌, 9: 48-55, 1984.
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16)今井智子, 鈴木規子, 山下夕香里他: 最近2年間における関東地区の口唇口蓋裂の発生状況について. 日口蓋誌, 9: 148-158, 1984.
1) Pruzansky, S. and Aduss, H.: Prevalence of arch collapse and malocclusion in complete unilateral cleft lip and palate. Trans. Europ. Orthodont. Soc.. 43: 365-382. 1967.
18)糟谷政代, 平岩清貴, 西正寛他: 唇顎口蓋裂児の身体測定と生物学的年齢. 日口蓋誌, 9: 25-34, 1984.
14)厚生統計協会: 国民衛生の動向. 厚生の指標, 544号: 48-51, 1988.
References_xml – reference: 14)厚生統計協会: 国民衛生の動向. 厚生の指標, 544号: 48-51, 1988.
– reference: 2)武内豊, 永坂信, 高橋雅一他: 北海道大学歯学部附属病院矯正科における唇顎口蓋裂患者の受診状態について. 日口蓋誌. 9: 166-171, 1984.
– reference: 11)田中俊彦: 口唇・顎・口蓋裂の臨床遺伝学的ならびに疫学的研究人遺誌, 16: 278-308, 1972.
– reference: 1) Pruzansky, S. and Aduss, H.: Prevalence of arch collapse and malocclusion in complete unilateral cleft lip and palate. Trans. Europ. Orthodont. Soc.. 43: 365-382. 1967.
– reference: 4)佐藤康守, 林幸則, 中川皓文他: 川崎医科大学附属病院矯正歯科における唇顎口蓋裂患者の受診状態について(その1). -矯正歯科開設にいたるまでの約9年間の臨床統計的観察-日口蓋誌, 11: 238-248, 1986.
– reference: 5)鬼塚卓弥: 唇裂(兎唇). 東京, 1972, 金原出版, 3.
– reference: 7)宮崎正, 小浜源郁, 手島貞一他: 我が国における口唇裂口蓋裂の発生率について. 日口蓋誌, 10: 191-195, 1985.
– reference: 8)作田守: 口蓋裂の基礎と臨床-顔面の成長を中心に-, 日矯歯誌, 37: 139-160, 1978.
– reference: 13)中山健太郎: 小児科学第5版181, 文光堂, 東京, 1985.
– reference: 18)糟谷政代, 平岩清貴, 西正寛他: 唇顎口蓋裂児の身体測定と生物学的年齢. 日口蓋誌, 9: 25-34, 1984.
– reference: 15)夏目長門, 近藤和彦, 山本宇津実他: 愛知学院大学歯学部第2口腔外科学教室における口唇・口蓋裂患者の実態調査-昭和56年度入院症例を中心とした調査-. 日口蓋誌, 8: 143-155, 1983.
– reference: 9)讃井善治: 口唇裂・口蓋裂の臨床統計的ならびに遺伝学的研究. 人遺誌, 7: 194-233, 1962.
– reference: 16)今井智子, 鈴木規子, 山下夕香里他: 最近2年間における関東地区の口唇口蓋裂の発生状況について. 日口蓋誌, 9: 148-158, 1984.
– reference: 17)山城正宏, 儀澗裕, 本村和弥他: 口唇裂口蓋裂の臨床的研究-第2報, 過去8年問の統計的観察-. 日口蓋誌, 9: 48-55, 1984.
– reference: 12)本田光徳: 唇・顎・口蓋裂患者の臨床的研究(1)統計的観察. 日口蓋誌, 3: 50-59, 1978.
– reference: 3)北林治義, 大塚純正, 柴崎好伸他: 昭和大学歯科病院矯正科における開設以来過去3年間の口蓋裂患者の受診状態について. 日口蓋誌, 7: 93-98, 1982.
– reference: 6)大村由美子, 高田保之, 香林正治他: 金沢医科大学病院矯正歯科における唇顎口蓋裂患者の統計的観察. 日口蓋誌, 9: 159-165, 1984.
– reference: 10)赤坂庸子: 唇, 顎, 口蓋裂の成因に関する統計学的ならびに細胞遺伝学的研究. 人遺誌, 15: 35-96, 1970.
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Snippet Clinico-statistical analyses were carried out on 996 patients (525 males and 471 females) with cleft lip and/or palate in the Orthodontic Clinic, Kyushu...
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StartPage 159
SubjectTerms arch form
cleft lip and/or palate
clinical statistics
cross-bite
反対咬合
口唇裂口蓋裂
歯列弓形態
臨床統計
Title Clinical Statistics on Patients with Cleft Lip and/or Palate for 19 years in the Orthodontic Clinic, Kyushu University
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