02 Original 2011(1)-10web1.dent.cmu.ac.th/cmdj/fulltext/fulltext_2554_32_1_285.pdf¡. ∑—πµ...

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º≈°√–∑∫®“°§«“¡Àπ“√‘¡Ω望°µàÕº≈¢Õß°“√ª≈Ÿ° °√–¥Ÿ°‡∫â“øíπ„πºŸâªÉ«¬ª“°·À«à߇楓π‚À«à¥â“π‡¥’¬« ·∫∫¡∫Ÿ√≥å: √–‡∫’¬∫«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå Effects of Lip Thickness on Alveolar Bone Grafting Outcomes in Patients with Complete Unilateral Cleft Lip and Palate: Finite Element Analysis »‘√‡»√…∞å ¡ß§≈Õÿª∂—¡¿å 1 , ∏ß™—¬ øÕß¡ÿ∑√ 2 , ¡“√»√’ ™—¬«√«‘∑¬å°ÿ≈ 3 1 π—°»÷°…“À≈—ߪ√‘≠≠““¢“∑—πµ°√√¡®—¥øíπ ¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à 2 ¿“§«‘™“«‘»«°√√¡‡§√◊ËÕß°≈ §≥–«‘»«°√√¡»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à 3 ¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à Siraseth Mongkolupatham 1 , Thongchai Fongsamootr 2 , Marasri Chaiworawitkul 3 1 Postgraduate student in Orthodontics, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University 2 Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University 3 Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University ™¡.∑—πµ“√ 2554; 32(1) : 93-103 CM Dent J 2011; 32(1) : 93-103 Corresponding Author: ¡“√»√’ ™—¬«√«‘∑¬å°ÿ≈ ºŸâ™à«¬»“µ√“®“√¬å ¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡ ”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à Marasri Chaiworawitkul Assistant Professor, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand. E-Mail: [email protected] ∫∑«‘∑¬“°“√ Original Article ∫∑§—¥¬àÕ ß“π«‘®—¬π’È ‡ªìπ°“√»÷°…“π”√àÕ߇æ◊ËÕÀ“§«“¡ —¡æ—π∏å¢Õߧ«“¡Àπ“√‘¡Ω望°·≈–º≈¢Õß°“√ª≈Ÿ° °√–¥Ÿ°‡∫â“øíπ„πºŸâªÉ«¬ª“°·À«à߇楓π‚À«à¥â“π‡¥’¬« ·∫∫¡∫Ÿ√≥å ‚¥¬Õ“»—¬¿“æ√—ß’ 2 ™π‘¥ §◊Õ ¿“æ√—ß’ °—¥∫ ·≈–¿“æ√—ß’°–‚À≈°»’√…–¥â“π¢â“ߢÕߺŸâªÉ«¬ 10 √“¬ °àÕπ°“√ª≈Ÿ°°√–¥Ÿ°‡∫â“øíπ 1 ‡¥◊Õπ·≈–À≈—ß °“√ª≈Ÿ°°√–¥Ÿ° 1 ªï ‚¥¬«—¥°“√‡ª≈’ˬπ·ª≈ßÕ—µ√“à«π §«“¡Ÿß¢Õß°√–¥Ÿ°∑’˪≈Ÿ° ·≈–„™â«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå “¡¡‘µ‘‡æ◊ËÕÀ“§«“¡—¡æ—π∏å¢Õߧ«“¡Àπ“√‘¡Ω望° Abstract Objective of this pilot study was to define a relationship of upper lip thickness and alveolar bone grafting outcomes in patients with complete unilateral cleft lip and palate. Occlusal topographic radiographs and lateral cephalo- grams, at 1 month and 1 year after alveolar bone grafting of 10 patients were assessed to evaluate changes of grafted bone height percentages. Three-dimensional finite element models were

Transcript of 02 Original 2011(1)-10web1.dent.cmu.ac.th/cmdj/fulltext/fulltext_2554_32_1_285.pdf¡. ∑—πµ...

  • º≈°√–∑∫®“°§«“¡Àπ“√‘¡Ω望°µàÕº≈¢Õß°“√ª≈Ÿ° °√–¥Ÿ°‡∫â“øíπ„πºŸâªÉ«¬ª“°·À«à߇楓π‚À«à¥â“π‡¥’¬«

    ·∫∫¡∫Ÿ√≥å: √–‡∫’¬∫«‘∏’ ‰ø‰π∑å ‡Õ≈‘‡¡πµå Effects of Lip Thickness on Alveolar Bone Grafting

    Outcomes in Patients with Complete Unilateral Cleft Lip and Palate: Finite Element Analysis

    »‘√‡»√…∞å ¡ß§≈Õÿª∂—¡¿å1, ∏ß™—¬ øÕß¡ÿ∑√2, ¡“√»√’ ™—¬«√«‘∑¬å°ÿ≈3 1π—°»÷°…“À≈—ߪ√‘≠≠““¢“∑—πµ°√√¡®—¥øíπ ¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à

    2¿“§«‘™“«‘»«°√√¡‡§√◊ËÕß°≈ §≥–«‘»«°√√¡»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à 3¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à

    Siraseth Mongkolupatham1, Thongchai Fongsamootr2, Marasri Chaiworawitkul3 1Postgraduate student in Orthodontics, Department of Orthodontics and Pediatric Dentistry,

    Faculty of Dentistry, Chiang Mai University2Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University

    3Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University

    ™¡.∑—πµ“√ 2554; 32(1) : 93-103 CM Dent J 2011; 32(1) : 93-103

    Corresponding Author:

    ¡“√»√’ ™—¬«√«‘∑¬å°ÿ≈ ºŸâ™à«¬»“µ√“®“√¬å ¿“§«‘™“∑—πµ°√√¡®—¥øíπ·≈–∑—πµ°√√¡ ”À√—∫‡¥Á° §≥–∑—πµ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à

    Marasri ChaiworawitkulAssistant Professor, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand.E-Mail: [email protected]

    ∫∑«‘∑¬“°“√ Original Article

    ∫∑§—¥¬àÕ ß“π«‘®—¬π’È ‡ªìπ°“√»÷°…“π”√àÕ߇æ◊ËÕÀ“§«“¡

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    10 √“¬ °àÕπ°“√ª≈Ÿ°°√–¥Ÿ°‡∫â“øíπ 1 ‡¥◊Õπ·≈–À≈—ß

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    §«“¡Ÿß¢Õß°√–¥Ÿ°∑’˪≈Ÿ° ·≈–„™â«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå

    “¡¡‘µ‘‡æ◊ËÕÀ“§«“¡—¡æ—π∏å¢Õߧ«“¡Àπ“√‘¡Ω望°

    Abstract Objective of this pilot study was to define a

    relationship of upper lip thickness and alveolar

    bone grafting outcomes in patients with complete

    unilateral cleft lip and palate. Occlusal

    topographic radiographs and lateral cephalo-

    grams, at 1 month and 1 year after alveolar bone

    grafting of 10 patients were assessed to evaluate

    changes of grafted bone height percentages.

    Three-dimensional finite element models were

  • 94 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554 95 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554

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    √–¬–ª∞¡¿Ÿ¡‘ √–¬–∑ÿµ‘¬¿Ÿ¡‘·≈–√–¬–µµ‘¬¿Ÿ¡‘ (Primary,

    secondary and tertiary bone graft) °“√ª≈Ÿ°°√–¥Ÿ°

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    °“√¢¬“¬¢“°√√‰°√∫π‡æ◊ ËÕªÑÕß°—π°“√¬ÿ∫µ—«¢Õߢ“

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    ‡∫â“øíπ

    §””§—≠: ª“°·À«à߇楓π‚À«à, §«“¡Àπ“√‘¡Ω望°,

    ‰ø‰π∑å ‡Õ≈‘‡¡πµå

    created to reveal a relationship of lip thickness

    and force loaded on the maxilla. The results

    showed a statistically significant correlation

    between lip thickness and postsurgical graft

    alveolar bone height ratio: the less lip thickness,

    the less alveolar bone graft height remaining.

    Moreover, a finite element study result also

    indicated that the less lip thickness, the more

    loaded force on maxilla. These concluded that lip

    thickness might be a factor affecting alveolar

    bone grafting outcomes.

    Keywords: Cleft, Lip thickness, Finite element

  • 94 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554 95 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554

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    ®“°π—Èππ”·∫∫®”≈Õß√‘¡Ω望°¥—ß°≈à“«‰ª«‘‡§√“–Àå¥â«¬

    ‚ª√·°√¡ FEMap 9.0 °“√«‘‡§√“–Àå‡√‘ Ë¡®“°°”Àπ¥

    ‚Àπ¥‡Õ≈‘‡¡π∑å (element) ·≈–§ÿ≥¡∫—µ‘°“¬¿“æ„Àâ°—∫

    ·∫∫®”≈Õß√‘¡Ω望°(31,32) °”Àπ¥®ÿ¥¬÷¥·πà𵓬µ—«∑’Ë

    ∫√‘‡«≥¥â“π„°≈â‡æ¥“π¢Õß√‘¡Ω望° √â“ß¿“√–·√ß

    (load) ∑’Ë¡ÿ¡ª“°∑”¡ÿ¡ 30 Õß»“°—∫·π«§«“¡¬“«¢Õß√‘¡

    Ω望° ‚¥¬°”Àπ¥¿“√–·√ß“¡√–¥—∫ §◊ÕπâÕ¬ °≈“ß

    ·≈–¡“° π”º≈≈—æ∏å∑’ˉ¥â®“°¿“√–·√ß∑—Èß“¡√–¥—∫∑’Ë¡’

    ∑‘»™’ȉª¥â“π‡æ¥“π¡“À“§à“‡©≈’ˬ ·≈–π”§à“¥—ß°≈à“«‰ª

    √â“ß¿“√–·√ß„Àâ°—∫·∫∫®”≈Õߢ“°√√‰°√∫π‡æ◊ËÕ«‘‡§√“–Àå

    §«“¡‡ª≈’ˬπ·ª≈ß∑’ˇ°‘¥¢÷Èπ¥â«¬«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå µàÕ

    ‰ª

    ¢—ÈπµÕπ°“√»÷°…“ ¿“æ∂à“¬√—ß’√—ß’°–‚À≈°»’√…–¥â“π¢â“ß·≈–¿“æ

    √—ß’°—¥∫¢Õß°≈ÿࡵ—«Õ¬à“ß∑—Èß 10 §π ∂Ÿ°π”¡“≈Õ°≈“¬

    ¿“æ‚¥¬ºŸâ™”π“≠ 1 ∑à“π ·≈–«—¥¿“æ≈Õ°≈“¬¥—ß°≈à“«

    ‡æ◊ËÕÀ“§à“‡©≈’ˬ ‚¥¬«—¥´È” 2 §√—Èß„π√–¬–‡«≈“∑’˵à“ß°—π

    Õ¬à“ßπâÕ¬ 7 «—π °“√ª√–‡¡‘π‚¥¬°“√«—¥¿“æ√—ß’·µà≈–

    §√—Èß°√–∑”‚¥¬ºŸâ™”π“≠ 1 §π ´÷Ëß°“√«—¥√–¬–¿“æ√—ß’

    ·µà≈–¿“æµâÕß¡’§«“¡·µ°µà“ߢÕß°“√«—¥µâÕ߉¡à‡°‘π 0.5

    ¡.¡. ¡‘©–π—Èπ°“√®–∑”«—¥§√—Èß∑’Ë“¡·≈â«π”‰ªÀ“§à“‡©≈’ˬ

    ¢Õß¿“æ√—ß’π—Èπ ¿“æ∂à“¬√—ß’√—ß’°–‚À≈°»’√…–¥â“π¢â“ß

    ®–π”¡“«—¥§«“¡Àπ“¢Õß√‘¡Ω望°‚¥¬«‘∏’¢Õß Filho

    ·≈–§≥–(8) ‚¥¬≈“°‡âπ N-Pog §«“¡Àπ“¢Õß√‘¡Ω望°

    À“§à“‚¥¬«—¥√–¬–®“°¢Õ∫√‘¡Ω望° (vermillion border)

    µ—Èß©“°¡“¬—߇âπ¥—ß°≈à“«®√¥º‘«øíπ¥â“π„°≈â√‘¡Ω望°

    (√Ÿª∑’Ë 2)

    √Ÿª∑’Ë 2 °“√«—¥§«“¡Àπ“√‘¡Ω望° (¥—¥·ª≈ß®“° Filho

    ·≈–§≥–) Figure 2 Measurement of upper lip thickness : a)

    Illustrated N-Pog line and a line tangent

    to it, b) Lip thickness measurement in

    lateral cephalometric radiographs

    (modified from Filho et al. 2003)(8)

    ¿“æ√—ß’°—¥∫∂Ÿ°π”¡“ª√–‡¡‘π‚¥¬¥—¥·ª≈ß®“°«‘∏’

    ¢Õß Long ·≈–§≥–(16) ‚¥¬≈“°‡âπ·∫àߧ√÷Ëß√“°øíπµ“¡

    ·π«·°πøíπ ≈“°‡âπ¡¡ÿµ‘‡™◊ËÕ¡√–À«à“ߪ≈“¬√“°øíπ

    ∑—ÈßÕß∑’ËÕ¬Ÿà√–À«à“ß™àÕß‚À«à ®“°π—Èπ≈“°‡âπ¡¡ÿµ‘‡™◊ËÕ¡

    °÷Ëß°≈“߬եøíπ ·∫àߧ√÷Ë߇âπ¡¡ÿµ‘∑—ÈßÕß·≈â«≈“°‡âπ

    ‡™◊ËÕ¡√–À«à“ß®ÿ¥·∫àߧ√÷Ëß∑—ÈßÕߥ—ß°≈à“« «—¥√–¬–®“°®ÿ¥

    °÷Ëß°≈“ߢÕ߇âπ∑’ˇ™◊ËÕ¡ª≈“¬√“°øíπ¡“¬—ß—π°√–¥Ÿ° ®–

    ‰¥â√–¬–§«“¡Ÿß¢Õß°√–¥Ÿ° ®“°π—Èππ”§à“∑’ˉ¥â‰ªÀ“√

  • 98 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554 99 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554

    ¥â«¬§«“¡¬“«¢Õßøíπµ—¥´’Ë°≈“ß ®–‰¥â√âÕ¬≈–Õ—µ√“à«π

    ¢Õß√–¥—∫§«“¡Ÿß°√–¥Ÿ°∑’Ë≈¥≈ß (√Ÿª∑’Ë 3)

    À≈—ß®“°«‘‡§√“–Àå¿“√–·√ß°√–∑”¥â«¬«‘∏’‰ø‰π∑å ‡Õ

    ≈‘‡¡πµå·≈â« ·√ß≈—æ∏å∑’ˉ¥â®–∂Ÿ°π”‰ª§”π«≥‡æ◊ËÕÀ“§à“

    π‘«µ—πµàÕæ◊Èπ∑’Ë ‚¥¬§”π«≥®“°·√ß≈—æ∏å∫π‚Àπ¥ 10

    ‚Àπ¥ æ◊Èπ∑’Ë∑’˧√Õ∫§≈ÿ¡‚Àπ¥¥—ß°≈à“«®–∂Ÿ°«—¥«à“¡’æ◊Èπ∑’Ë

    ‡∑à“„¥ ®“°π—Èππ”·√ß≈—æ∏å∑’Ë°√–∑”∫πæ◊Èπ∑’Ë¥—ß°≈à“«¡“

    §”π«≥À“§à“‡©≈’ˬ ·≈–𔉪§”π«≥„π¢—ÈπµÕπµàÕ‰ª

    ª√‘¡“≥§à“‡©≈’ˬ·√ß≈—æ∏å´÷Ëß¡’Àπ૬‡ªìπ π‘«µ—πµàÕ

    æ◊Èπ∑’Ë ®“°¿“√–·√ß°√–∑”∑—Èß 3 §à“¥—ß°≈à“« ∂Ÿ°π”‰ª„™â

    ‡ªìπ·√ß°√–∑”¢Õß·∫∫®”≈Õß°√–¥Ÿ°¢“°√√‰°√∫π ·∫∫

    ®”≈Õß™‘Èππ’È∂Ÿ°¬÷¥µ“¬µ—«∑’Ë∫√‘‡«≥¥â“πÀ≈—ߥâ“π∫π ‰°≈

    ®“°æ◊Èπ∑’Ë∑’Ë„à¿“√–·√ß (√Ÿª∑’Ë 5) ·√ß°√–∑”∑—Èß 3 √–¥—∫

    ‰¥â·°à ·√߇∫“ ª“π°≈“ß·≈–Àπ—°∂Ÿ°„à„π∑‘»∑“ߥ—π¢“

    °√√‰°√‰ª∑“ߥâ“πÀ≈—ß (¥â“π‡æ¥“π) ®“°π—È𫑇§√“–Àå

    º≈≈—æ∏å¥â«¬«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå

    √Ÿª∑’Ë 3 °“√«—¥Õ—µ√“à«π¢Õß√–¥—∫§«“¡Ÿß°√–¥Ÿ° (¥—¥

    ·ª≈ß®“° Long ·≈–§≥–) Figure 3 Measurement of grafted bone height

    ratio (Modified from Long, 1995)(16)

    °“√«‘‡§√“–Àå∑“ß∂‘µ‘ °“√§”π«≥§«“¡Àπ“√‘¡Ω望°·≈–Õ—µ√“à«π¢Õß

    √–¥—∫§«“¡Ÿß°√–¥Ÿ°„π™àÕß‚À«à„™â∂‘µ‘·∫∫æ√√≥π“

    «‘∏’°“√«—¥§«“¡Àπ“√‘¡Ω望°„π¿“æ∂à“¬√—ß’√—ß’°–‚À≈°

    »’√…–¥â“π¢â“ß®–∂Ÿ°π”¡“À“§à“‡©≈’ˬº≈µà“ß√–À«à“ߧà“

    ‡©≈’ˬ¢ÕßÕߪ√–™“°√·∫∫®—∫§Ÿà (Paired t-test) §«“¡

    —¡æ—π∏å¢Õߧ«“¡Àπ“√‘¡Ω望°°—∫Õ—µ√“à«π§«“¡Ÿß

    °√–¥Ÿ°„π™àÕß‚À«à„™â§à“—¡ª√–‘∑∏‘ÏÀ—¡æ—π∏å (correlation

    coefficient) ™π‘¥ Kendall’s Tau ‚¥¬∑—ÈßÀ¡¥„™â

    ‚ª√·°√¡§”π«≥∂‘µ‘”‡√Á®√Ÿª

    °“√»÷°…“¥â«¬‰ø‰π∑å ‡Õ≈‘‡¡πµå

    ¢—Èπ·√°√â“ß·∫∫®”≈Õß√‘¡Ω望°´÷Ëß∂Ÿ°√â“ߢ÷Èπ¥â«¬

    ‚ª√·°√¡√â“ß¿“æ«—µ∂ÿ 3 ¡‘µ‘ °”Àπ¥®ÿ¥¬÷¥µ“¬µ—«∑’˺‘«

    √‘¡Ω望°¥â“π„°≈â‡æ¥“π ·√ß°√–∑”∂Ÿ°°”Àπ¥„Àâ∑’Ë¡ÿ¡

    ª“°∑”¡ÿ¡ 30 Õß»“°—∫·π«¬“«¢Õß√‘¡Ω望° (√Ÿª∑’Ë 4)

    ·√ß°√–∑”∑’Ë„Àâ¡’ª√‘¡“≥µà“ß°—π 3 √–¥—∫ °≈à“«§◊Õ ·√ß

    ‡∫“¡’§à“ 599.02 π‘«µ—π ·√ߪ“π°≈“ß¡’§à“ 1,118 π‘«µ—π

    ·≈–·√ßÀπ—°¡’§à“ 1,677.1 π‘«µ—π

    √Ÿª∑’Ë 4 ·∫∫®”≈Õ߉ø‰π∑å‡Õ≈‘‡¡πµå¢Õß √‘¡Ω望° „Àâ·√ß

    ∑”¡ÿ¡ 30 Õß»“ Figure 4 Finite element’s lip model with loaded

    forces at 30 degrees.

    √Ÿª∑’Ë 5 º≈≈—æ∏å∑’ˉ¥â®“°°“√°”Àπ¥·√ß∑”¡ÿ¡ 30 Õß»“

    —߇°µ·√ß≈—æ∏å¡’∑‘»‰ª¥â“π‡æ¥“π Figure 5 Palatal direction of lip force after 30-

    degree force load.

  • 98 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554 99 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554

    º≈°“√»÷°…“ °“√»÷°…“¿“æ∂à“¬√—ß’

    §«“¡Àπ“√‘¡Ω望°°àÕπ·≈–À≈—ߪ≈Ÿ°°√–¥Ÿ°¡’§à“

    ‡©≈’ˬ 12.8 ·≈– 13.5 ¡.¡. µ“¡≈”¥—∫ ·¡â«à“§à“‡©≈’ˬÀ≈—ß

    °“√ª≈Ÿ°°√–¥Ÿ°®–‡æ‘Ë¡¢÷Èπ 0.7 ¡.¡. ·µà‡¡◊ËÕ𔉪À“

    §”π«≥À“º≈µà“ß√–À«à“ß§à“‡©≈’ˬ¢ÕßÕߪ√–™“°√·∫∫

    ®—∫§Ÿà ‰¡àæ∫§«“¡·µ°µà“ßÕ¬à“ß¡’𗬔§—≠∑’Ë P=0.05

    Õ—µ√“à«π¢Õß√–¥—∫§«“¡Ÿß°√–¥Ÿ°≈¥≈ß √âÕ¬≈– 34.35

    ¿“¬À≈—ߪ≈Ÿ°°√–¥Ÿ°‰ª 1 ªï Õ—µ√“°“√≈¥≈ߟßÿ¥Õ¬Ÿà∑’Ë

    √âÕ¬≈– 103.5 ·≈–µË”ÿ¥∑’Ë √âÕ¬≈– 0.49 ·≈–æ∫«à“¡’°“√

    ≈¥≈ßÕ¬à“ß¡’𗬔§—≠∑’Ë P=0.05 (µ“√“ß∑’Ë 1)

    µ“√“ß∑’Ë 1 Õ—µ√“à«π¢Õß√–¥—∫§«“¡Ÿß°√–¥Ÿ°À≈—ߪ≈Ÿ° 1

    ‡¥◊Õπ·≈– 1 ªï Table 1 Percentages of bone height remaining

    after 1 month and 1 year after grafting.

    ≈”¥—∫ À≈—ß 1 ‡¥◊Õπ (%) À≈—ß 1 ªï (%) ≈¥≈ß (%)

    1 134.62 31.11 -103.50

    2 55.56 37.29 -18.27

    3 75.76 44.44 -31.31

    4 48.98 46.94 -2.04

    5 86.79 42.86 -43.94

    6 67.39 13.33 -54.06

    7 -19.51 -20.00 -0.49

    8 24.00 18.00 -6.00

    9 61.54 52.00 -9.54

    10 107.69 33.33 -74.36

    ‡©≈’ˬ 64.282 29.93 -34.35

    °“√«‘‡§√“–Àå—¡ª√–‘∑∏‘ÏÀ—¡æ—π∏å

    À≈—ß®“°«‘‡§√“–Àå¢âÕ¡Ÿ≈¥â«¬‚ª√·°√¡«‘‡§√“–Àå

    ¢âÕ¡Ÿ≈∂‘µ‘ ‡æ◊ËÕÀ“§«“¡—¡æ—π∏å√–À«à“ߧ«“¡Àπ“√‘¡

    Ω望°°—∫Õ—µ√“à«π¢Õß√–¥—∫§«“¡Ÿß°√–¥Ÿ°¥â«¬∂‘µ‘

    Kendall’s Tau æ∫«à“¡’§«“¡—¡æ—π∏å√–¥—∫ª“π°≈“ß∑’Ë

    §à“ª√–‘∑∏‘¿“槫“¡—¡æ—π∏å 0.566 ∑’Ë P-value 0.025

    °“√»÷°…“¥â«¬«‘∏’‰ø‰π∑å ‡Õ≈‘‡¡πµå

    º≈∑’ˉ¥â®“°°“√«‘‡§√“–Àå·∫∫®”≈Õß√‘¡Ω望°‚¥¬„Àâ

    ·√ß°√–∑” 30 Õß»“∑’Ë¡ÿ¡ª“° æ∫«à“·√ß≈—æ∏å¡’∑‘»∑“߉ª

    ¥â“π‡æ¥“π ‚¥¬·√ß°√–∑”‡∫“¡’·√ß≈—æ∏宓° 10 ‚Àπ¥

    √«¡ 719.6871 π‘«µ—π æ◊Èπ∑’˧√Õ∫§≈ÿ¡ 10 ‚Àπ¥¥—ß°≈à“«

    ¡’¢π“¥ 1.74 µ√¡¡. ¥—ßπ—Èπª√‘¡“≥·√ßµàÕæ◊Èπ∑’Ë®÷߇∑à“°—∫

    413.61328 π‘«µ—πµàÕµ√¡¡. ·≈–‡¡◊ËÕπ”·√ß°√–∑”π’ȉª„à

    „π·∫∫®”≈Õߢ“°√√‰°√∫π æ∫«à“¡’°“√‡§≈◊ËÕπ∑’Ë¢Õß

    °√–¥Ÿ°¢“°√√‰°√¡“°∑’Ëÿ¥‡∑à“°—∫ 1.505848 ¡.¡. (√Ÿª∑’Ë 6)

    ·∫∫®”≈Õß√‘¡Ω望°¿“√–·√ß°√–∑”ª“π°≈“ß∂Ÿ°

    §”π«≥∑’Ë∂“𖇥’¬«°—π ·√ß≈—æ∏å∑’ˉ¥â‡∑à“°—∫ 870.62338

    π‘«µ—πÀ√◊Õ 500.3582644 π‘«µ—πµàÕµ√¡¡. ·≈–‡¡◊ËÕπ”·√ß

    °√–∑”‰ª„à„Àâ°—∫·∫∫®”≈Õߢ“°√√‰°√∫π·≈â« æ∫«à“¡’

    °“√‡§≈◊ËÕπ∑’Ë¢Õß‚Àπ¥¡“°∑’Ëÿ¥‡∑à“°—∫ 1.821663 ¡.¡.

    (√Ÿª∑’Ë 6)

    ·∫∫®”≈Õß√‘¡Ω望°¿“√–·√ß°√–∑”Àπ—°∂Ÿ°§”π«≥

    ∑’Ë∂“𖇥‘¡‡™àπ‡¥’¬«°—π ·√ß≈—æ∏å∑’ˉ¥â‡∑à“°—∫ 4,141.923

    π‘«µ—π À√◊Õ 2,380.415517 π‘«µ—πµàÕµ√.¡¡. ·≈–‡¡◊ËÕπ”

    ·√ß°√–∑”‰ª„à„Àâ°—∫·∫∫®”≈Õߢ“°√√‰°√∫π·≈â« æ∫

    «à“¡’°“√‡§≈◊ËÕπ∑’Ë¢Õß‚Àπ¥¡“°∑’Ëÿ¥‡∑à“°—∫ 8.66643 ¡.¡.

    (√Ÿª∑’Ë 6)

    √Ÿª∑’Ë 6 °“√‡’¬√Ÿª¢Õß·∫∫®”≈Õߢ“°√√‰°√∫π∑’Ë¿“√–·√ß

    ‡∫“ ª“π°≈“ß·≈–Àπ—°µ“¡≈”¥—∫ Figure 6 Displacement of cleft maxilla models

    after light, medium and heavy load.

  • 100 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554 101 CM Dent J Vol. 32 No. 1 January-June 2011™¡. ∑—πµ“√ ªï∑’Ë 32 ©∫—∫∑’Ë 1 ¡.§.-¡‘.¬. 2554

    ∫∑«‘®“√≥å °“√»÷°…“§√—Èßπ’ȇæ◊ËÕª√–‡¡‘π¿“æ√—ß’°–‚À≈°»’√…–

    ¥â“π¢â“ß·≈–¿“æ√—ß’°—¥∫¢ÕߺŸâªÉ«¬ª“°·À«à߇楓π

    ‚À«à´÷Ë߉¥â√—∫°“√ª≈Ÿ°∂à“¬°√–¥Ÿ° ‚¥¬‡ªìπ¿“æ√—ß’ 2 ¡‘µ‘

    ∑’ Ë„™â°—π·æ√àÀ≈“¬ ·¡â«à“¿“æ√—ß’ 3 ¡‘µ‘®–‰¥â√—∫°“√

    ¬Õ¡√—∫«à“·¡à𬔰«à“ ·µà°“√„™âß“π¬—߉¡à‡ªìπ∑’Ë·æ√à

    À≈“¬π—° ·≈–„𧫓¡‡ªìπ®√‘ß¿“æ√—ß’ 2 ¡‘µ‘¬—ß¡’°“√„™â

    ß“π„π°“√∂à“¬¿“æ√—ß’∑—Ë«‰ª(33) ªí≠À“∑’Ëæ∫„π°“√»÷°…“

    §√—Èßπ’ȧ◊Õ¿“æ√—ß’‰¡à™—¥‡®π ∑”„À⺟⫑®—¬«—¥√–¬–∑“߉¥â

    §≈“¥‡§≈◊ËÕπ ºŸâ«‘®—¬‰¥â欓¬“¡≈¥§«“¡º‘¥æ≈“¥∑’ˇ°‘¥

    ¢÷Èπ¥â«¬°“√«—¥√–¬–∑“ß¿“æ√—ß’´È”Õߧ√—Èß ·≈–À“°¡’

    §à“·µ°µà“ß°—π¡“°°«à“ 0.5 ¡¡. ºŸâ«‘®—¬®–«—¥§√—Èß∑’Ë“¡

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    „π°“√»÷°…“§√—Èßπ’È æ∫°“√≈–≈“¬¢Õß°√–¥Ÿ°∑’˪≈Ÿ°

    ≈¥≈ßÀ≈“¬√–¥—∫ µ—Èß·µà√âÕ¬≈– 0.49 ∂÷ß 103.50 ´÷Ëß

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    °‘µµ‘°√√¡ª√–°“» ºŸâ·µàߢբÕ∫§ÿ≥§≥–·æ∑¬»“µ√å ·≈–§≥–∑—πµ

    ·æ∑¬»“µ√å ¡À“«‘∑¬“≈—¬‡™’¬ß„À¡à ∑’ˇÕ◊ÈÕ‡øóôÕ¢âÕ¡Ÿ≈

    ·≈–ª√–«—µ‘ºŸâªÉ«¬ √«¡∑—Èß Professor Kevin O Carroll

    ∑’˙૬µ√«®∑“π∫∑§—¥¬àÕ¿“…“Õ—ß°ƒ…

    ‡Õ°“√Õâ“ßÕ‘ß 1. Gabka J. : Aetiology and statistics of harelips

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  • The Vision of the Faculty of Dentistry, Chiang Mai University

    “To achieve quality academic and research work at the international level,

    and produce dental graduates with a good knowledge

    and sense of community service”

    £ Odontology and Oral

    Pathology

    £ Dental Radiology

    £ Oral Surgery

    £ Restorative Dentistry

    £ Pedodontics

    £ Prosthodontics

    £ Orthodontics

    £ Periodontology

    £ Community Dentistry

    £ General Dentistry

    Departments

    TeachingPrograms Available and Degrees Offered

    £ Undergraduate Program The faculty offers a six-year program leading to a Doctor of Dental Surgery

    Degree (D.D.S.). Currently there are approximately 500 students working

    towards this degree.

    £ Graduate Programs

    ! There is a graduate program leading to Higher Graduate Diploma in

    Dentistry.

    ! There are three more graduate programs leading to Master’s degrees in

    Dentistry, Orthodontics, and Periodontology.

    ! There is also one Doctor of Philosophy Program in Dentistry (Ph.D.)