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I类和II类错牙合畸形患者拔牙治疗后根尖吸收的评估。

Evaluation of apical root resorption following extraction therapy in subjects with Class I and Class II malocclusions.

作者信息

Taner T, Ciğer S, Sençift Y

机构信息

Department of Orthodontics, University of Hacettepe, Ankara, Turkey.

出版信息

Eur J Orthod. 1999 Oct;21(5):491-6. doi: 10.1093/ejo/21.5.491.

Abstract

The purpose of this study was to determine the amount of root resorption during orthodontic treatment, and to examine the relationship between tooth movement and apical root resorption. Twenty-seven Class I and 27 Class II patients treated with edgewise mechanics following first premolar extractions were selected. The following measurements were made on the pre- and post-treatment cephalograms: upper central incisor to palatal plane distance, the inclination of upper central incisor to the FH and AP planes, the perpendicular distances from the incisor tip to the AP and PTV planes, and incisor apex to PTV. The amount of apical root resorption of the maxillary central incisors was determined for each patient by subtracting the post-treatment tooth length from the pre-treatment tooth length measured directly on cephalograms. Intra-group differences were evaluated by the Student's t-test and inter-group differences by the Mann-Whitney U-test. For correlations the Pearson correlation coefficient was used. The results show that there was a mean of approximately 1 mm (P < 0.01) of apical root shortening in Class I patients, but in Class II division I subjects the mean root resorption was more than 2 mm (P < 0.001). The inter-group differences were statistically significant. No significant correlations were found between the amount of apical root resorption and tooth inclination, or the duration of active treatment.

摘要

本研究的目的是确定正畸治疗期间牙根吸收的量,并研究牙齿移动与根尖牙根吸收之间的关系。选取了27例I类和27例II类患者,这些患者在拔除第一前磨牙后采用方丝弓矫治技术进行治疗。在治疗前和治疗后的头颅侧位片上进行了以下测量:上颌中切牙至腭平面的距离、上颌中切牙相对于FH平面和AP平面的倾斜度、切缘至AP平面和PTV平面的垂直距离以及切牙根尖至PTV平面的距离。通过从头颅侧位片上直接测量的治疗前牙齿长度中减去治疗后牙齿长度,确定每位患者上颌中切牙的根尖牙根吸收量。组内差异采用Student t检验进行评估,组间差异采用Mann-Whitney U检验进行评估。对于相关性分析,采用Pearson相关系数。结果显示,I类患者根尖牙根平均缩短约1 mm(P < 0.01),但在II类1分类患者中,平均牙根吸收超过2 mm(P < 0.001)。组间差异具有统计学意义。根尖牙根吸收量与牙齿倾斜度或积极治疗持续时间之间未发现显著相关性。

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