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正畸力对患实验性牙周炎磨牙牙根吸收的影响。

Effect of orthodontic forces on root resorption in molars submitted to experimental periodontitis.

作者信息

Garat Juan A, Martín Adrián E, Gordillo María E, Ubios Angela M

机构信息

Department of Histology, Faculty of Dentistry, National University of Tucumán.

出版信息

Acta Odontol Latinoam. 2004;17(1-2):3-7.

Abstract

The present experimental study addresses the issue of the development and size of root resorption areas in molars of rats submitted to orthodontic forces of 51 or 75 g and the induction of periodontal disease by placing a cotton ligature around the cervix of the first upper molars for 48 hours. Immediately on removal of the ligature or 48 hs later we put an orthodontic device in place. The device comprised two steel bands. The arms of a helicoidal spring that exerted force towards palatine passed through the palatine tubes welded to the bands. The number of odontoclasts and the percentage of root resorption areas were determined histomorphometrically on bucco-palatine sections obtained at the level of the central roots. The data showed an increase in root resorption areas when the orthodontic forces were applied to molars of rats following the induction of periodontitis. The magnitude of the force was proportional to the size of the resorption areas and to the number of odontoclasts. Both these end-points exhibited smaller values when the forces were applied once the inflammatory reaction had subsided. The present study shows that the risk of development of root resorption areas in patients with periodontal disease submitted to orthodontic treatment would be lower if lighter forces were applied and treatment were delayed until the inflammatory signs have subsided.

摘要

本实验研究探讨了对大鼠磨牙施加51克或75克正畸力,以及通过在上颌第一磨牙颈部放置棉结扎线48小时诱导牙周病后,牙根吸收区域的发展和大小问题。在移除结扎线后立即或48小时后,我们安装了正畸装置。该装置由两个钢带组成。一个向腭侧施加力的螺旋弹簧的臂穿过焊接在钢带上的腭侧管。在中央牙根水平获得的颊腭侧切片上,通过组织形态计量学确定破骨细胞的数量和牙根吸收区域的百分比。数据显示,在诱导牙周炎后对大鼠磨牙施加正畸力时,牙根吸收区域会增加。力的大小与吸收区域的大小和破骨细胞的数量成正比。当炎症反应消退后施加力时,这两个终点的值都较小。本研究表明,如果施加较轻的力并将治疗推迟到炎症迹象消退后,接受正畸治疗的牙周病患者发生牙根吸收区域的风险会更低。

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