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实验性诱导错牙合对大鼠脊柱排列的影响:一项对照性初步研究。

The influence of an experimentally-induced malocclusion on vertebral alignment in rats: a controlled pilot study.

作者信息

D'Attilio Michele, Filippi Maria R, Femminella Beatrice, Festa Felice, Tecco Simona

机构信息

Department of Orthodontics, University of Chieti, Italy.

出版信息

Cranio. 2005 Apr;23(2):119-29. doi: 10.1179/crn.2005.017.

Abstract

There is a growing interest in the relationship between occlusion and posture because of a greater incidence of neck and trunk pain in patients with occlusal dysfunction. The study was designed to verify whether an alteration of the spinal column alignment may be experimentally induced in rats as a consequence of altering dental occlusion and also to investigate whether the spinal column underwent any further changes when normal occlusion was then restored. Thirty rats were divided into two groups. Fifteen (15) rats (test group) wore an occlusal bite pad made of composite resin on the maxillary right first molar for a week (T1). The same rats wore a second composite bite pad for another week on the left first molar in order to rebalance dental occlusion (T2). Fifteen rats were included in an untreated control group. All the rats underwent total body radiographs at T0 (before the occlusal pad was placed), at T1 (one week after application of a resin occlusal bite pad on the maxillary left first molar) and at T2 (one week after application of a second resin occlusal bite pad on the maxillary right first molar). A scoliotic curve developed in all the test rats at T1. There were no alterations of spinal position observed in any of the control rats. Additionally, the spinal column returned to normal condition in 83% of the test rats when the balance in occlusal function was restored. The alignment of the spinal column seemed to be influenced by the dental occlusion.

摘要

由于咬合功能障碍患者颈部和躯干疼痛的发生率更高,人们对咬合与姿势之间的关系越来越感兴趣。本研究旨在验证改变牙齿咬合是否会在实验中导致大鼠脊柱排列改变,并研究当恢复正常咬合时脊柱是否会发生进一步变化。30只大鼠被分为两组。15只大鼠(试验组)在上颌右侧第一磨牙上佩戴由复合树脂制成的咬合垫一周(T1)。相同的大鼠在左侧第一磨牙上再佩戴另一个复合咬合垫一周,以重新平衡牙齿咬合(T2)。15只大鼠被纳入未治疗的对照组。所有大鼠在T0(放置咬合垫之前)、T1(在上颌左侧第一磨牙上应用树脂咬合垫一周后)和T2(在上颌右侧第一磨牙上应用第二个树脂咬合垫一周后)均接受全身X线摄影。在T1时,所有试验大鼠均出现脊柱侧弯。在任何对照大鼠中均未观察到脊柱位置改变。此外,当咬合功能恢复平衡时,83%的试验大鼠脊柱恢复到正常状态。脊柱排列似乎受牙齿咬合的影响。

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