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犬牙槽骨皮质切开术加速正畸牙移动

Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog.

作者信息

Iino Shoichiro, Sakoda Sumio, Ito Gakuji, Nishimori Toshikazu, Ikeda Tetsuya, Miyawaki Shouichi

机构信息

Department of Orthodontics, Center of Developmental Dentistry, Medical and Dental Hospital, Kagoshima University, Kagoshima, Japan.

出版信息

Am J Orthod Dentofacial Orthop. 2007 Apr;131(4):448.e1-8. doi: 10.1016/j.ajodo.2006.08.014.

Abstract

INTRODUCTION

Tooth movement and alveolar bone reaction after corticotomies have not been thoroughly examined. In this study, the effects of corticotomies on orthodontic tooth movement and alveolar bone reaction were investigated in dogs.

METHODS

Corticotomies were performed on the cortical bone of the mandibular left third premolar region in 12 male adult beagles. The third premolars on the left experimental side and on the right sham side were moved mesially with a continuous force of 0.5 N.

RESULTS

Tooth movement velocities from 0 to 1 week and from 1 to 2 weeks after the corticotomies were significantly faster on the experimental side than on the sham side. Hyalinization of the periodontal ligament appeared only at 1 week after the corticotomies on the experimental sides, whereas it was observed from 1 to 4 weeks after the corticotomies on the sham sides. Tartrate-resistant-acid-phosphatase positive cells of the experimental side tended to work vigorously at an early time on the alveolar wall and in the bone marrow cavities.

CONCLUSIONS

Orthodontic tooth movement increased for at least 2 weeks after the corticotomies. This might be brought about by rapid alveolar bone reaction in the bone marrow cavities, which leads to less hyalinization of the periodontal ligament on the alveolar wall.

摘要

引言

皮质切开术后的牙齿移动和牙槽骨反应尚未得到充分研究。在本研究中,我们在犬类动物身上研究了皮质切开术对正畸牙齿移动和牙槽骨反应的影响。

方法

对12只成年雄性比格犬下颌左侧第三前磨牙区域的皮质骨进行皮质切开术。左侧实验侧和右侧假手术侧的第三前磨牙均以0.5N的持续力向近中移动。

结果

皮质切开术后0至1周以及1至2周,实验侧的牙齿移动速度明显快于假手术侧。实验侧仅在皮质切开术后1周出现牙周膜玻璃样变,而假手术侧在皮质切开术后1至4周出现。实验侧的抗酒石酸酸性磷酸酶阳性细胞在早期倾向于在牙槽壁和骨髓腔中活跃工作。

结论

皮质切开术后正畸牙齿移动至少增加2周。这可能是由于骨髓腔中牙槽骨的快速反应,导致牙槽壁上的牙周膜玻璃样变减少。

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