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[根管治疗对猫尖牙正畸移动影响的实验研究]

[An experimental study of the effects of root-canal treatment on orthodontic movement in cat cuspids].

作者信息

Gong Xiang-yang, Jian Xin-chun, Lei Yong-hua, Yao Zheng-yu, Hong Tao, Ma De-ying

机构信息

Department of Stomatology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou 310003, Zhejiang Province, China.

出版信息

Shanghai Kou Qiang Yi Xue. 2007 Apr;16(2):206-10.

Abstract

PURPOSE

To evaluate the effectiveness of orthodontic forces in moving teeth after root canal therapy and the risk of apical resorption which may happen during orthodontic movement in an animal model.

METHODS

Under general anesthesia, root canal therapy was performed on the mandibular canines on one side of 16 adult cats. Tipping movement of the canines was induced with an orthodontic spring (100 to 120 g). Eight weeks later, tooth movement was assessed from pre- and posttreatment mandibular casts, including measurement of root lengths in both radiographs and histological sections. All the data were analysed with SPSS 11.0 for windows. Student's t test was used for comparisons between paired groups.

RESULTS

The results showed that teeth after root canal therapy and vital teeth moved similar distances when subjected to the same forces (P>0.05). And teeth after root canal therapy had greater loss of cementum after tooth movement than vital teeth (P<0.05), but without significant differences in radiographic root length (P>0.05).

CONCLUSIONS

Teeth after root canal therapy can be moved orthodontically as readily as vital teeth when subjected to the same orthodontic forces under the conditions of the study. However, teeth after root canal therapy have more root resorption than vital teeth during orthodontic movement which may not be detected form the radiography.

摘要

目的

在动物模型中评估根管治疗后正畸力移动牙齿的有效性以及正畸移动过程中可能发生的根尖吸收风险。

方法

在全身麻醉下,对16只成年猫一侧的下颌尖牙进行根管治疗。用正畸弹簧(100至120克)诱导尖牙倾斜移动。8周后,从治疗前后的下颌模型评估牙齿移动情况,包括在X线片和组织切片中测量牙根长度。所有数据用SPSS 11.0 for windows软件进行分析。采用配对t检验进行组间比较。

结果

结果显示,根管治疗后的牙齿和活髓牙在受到相同力量时移动距离相似(P>0.05)。根管治疗后的牙齿在移动后牙骨质丧失比活髓牙更多(P<0.05),但在X线片牙根长度上无显著差异(P>0.05)。

结论

在本研究条件下,根管治疗后的牙齿在受到相同正畸力时与活髓牙一样容易正畸移动。然而,根管治疗后的牙齿在正畸移动过程中比活髓牙有更多的牙根吸收,而这可能无法从X线片上检测到。

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