Gonzales Carmen, Hotokezaka Hitoshi, Yoshimatsu Masako, Yozgatian Joseph H, Darendeliler M Ali, Yoshida Noriaki
Division of Orthodontics and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Angle Orthod. 2008 May;78(3):502-9. doi: 10.2319/052007-240.1.
To test the hypothesis that there is no difference in the effect of different continuous moderate to very heavy forces on root resorption or amount of tooth movement.
In the study, 10, 25, 50 and 100 g mesial force were applied to the maxillary first molars of rat using nickel titanium closed-coil springs for 3 days, 14 days, and 28 days. The molars were extracted and the surface areas of the root resorption craters were measured using scanning electron microscope. The depths of the root resorption craters were measured using a three-dimensional laser scanning microscope. Tooth movement of the maxillary first molar was measured in relation to the maxillary second molar on digitized lateral cephalometric radiographs.
Three days after force application, the tooth movement was not proportionally related to force magnitude. However, 14 days of force application resulted in significantly more tooth movement in the 10, 25, and 50 g force groups than in the 100 g force group. A force application of 10 g produced significantly more tooth movement at 28 days than all the other three force applications. The largest and deepest resorption craters were observed in the disto-buccal root followed by disto-palatal, middle-buccal, middle-palatal, and mesial root. Root resorption and tooth movement increased over time from 3 to 28 days. As heavier forces were applied, greater root resorption occurred.
The hypothesis is rejected. The light mesially oriented forces, as applied in this study, produced more tooth movement and less root resorption compared with heavier forces.
检验不同程度的持续中等至非常大的力对牙根吸收或牙齿移动量的影响无差异这一假设。
在本研究中,使用镍钛闭合回形弹簧分别对大鼠上颌第一磨牙施加10克、25克、50克和100克的近中力,持续3天、14天和28天。拔除磨牙,使用扫描电子显微镜测量牙根吸收坑的表面积。使用三维激光扫描显微镜测量牙根吸收坑的深度。在数字化的侧位头影测量X线片上测量上颌第一磨牙相对于上颌第二磨牙的牙齿移动情况。
施加力3天后,牙齿移动与力的大小不成比例相关。然而,施加力14天后,10克、25克和50克力组的牙齿移动明显多于100克力组。在28天时,施加10克的力产生的牙齿移动明显多于其他三种力的施加情况。在远中颊根观察到最大和最深的吸收坑,其次是远中腭根、中颊根、中腭根和近中根。从3天到28天,牙根吸收和牙齿移动随时间增加。随着施加的力越大,牙根吸收越明显。
该假设被拒绝。与更大的力相比,本研究中施加的轻度近中向力产生了更多的牙齿移动和更少的牙根吸收。