Department of Orthodontics, Oral Biology Research Institute, College of Dentistry, Kyung-Hee University, Seoul, Korea.
Angle Orthod. 2010 Mar;80(2):385-90. doi: 10.2319/051609-268.1.
To investigate the effectiveness and periodontal side effects of laser circumferential supracrestal fiberotomy (CSF) and low-level laser therapy (LLLT) on orthodontically rotated teeth in beagles.
Eighteen mandibular incisors from nine dogs were divided into three groups by treatment (n = 6/group): A, orthodontic couple force application only (control); B, laser CSF following orthodontic couple force application; and C, LLLT following orthodontic couple force application. Both mandibular lateral incisors were rotated for 4 weeks, and the relapse tendency was observed for 4 weeks more without any retainers. The amount of relapse, sulcus depth, and gingival recession were measured at weeks 4 and 8. One-way analysis of variance (ANOVA) and Scheffé's post hoc test were used for data analysis. Tissue specimens were examined at week 8 under light microscopy after hematoxylin-eosin (H&E) and Masson's trichrome staining.
The mean percentage of relapse was 41.29% in group A, 14.52% in group B, and 56.80% in group C (P < .001). Four weeks after laser CSF, the sulcus depth increased by 0.67 mm, but no gingival recession was observed. There was no significant difference between groups A and C in terms of sulcus depth and gingival recession.
Laser CSF is an effective procedure to decrease relapse after tooth rotation, causing no apparent damage to the supporting periodontal structures, whereas LLLT on orthodontically rotated teeth without retainers appears to increase the relapse tendency.
研究激光环形龈上纤维切开术(CSF)和低水平激光疗法(LLLT)对旋转牙正畸的有效性和牙周副作用。
9 只犬的 18 颗下颌切牙分为 3 组(n=6/组):A 组,仅正畸对力应用;B 组,正畸对力应用后激光 CSF;C 组,正畸对力应用后 LLLT。双侧下颌侧切牙均旋转 4 周,不戴保持器再观察 4 周的复发趋势。第 4 周和第 8 周测量复发量、龈沟深度和牙龈退缩。采用单因素方差分析(ANOVA)和 Scheffé 事后检验进行数据分析。第 8 周经苏木精-伊红(H&E)和 Masson 三色染色后,在光镜下检查组织标本。
A 组的平均复发率为 41.29%,B 组为 14.52%,C 组为 56.80%(P<0.001)。激光 CSF 治疗 4 周后,龈沟深度增加 0.67mm,但无牙龈退缩。A 组和 C 组在龈沟深度和牙龈退缩方面无显著差异。
激光 CSF 是减少牙齿旋转后复发的有效方法,对支持性牙周结构无明显损伤,而不戴保持器对正畸旋转牙进行 LLLT 似乎会增加复发趋势。