Department of Stomatology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Eur J Orthod. 2010 Jun;32(3):319-23. doi: 10.1093/ejo/cjp130. Epub 2009 Dec 24.
The purpose of this research was to investigate the potential use of intraoral transosseous stainless steel wires as anchorage for intrusion of the lower incisors using a rabbit model. Placement of intraoral transosseous stainless steel wires around incisors is similar to that of intraoral transosseous wiring of edentulous mandibular fractures. Ten male New Zealand rabbits, 9 +/- 1.5 months of age, average weight 1.8 +/- 0.3 kg, were used in this study. One lower incisor was intruded with a 50 g bilateral force using a coil spring for 10 weeks, while the other incisor served as the control. Clinical measurements of the distances between the occlusal edges of the incisors (EE) were performed weekly with a calliper. In addition to standard descriptive statistical calculations, a paired Student's t-test was used for comparison of the two groups. All surgical sites healed uneventfully after insertion of the wires. Significant differences were found in the change of EE between the experimental and control sides from 4 weeks onwards. Intrusion of the incisor, 4 +/- 0.58 mm, was seen on the test side, while EE on the control side remained unchanged. Within the limits of this animal study, it is concluded that the intraoral transosseous stainless steel wire anchorage system is a cost-effective method for intrusion of lower incisors when the use of other anchorage system is not possible.
本研究旨在通过兔模型探讨经口骨内不锈钢丝作为内收切牙支抗的潜在用途。将经口骨内不锈钢丝置于切牙周围的方法类似于无牙下颌骨折的经口骨内固定。本研究使用了 10 只雄性新西兰兔,年龄为 9±1.5 个月,平均体重为 1.8±0.3kg。每只兔的一侧下颌切牙通过螺旋推簧施加 50g 的双向力,持续 10 周,对侧切牙作为对照。使用卡尺每周进行切牙牙合边缘距离(EE)的临床测量。除了标准描述性统计计算外,还使用配对学生 t 检验比较两组间的差异。所有的钢丝植入部位在植入后均愈合良好。从第 4 周开始,实验组和对照组 EE 的变化存在显著差异。实验组切牙内收 4±0.58mm,而对照组 EE 保持不变。在本动物研究的范围内,可以得出结论,经口骨内不锈钢丝锚固系统是一种经济有效的方法,可用于在无法使用其他锚固系统时内收下颌切牙。