King G J, Keeling S D, McCoy E A, Ward T H
Department of Orthodontics, College of Dentistry, University of Florida, Gainesville.
Am J Orthod Dentofacial Orthop. 1991 May;99(5):456-65. doi: 10.1016/S0889-5406(05)81579-3.
A method for the quantification of orthodontic tooth movement in the rat is presented. Reliability, sensitivity, and validity were assessed and tooth movement kinetics were determined for initial forces of 20, 40, and 60 gm. The appliance consisted of a 9 mm length of closed coil spring suspended between a cleat and bonded to the occlusal surface of the maxillary first molars and the maxillary incisors. Initial tipping forces were placed by suspending known weights from the anterior end of these coils before fixation to the incisors. Tooth movement was quantified from enlarged cephalograms by measuring the position of a reproducible landmark on the molar cleat with respect to either zygomatic amalgam implants or a barbed broach placed submucosally on the palate. All measurements were made along the molar-incisor vector by projecting at 90 degrees to this line. Validity and sensitivity were assessed by quantifying molar distal drift and comparing these results with reports of bone turnover rates adjacent to distally drifting adult rat molars. Reliability was obtained by estimating the error of a single measurement in a longitudinal study of 12 adult male Sprague-Dawley rats (180 to 200 days) receiving both amalgam and broach implants and a cross-sectional study of 72 animals divided equally into six groups to be killed at 1, 3, 5, 7, 10, and 14 days. No orthodontic forces were used in this portion of the study. Implant stability within the craniofacial complex was assessed by measuring bilateral broaches as a function of time with respect to each other. There were no systematic errors between replicate films for either the amalgam or the broach method. The 95% confidence limit for a single determination of molar position was 62 microns using the amalgams and 47 microns for the broach (p less than 0.001). The latter could be reduced to 23 microns when the average of four independent determinations was used. Homologous implants did not differ with respect to each other in the sagittal plane but did in the transverse plane (p less than 0.01), migrating laterally 9 microns/day. Linear regression analysis of molar distal movement over time predicted 7.7 microns/day distal drift (p less than 0.01), which compared favorably with reports of 6.7 microns/day of alveolar bone turnover during this drifting process. Characteristic three-part cumulative tooth movement kinetics were obtained for the 40 and 60 gm initial force groups. No individual time point at 60 gm differed from its counterpart at 40 gm.(ABSTRACT TRUNCATED AT 400 WORDS)
本文介绍了一种量化大鼠正畸牙齿移动的方法。评估了该方法的可靠性、敏感性和有效性,并确定了20克、40克和60克初始力作用下的牙齿移动动力学。矫治器由一段9毫米长的闭合螺旋弹簧组成,该弹簧悬挂在夹板之间,并粘结在上颌第一磨牙和上颌切牙的咬合面上。在固定到切牙之前,通过在这些弹簧的前端悬挂已知重量来施加初始倾斜力。通过测量磨牙夹板上可重复标记相对于颧骨汞合金植入物或腭部黏膜下放置的带倒刺拉针的位置,从放大的头颅侧位片上对牙齿移动进行量化。所有测量均沿磨牙 - 切牙向量,与该线呈90度投影进行。通过量化磨牙远中漂移并将这些结果与成年大鼠磨牙远中漂移相邻部位骨转换率的报告进行比较,评估有效性和敏感性。在对12只成年雄性Sprague - Dawley大鼠(180至200天)进行的纵向研究中,这些大鼠同时接受了汞合金和拉针植入物,以及对72只动物进行的横断面研究中,将动物平均分为六组,分别在第1、3、5、7、10和14天处死,通过估计单次测量的误差来获得可靠性。在本研究的这一部分中未使用正畸力。通过测量双侧拉针相对于彼此随时间的变化来评估颅面复合体中植入物的稳定性。汞合金或拉针方法的重复胶片之间均无系统误差。使用汞合金时,单次确定磨牙位置的95%置信限为62微米,使用拉针时为47微米(p小于0.001)。当使用四次独立测定的平均值时,后者可降至23微米。同源植入物在矢状面彼此无差异,但在横断面有差异(p小于0.01),每天侧向迁移9微米。对磨牙远中移动随时间的线性回归分析预测远中漂移为每天7.7微米(p小于0.01),这与该漂移过程中牙槽骨转换率每天6.7微米的报告结果相当。获得了40克和60克初始力组典型的三部分累积牙齿移动动力学。60克组的任何单个时间点与40克组的对应时间点均无差异。(摘要截取自400字)