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比较根管治疗后的患牙和对侧活髓牙在正畸治疗中发生的牙根外吸收。

Study of external root resorption during orthodontic treatment in root filled teeth compared with their contralateral teeth with vital pulps.

机构信息

Department of Orthodontics, School of Dentistry, University of Seville, Seville, Spain.

出版信息

Int Endod J. 2010 Aug;43(8):654-62. doi: 10.1111/j.1365-2591.2010.01722.x. Epub 2010 Apr 23.

Abstract

AIM

To determine whether root filled teeth and those with vital pulps exhibit a similar degree of external root resorption (ERR) as a consequence of orthodontic treatment.

METHODOLOGY

The study sample consisted of 77 patients, with a mean age of 32.7 +/- 10.7 years, who had one root filled tooth before completion of multiband/bracket orthodontic therapy for at least 1 year. For each patient, digital panoramic radiographs taken before and after orthodontic treatment were used to determine the proportion of external root resorption (PRR), defined as the ratio between the root resorption in the root filled tooth and that in its contralateral tooth with a vital pulp. The student's t-test, anova and logistic regression analysis were used to determine statistical significance.

RESULTS

The mean PRR was 1.00 +/- 0.13, indicating that, in the total sample, there were no significant differences in root resorption in the root filled teeth and their contralateral teeth with vital pulps. Multivariate logistic regression analysis suggested that PRR was significantly greater in incisors (P = 0.0014; odds ratio = 6.2885, C.I. 95% = 2.0-19.4), compared to other teeth, and in women (P = 0.0255; odds ratio = 4.2, C.I. 95% = 1.2-14.6), compared to men.

CONCLUSIONS

There was no significant difference in the amount or severity of external root resorption during orthodontic movement between root filled teeth and their contralateral teeth with vital pulps.

摘要

目的

确定经过正畸治疗后,根管治疗后的牙齿和有活力牙髓的牙齿是否会出现相似程度的外部牙根吸收(ERR)。

方法

研究样本包括 77 名患者,平均年龄为 32.7 +/- 10.7 岁,他们在多带/托槽正畸治疗完成前有一颗根管治疗后的牙齿,并且至少进行了 1 年的多带/托槽正畸治疗。对于每个患者,使用正畸治疗前后拍摄的数字全景片来确定外部牙根吸收的比例(PRR),定义为根管治疗后牙齿的牙根吸收与对侧有活力牙髓牙齿的牙根吸收之比。使用学生 t 检验、方差分析和逻辑回归分析来确定统计学意义。

结果

平均 PRR 为 1.00 +/- 0.13,表明在总样本中,根管治疗后的牙齿和对侧有活力牙髓的牙齿的牙根吸收没有显著差异。多变量逻辑回归分析表明,PRR 在切牙中显著更大(P = 0.0014;优势比 = 6.2885,95%CI = 2.0-19.4),与其他牙齿相比,并且在女性中(P = 0.0255;优势比 = 4.2,95%CI = 1.2-14.6),与男性相比。

结论

在正畸移动过程中,根管治疗后的牙齿和对侧有活力牙髓的牙齿的外部牙根吸收的数量或严重程度没有显著差异。

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