Tong Y
West China University of Medical Sciences, Chengdu.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1990 Sep;25(5):268-70, 317.
The first upper molars in 140 young adult wistar rats were moved buccally by fixed appliance. The phenomena of tooth movement and its periodontal tissue changes has been investigated systematically. The results indicate that the tooth movement can be divided into three periods: rapid movement reversal movement and slow persistent movement. The compression of the periodontium was the main cause of the rapid movement; The rising of the tissue pressure caused by tissue edema probably resulted in the reversal movement and the remoulding of the alveoli at the pressure side caused the slow, persistent movement. This experiment also indicates that the total distance of tooth movement at the end of each experiment is not related to the magnitude of the force applied. In general, the heavy force makes the extent of the necrosis larger and the time necessary for tissue recovery longer. The above phenomena suggest that in clinical practice, it is important to acquire rapid, effective tooth movement while avoiding undue tissue injury.
对140只成年Wistar大鼠的上颌第一磨牙使用固定矫治器向颊侧移动。系统地研究了牙齿移动现象及其牙周组织的变化。结果表明,牙齿移动可分为三个阶段:快速移动、反向移动和缓慢持续移动。牙周膜的压缩是快速移动的主要原因;组织水肿引起的组织压力升高可能导致反向移动,压力侧牙槽骨的重塑导致缓慢持续移动。本实验还表明,每次实验结束时牙齿移动的总距离与施加力的大小无关。一般来说,较大的力会使坏死范围更大,组织恢复所需的时间更长。上述现象表明,在临床实践中,在避免过度组织损伤的同时实现快速、有效的牙齿移动非常重要。