Showkatbakhsh Rahman, Jamilian Abdolreza, Showkatbakhsh Mehrdad
Department of Orthodontics, Shahid Beheshti University, Tehran, Iran.
World J Orthod. 2010 Winter;11(4):e52-6.
Accelerating the speed of orthodontic tooth movement should contribute to the shortening of the treatment period. This study was designed to determine whether a pulsed electromagnetic field (PEMF) affects orthodontic tooth movement.
The canines of one side of 10 patients (mean age 23.0 ± 3.3 years) who needed canine retraction were exposed to a PEMF; the canines on the contralateral sides of the same patients were not similarly exposed. After extraction of the maxillary first premolars, both canines were retracted with coil springs. A circuit and a watch battery were used to generate a PEMF (1 Hz). The generator was embedded in a removable appliance. Foil was used to obstruct the contol group from PEMF exposure. Patients were instructed to use the device from the commencement of canine retraction, and it was removed when Class I canine relationship was achieved in either of the canines after 5.0 ± 0.6 months. The changes in the space between the maxillary canine and first molar were measured to indicate the amount of tooth movement. The canine retraction distances were compared by paired t test. Afterward, the treatment plan was continued.
With exposure to a PEMF, canine retraction was 1.57 ± 0.83 mm more than the control group (P<.001).
These findings suggest that application of a PEMF can accelerate orthodontic tooth movement.
加快正畸牙齿移动速度应有助于缩短治疗周期。本研究旨在确定脉冲电磁场(PEMF)是否影响正畸牙齿移动。
选取10例(平均年龄23.0±3.3岁)需要犬齿后移的患者,一侧犬齿暴露于脉冲电磁场;同一患者对侧犬齿不进行类似暴露。拔除上颌第一前磨牙后,用螺旋弹簧使两侧犬齿后移。使用电路和手表电池产生脉冲电磁场(1赫兹)。发生器嵌入可摘矫治器中。用箔片阻挡对照组接受脉冲电磁场暴露。患者从犬齿开始后移时开始使用该装置,在5.0±0.6个月后,当任意一侧犬齿达到Ⅰ类犬齿关系时将其取下。测量上颌犬齿与第一磨牙之间间隙的变化以表明牙齿移动量。通过配对t检验比较犬齿后移距离。之后,继续治疗方案。
暴露于脉冲电磁场时,犬齿后移比对照组多1.57±0.83毫米(P<0.001)。
这些研究结果表明,应用脉冲电磁场可加快正畸牙齿移动。