Bauru School of Dentistry, University of São Paulo, SP, Brazil.
J Appl Oral Sci. 2009;17 Suppl(spe):35-42. doi: 10.1590/s1678-77572009000700007.
In order to microscopically analyze the pulpal effects of orthodontic movement, 49 maxillary first molars of rats were submitted to orthodontic appliance composed of a closed coil spring anchored to the maxillary incisors, placed for the achievement of mesial movement.
Ten animals were used as the control group and were not submitted to orthodontic force; the other animals were divided into groups according to the study period of tooth movement, namely 1, 2, 3, 4, 5, 6 and 7 days. The investigation of pulp and periodontal changes included hyalinization, fibrosis, reactive dentin and vascular congestion. Statistical evaluation was performed between control and experimental groups and between periods of observation using non-parametric chi-square, Kruskal-Wallis and Dunn tests.
There was no statistically significant difference concerning pulpal changes between control and experimental groups nor between periods of observation. The control group, at 3 and 5 days, revealed greater hyalinization of the periodontal ligament (p<0.05), whereas root resorption was significantly greater at 5 and 7 days (p<0.05).
No morphological change from the effect of induced tooth movement could be found in the dentin-pulp complex. In addition, no inflammatory or pulp degeneration, detectable in optical microscopy, was found in experimental groups.
为了从显微镜下分析正畸牙齿移动的牙髓效应,49 颗大鼠上颌第一磨牙被放置在正畸矫治器上,由固定在上颌切牙上的闭合螺旋弹簧产生近中移动的力。
10 只动物作为对照组,不施加正畸力;其余动物根据牙齿移动的研究时间分为以下几组:1、2、3、4、5、6 和 7 天。牙髓和牙周变化的调查包括玻璃样变、纤维化、反应性牙本质和血管充血。使用非参数卡方检验、Kruskal-Wallis 和 Dunn 检验对对照组和实验组之间以及观察期之间的变化进行统计学评估。
对照组和实验组之间以及观察期之间的牙髓变化没有统计学差异。对照组在第 3 天和第 5 天出现了更大的牙周韧带玻璃样变(p<0.05),而在第 5 天和第 7 天,根吸收显著更大(p<0.05)。
在牙本质-牙髓复合体中,没有发现诱导牙齿移动的影响引起的形态变化。此外,在实验组中,在光学显微镜下未发现炎症或牙髓变性。