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拔牙与非拔牙固定正畸治疗病例的根尖外吸收评估

Evaluation of External Apical Root Resorption in Cases with Extraction and Non-Extraction Fixed Orthodontic Treatment.

作者信息

Peker Ramazan Berkay, Meriç Pamir

机构信息

Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Trakya University, Edirne 22030, Turkey.

Department of Orthodontics, Faculty of Dentistry, Trakya University, Edirne 22030, Turkey.

出版信息

Diagnostics (Basel). 2024 Oct 21;14(20):2338. doi: 10.3390/diagnostics14202338.

Abstract

OBJECTIVE

The objective of this study was to evaluate external apical root resorption (EARR) in cases with extraction and non-extraction fixed orthodontic treatment.

METHODS

Ninety subjects were included in this study. The patients were divided into two groups: 43 with extraction treatment and 47 with non-extraction orthodontic treatment. EARR was measured using the crown-to-root ratio of the maxillary and mandibular incisors and canines on panoramic radiographs taken at the beginning (T0) and end of the treatment (T1). The Bonferroni corrected Z test was used for multiple comparisons.

RESULTS

There were 24 (55.8%) individuals in the extraction group and 12 (25.5%) in the non-extraction group, with a minimum of one tooth with severe resorption. There was no resorption in 0% of individuals in the extraction group and five (10.6%) individuals in the non-extraction group. There was a statistically significant correlation between the groups and the degree of resorption ( = 0.008). When the maxillary and mandibular teeth in the extraction group were compared, a significant difference was found in all degrees of resorption except for mild resorption.

CONCLUSIONS

There was a significant difference in EARR between the extraction and non-extraction treatment groups, with maxillary incisors showing more resorption in the extraction treatment.

摘要

目的

本研究的目的是评估拔牙和不拔牙固定正畸治疗病例中的根尖外吸收(EARR)情况。

方法

本研究纳入了90名受试者。患者被分为两组:43例接受拔牙治疗,47例接受不拔牙正畸治疗。在治疗开始时(T0)和结束时(T1)拍摄的全景X线片上,使用上颌和下颌切牙及尖牙的冠根比来测量EARR。采用Bonferroni校正Z检验进行多重比较。

结果

拔牙组有24例(55.8%)个体,不拔牙组有12例(25.5%)个体至少有一颗牙齿出现严重吸收。拔牙组0%的个体和不拔牙组5例(10.6%)个体无吸收。两组与吸收程度之间存在统计学显著相关性(P = 0.008)。比较拔牙组的上颌和下颌牙齿时,除轻度吸收外,在所有吸收程度上均发现有显著差异。

结论

拔牙和不拔牙治疗组之间的EARR存在显著差异,拔牙治疗中上颌切牙的吸收更为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcdd/11507090/0e0e0eb69dff/diagnostics-14-02338-g001.jpg

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Root Resorption Diagnostic: Role of Digital Panoramic Radiography.牙根吸收诊断:数字化全景X线摄影的作用
Curr Health Sci J. 2019 Apr-Jun;45(2):156-166. doi: 10.12865/CHSJ.45.02.05. Epub 2019 Jun 30.

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