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正畸力的大小与牙齿整体移动速率。一项实验研究。

Magnitude of orthodontic forces and rate of bodily tooth movement. An experimental study.

作者信息

Pilon J J, Kuijpers-Jagtman A M, Maltha J C

机构信息

University of Nijmegen, Faculty of Medical Sciences, Department of Orthodontics and Oral Histology, The Netherlands.

出版信息

Am J Orthod Dentofacial Orthop. 1996 Jul;110(1):16-23. doi: 10.1016/s0889-5406(96)70082-3.

Abstract

The relationship between the magnitude of a constant continuous orthodontic force and rate of bodily tooth movement was studied. In 25 young adult male beagle dogs, lower third premolars were extracted and bone markers were implanted in the mandible. Sixteen weeks later, an orthodontic appliance was placed, and elastics exerting 50, 100, or 200 gm were attached to the lower second premolar to produce bodily distalization. In each dog, different forces were used on the left and the right sides. As a control group, orthodontic appliances were placed without elastic on eight sides. Tooth movement was measured directly with a digital caliper twice a week during 16 weeks. Resulting curves could be divided in four phases. Large individual differences were found in the rate of tooth movement. Tooth movements on the left and right sides of each dog, however, were highly correlated. No significant differences in the duration of each phase nor in the mean rate of tooth movement during each phase were found between the three force groups. Maximum rate of tooth movement was about 2.5 mm per month in all force groups. There were no significant differences in the mesial movement of the anchorage unit between the force groups. It is concluded that under the circumstances of this study magnitude of force is not decisive in determining the rate of bodily tooth movement, but individual characteristics are.

摘要

研究了恒定持续正畸力的大小与牙齿整体移动速率之间的关系。在25只成年雄性比格犬中,拔除下颌第三前磨牙,并在下颌植入骨标志物。16周后,佩戴正畸矫治器,在第二前磨牙上施加50、100或200克的弹力牵引以实现牙齿整体远中移动。每只犬的左右两侧使用不同的力。作为对照组,在8侧未施加弹力牵引的情况下佩戴正畸矫治器。在16周内每周用数字卡尺直接测量两次牙齿移动情况。所得曲线可分为四个阶段。牙齿移动速率存在较大个体差异。然而,每只犬左右两侧的牙齿移动高度相关。三个力组在各阶段持续时间和各阶段牙齿平均移动速率方面均未发现显著差异。所有力组的最大牙齿移动速率约为每月2.5毫米。各力组间支抗单位的近中移动无显著差异。研究得出结论,在本研究条件下,力的大小并非决定牙齿整体移动速率的关键因素,个体特征才是。

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