Spyropoulos M N, Tsolakis A I, Katsavrias E, Alexandridis K
Department of Orthodontics, University of Athens, Greece.
Eur J Orthod. 1997 Apr;19(2):205-10. doi: 10.1093/ejo/19.2.205.
The effect of protruded mandibular function on the maxilla and zygoma was studied in young unilaterally condylectomized growing rats. Forty-eight-4-week-old rats were divided into two experimental and two control groups as follows: group A, 12 animals unilaterally condylectomized on the right side; the mandible was allowed to function normally; group B, 12 animals unilaterally condylectomized on the right side; the mandible was protracted forwards immediately by means of an appliance; group C, 12 animals sham-operated on the right side; no condylectomy or mandibular protraction; and group d, 12 control animals not subjected to any operation or mandibular protraction. The mandibular protraction was achieved by an appliance consisting of an acrylic collar brace fitted to the animal's neck and supporting rubber bands pulling on an intraoral part cemented on the animal's lower incisors. Twenty-five grams of pulling force and protrusion to a clinically and radiographically testes anterior crossbite was exercised for 12 hours per day. The experimental period was 30 days. Lateral and dorsoventral radiographs were taken on days 1 and 30 following condylectomies and mandibular protraction. Cephalometric analysis was performed for each animal with measurements evaluating the maxilla and zygoma. Statistical analysis and comparison of the findings in the four groups of animals can be summarized as follows: (i) condylectomy and altered mandibular function may produce remote skeletal reactions in other parts of the cranial complex; and (ii) the ipsilateral maxilla is affected by condylectomy of the mandible, but altered mandibular function by protraction compensates for the results of condylectomy.
在幼年单侧髁突切除的生长大鼠中,研究了下颌前伸功能对上颌骨和颧骨的影响。将48只4周龄的大鼠分为两个实验组和两个对照组,如下:A组,12只动物右侧单侧髁突切除;下颌骨正常发挥功能;B组,12只动物右侧单侧髁突切除;通过矫治器使下颌骨立即向前伸展;C组,12只动物右侧假手术;未进行髁突切除或下颌前伸;D组,12只对照动物未接受任何手术或下颌前伸。下颌前伸通过一种矫治器实现,该矫治器由一个安装在动物颈部的丙烯酸项圈支架和拉动粘结在动物下切牙上的口内部件的支撑橡皮筋组成。施加25克的拉力并将其前伸至临床和影像学检查显示的前牙反合状态,每天进行12小时。实验期为30天。在髁突切除和下颌前伸后的第1天和第30天拍摄侧位和背腹位X线片。对每只动物进行头影测量分析,测量评估上颌骨和颧骨。四组动物研究结果的统计分析和比较总结如下:(i)髁突切除和下颌功能改变可能在颅面复合体其他部位产生远处骨骼反应;(ii)下颌骨髁突切除会影响同侧上颌骨,但通过前伸改变下颌功能可补偿髁突切除的结果。