华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

磁力扩弓对后牙牙根长度的影响

马巧玲1 王铁梅2 吴拓江3 刘澍2 李煌1   

  1. 1.南京大学医学院附属口腔医院正畸科;2.放射科,南京 210008;3.南京医科大学附属口腔医院正畸科,南京 210029
  • 出版日期:2013-12-01 发布日期:2013-12-01
  • 通讯作者: 李煌,Tel:025-83620173
  • 作者简介:马巧玲(1977—),女,黑龙江人,主治医师,硕士
  • 基金资助:

    国家自然科学基金资助项目(81070807,81200764);南京市医学科技发展基金资助项目(YKK11038)

Evaluation of root resorption after palatal expansion by magnetic expansion appliance

Ma Qiaoling1, Wang Tiemei2, Wu Tuojiang3, Liu Shu2, Li Huang1.   

  1. 1. Dept. of Orthodontics, The Affiliated Stomatological Hospital of Medical School of Nanjing University, Nanjing 210008, China; 2. Dept. of Oral Radiology, The Affiliated Stomatological Hospital of Medical School of Nanjing University, Nanjing 210008, China; 3. Dept. of Orthodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing 210029, China
  • Online:2013-12-01 Published:2013-12-01

摘要:

目的 应用锥体束CT(CBCT)观察磁力扩大上颌牙弓后后牙牙根的吸收情况。方法 选取采用磁力扩弓矫治器进行上颌扩弓的32例患者,拍摄扩弓前后CBCT,测量上颌后牙牙根长度,采用配对t检验分析扩弓前后牙根长度的变化,采用成组t检验分析不同发育阶段的牙根长度的差异。结果 磁力扩弓后,支抗牙较非支抗牙更易出现牙根吸收。根尖孔已闭合组(G2组)上颌后牙牙根长度有减少的趋势,第一磨牙近中颊根长度减少,第一前磨牙颊根减少。根尖孔未闭合组(G1组)后牙牙根未见吸收。结论 磁力扩弓对支抗牙的牙根长度有影响。G1组的支抗牙对于矫形力的耐受强于G2组。早期进行扩弓治疗可能降低牙根吸收的风险。

关键词: 牙根吸收, 磁力扩弓, 锥体束CT

Abstract:

Objective  To investigate the root length of posterior teeth after palatal expansion by magnetic expansion ap-pliance. Methods  A total of 32 patients who accepted palatal expansion with magnetic expansion appliance were enrolled in the study. Pretreatment and post-treatment cone-beam computed tomography (CBCT) images were obtained. A paired t test was used to evaluate the length change, and a group t test was used to compare the tooth lengths of developing and developed teeth. Results  Anchorage teeth showed greater root resorption than non-anchorage teeth, whereas the developed posterior teeth showed reduced resorption. Moreover, the mesial buccal roots of the first molar and first premolar were reduced. No resorption was found in the developing teeth group. Conclusion  The magnetic palatal expansion can reduce the root length, particularly of developed root. The developing root of anchorage teeth show greater tolerance to resorption than the developed root. Early palatal expansion treatment with magnetic expansion appliance can reduce the risk of root resorption.

Key words: root resorption, magnetic palatal expansion, cone-beam computed tomography