关键词: 拔牙, 牙槽骨改建, 牙齿移动, 实验研究

Abstract:

Objective　To investigate the influence of bone remodeling in extraction sites and orthodontic forces on tooth movement with the aim of providing a basis for selecting optimal orthodontic forces, time of tooth movement and reducing the time for tooth moving into extraction sites.Methods　Extraction of upper first molars were performed on 36 male Sprague-Dawley rats whichwere divided equally into 3 groups. A method for quantification of orthodontic tooth movement in the rats was presented. Orthodontic appliance was placed at different time after tooth extraction. Different forces were used to move the maxillary second molars mesially into the extraction spaces. X-ray was taken before appliance activation and after 1, 3, 5, 7, 10, 14 days since appliance activation. Tooth movementwas measured cephalometrically by Imagine AnalysisTechnique, adjusting for magnification by using the known digitized length of the broach.Results　①The tooth on the recent extraction side moved fasterthan that on the healed side.②Tooth movement at all time points on the 0·30 N curve differed from those on the higher force curves (P<0·01), eithermoving into recent extraction sites or healing sites. Comparison between 0·60 N and 1·36 N indicated that mesial molar movement did not differfrom each other after day 5.③The classical toothmovement curve had three parts that represent distinctly different processes: early movement;delay;later movement.Conclusion　①The tooth on the recent extraction side moved faster than that on the healed side.②Moderate force maybewas the optimal orthodontic force. It could be overloaded, but resulted in no further enhancement of tooth movement.

Key words: tooth extraction, alveolar remodeling, tooth movement, experimental study