中国实用口腔科杂志

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成人和青少年拔牙治疗前后牙根尖吸收的研究

郭新星陈静张勇   

  1. 1.济南市口腔医院正畸科; 2.山东大学口腔医院
  • 收稿日期:2008-06-30 修回日期:2008-07-25 出版日期:2008-08-15 发布日期:2008-08-15

  • Received:2008-06-30 Revised:2008-07-25 Online:2008-08-15 Published:2008-08-15

摘要:

目的 研究牙齿移动与牙根吸收之间的关系,并评价年龄对牙根吸收的影响。方法 选2004年7月至2007年9月济南市口腔医院正畸科70例安氏Ⅰ类中等面角的病例,共70张头颅侧位片,其中青少年患者34例(男18例,女16例 );成人患者36例(男17例,女19例 ),两组病例均为拔除第一前磨牙后行直丝弓矫治器治疗的患者。使用Winceph8.0头影测量软件测量每个患者上下中切牙根尖吸收的量及其他相应的项目,对测量结果进行t检验。结果 青少年组的下中切牙、成人组的上中切牙发生了牙根尖的吸收;在青少年组下中切牙牙根吸收的平均值是(0.92±1.19)mm,而在成人组上中切牙牙根吸收的量更多,其平均值是(2.55±1.60)mm。结论 对于安氏Ⅰ类中等面角的患者,拔牙正畸治疗时成人的上切牙、青少年的下切牙易发生牙根吸收的现象,其牙根吸收量与牙齿的倾斜度及切牙根尖移动量显著相关。

关键词: 牙根吸收, 拔牙

Abstract:

The study of apical root resorption following extraction therapy in adults and adolescents before and after orthodontic treatment. GUO Xin-xing*,CHEN Jing,ZHANG Yong.* Department of Orthodontics,Jinan Stomatological Hospital,Jinan 250001,China
Abstract: Objective To study the relationship between tooth movement and apical root
resorption,and examine the relationship between root resorption and aging factors. Methods Thirty-four ClassⅠadolescent patients and thirty-six ClassⅠadult patients in middle mandibular angle were selected in Jinan Stomatological Hospital from July of 2004 to September of 2007; each patient was treated with straight wire mechanics and extracted the first premolar.The amount of apical root resorption of the central incisors and other items were measured for each patient by cephalograms Analysis & Database Winceph 8.0.Then the results were analyzed with Student's t-test. Result The apical root resorption happened in the lower central incisor of adolescents and the upper central incisor of the adults. There was a mean of 0.92 ± 1.19 mm of apical root shortening in adolescent patients, but in adult subjects the mean root resorption was 2.55 ± 1.60 mm. Conclusion The apical root resorption is prone to happen in the lower central incisor of adolescents and the upper central incisor of adults.Significant correlations are found between the amount of apical root resorption and tooth inclination, or the movement distance of the apical root.

Key words: root resorption, tooth extraction