牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响

doi:10.19439/j.sjos.2021.02.010

上海口腔医学 ›› 2021, Vol. 30 ›› Issue (2): 162-166.doi: 10.19439/j.sjos.2021.02.010

牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响

谢蕾, 肖遥, 曾锦, 谢乙加

西南医科大学附属口腔医院正畸科,四川泸州 646000

收稿日期:2020-04-27 修回日期:2020-08-14 出版日期:2021-04-25 发布日期:2021-05-11
通讯作者: 谢蕾,E-mail：XL0623@163.com
作者简介:谢蕾（1984-）,女,硕士,医师
基金资助:
四川省泸州市科技局应用基础研究（2019-JYJ-5）

Effect of root development on the root and periodontal absorptions of maxillary impacted anterior teeth after orthodontic traction

XIE Lei, XIAO Yao, ZENG Jin, XIE Yi-jia

Department of Orthodontics, Hospital of Stomatology, Southwest Medical University. Luzhou 646000, Sichuan Province, China

Received:2020-04-27 Revised:2020-08-14 Online:2021-04-25 Published:2021-05-11

摘要/Abstract

摘要： 目的:基于锥形束CT（CBCT）研究牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响。方法:选择2018年7月—2019年3月西南医科大学附属口腔医院收治的需行上颌埋伏前牙正畸牵引治疗患者34例,共34颗上颌埋伏阻生前牙。根据牙根发育情况,分为未完全发育组和完全发育组,每组各17例。所有患者均行正畸牵引治疗。比较2组患者牙根长度、根管壁厚度、牙髓活力、附着龈宽度、牙根周围骨密度、正畸牵引时间。采用SPSS 20.0软件包对数据进行统计学分析。结果:治疗前,完全发育组牙根长度显著大于未完全发育组（P<0.05）;治疗后,未完全发育组牙根长度显著大于完全发育组（P<0.05）。治疗前,完全发育组根管壁厚度显著大于未完全发育组（P<0.05）;治疗后,2组根管壁厚度比较无显著差异（P>0.05）。治疗后,2组牙髓活力相比无显著差异（P>0.05）;2组附着龈宽度相比无显著差异（P>0.05）;2组牙根周围骨密度均显著降低（P<0.05）,完全发育组显著低于未完全发育组（P<0.05）;完全发育组正畸牵引时间显著长于未完全发育组（P<0.05）。结论:对牙根发育未完全埋伏前牙行正畸牵引,牙根吸收程度较轻,牙周组织改建快,牵引时间短,且埋伏前牙牙根和根管壁正常发育,牙髓活力正常。

关键词: 锥形束CT, 牙根发育, 正畸牵引, 埋伏前牙

Abstract: PURPOSE: To investigate the effect of root development on root and periodontal tissues of maxillary impacted anterior teeth after orthodontic traction based on cone-beam CT (CBCT). METHODS: Thirty-four patients (34 teeth) requiring orthodontic traction for maxillary impacted anterior teeth in Southwest Medical University Affiliated Stomatological Hospital from July 2018 to March 2019 were selected. The patients were divided into incomplete development group and complete development group according to root development, each with 17 cases. All patients received orthodontic traction treatment. Root length, thickness of root canal wall, pulp vitality, width of the attachment ridge, bone mineral density around root and orthodontic traction time were compared between the two groups. Statistic analysis was completed by SPSS 20.0 software package. RESULTS: Root length of complete development group was significantly longer than that of incomplete development group before treatment(P<0.05). After treatment, the root length of incomplete development group was significantly longer than that of the complete development group(P<0.05). The thickness of root canal wall was significantly greater in complete development group than in incomplete development group before treatment (P<0.05), which had no significant difference between groups after treatment(P>0.05). The pulp vitality and width of the attachment ridge had no significant difference between two groups after treatment(P>0.05). Bone mineral density around root was significantly decreased in both groups after treatment(P<0.05), and was lower in complete development group than in incomplete development group(P<0.05). The orthodontic traction time in the complete development group was significantly longer than that in incomplete development group(P<0.05). CONCLUSIONS: In orthodontic traction treatment, the impacted anterior teeth with undeveloped roots have advantages of mild root absorption, rapid periodontal tissue reconstruction, short orthodontic traction time with the root, thickness of root canal wall and pulp vitality in the normal range.

Key words: Cone-beam CT, Root development, Orthodontic traction, Impacted anterior teeth

中图分类号:

R782.1

谢蕾, 肖遥, 曾锦, 谢乙加. 牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响[J]. 上海口腔医学, 2021, 30(2): 162-166.

XIE Lei, XIAO Yao, ZENG Jin, XIE Yi-jia. Effect of root development on the root and periodontal absorptions of maxillary impacted anterior teeth after orthodontic traction[J]. Shanghai Journal of Stomatology, 2021, 30(2): 162-166.

参考文献

[1] 陈良娇, 王朝俭, 何静怡,等.安氏Ⅱ类1分类上中切牙骨量及牙根变化的CBCT研究[J] .口腔医学研究,2019,10(8): 193-197.
[2] 柳玉树,李峥,赵一姣, 等. 数字化正畸修复联合治疗设计在前牙美学重建中的应用[J] . 北京大学学报(医学版),2018,50(1):78-84.
[3] 任玉仲秀, 张继武, 马俐丽,等. 无托槽隐形矫治技术推上颌第二磨牙向远中的三维有限元分析[J]. 中华口腔正畸学杂志, 2018, 25(2): 108-112.
[4] 王伟, 刘兰. 手术导萌联合口腔正畸治疗上颌埋伏阻生牙的疗效分析[J] .中国临床医生杂志,2019,47(7): 862-866.
[5] 李煌. 埋伏阻生牙的正畸矫治风险及防范措施[J]. 中华口腔医学杂志, 2019,54(12): 819-824.
[6] 万子秋, 胡萍. 上颌阻生第三磨牙导致第一磨牙远颊根吸收1例[J]. 临床口腔医学杂志,2019,35(8): 501-503.
[7] 李硕, 胡炜. 基于CBCT的快慢速上颌扩弓疗效对比研究进展[J]. 中华口腔正畸学杂志, 2019, 26(2): 100-102.
[8] Mccann CT, Welbury RR.The emergency treatment of traumatised permanent anterior teeth in children and adolescents[J]. Primary Dent J, 2017, 6(2): 36-45.
[9] 钱庆慰, 余佳杰, 马宏涛. 下颌后牙区舌侧埋伏阻生牙拔除术中微创技术应用研究[J]. 中国实用口腔科杂志, 2019, 12(9): 561-564.
[10] 徐筱, 徐莉, 江久汇, 等. 锥形束CT评判安氏Ⅲ类错上前牙骨开裂与骨开窗的准确性分析[J]. 北京大学学报(医学版), 2018,50(1):104-109.
[11] Zasciurinskien E, Basevicien N, Lindsten R, et al.Orthodontic treatment simultaneous to or after periodontal cause-related treatment in periodontitis susceptible patients. part I: clinical outcome. a randomized clinical trial[J]. J Clin Periodont,2018,45(2): 213-224.
[12] 刘冉冉, 刘莉, 邵珊珊,等. 正畸患者埋伏阻生前磨牙的X线特点分析[J] . 中华口腔正畸学杂志,2018,25(3): 140-143.
[13] Henner N, Pignoly M, Antezack A, et al.Periodontal approach of impacted and retained maxillary anterior teeth[J]. Nephron Clin Pract, 2018,21(2):76-77.
[14] 彭绍斌, 程超, 王萍,等. 种植支抗压低上颌前牙时不同植入部位稳定性的研究[J]. 中华口腔正畸学杂志, 2019, 26(2): 77-80.
[15] Hegde R, Agrawal G.Prevalence of traumatic dental injuries to the permanent anterior teeth among 9- to 14-year-old schoolchildren of Navi Mumbai (Kharghar-Belapur Region),India[J]. Int J Clin Pediatr Dent,2017, 10(2): 177-182.
[16] 林燕, 麻广丽, 叶莉莉,等. 应用全景片预测上颌阻生尖牙正畸治疗时间的探讨[J].上海口腔医学,2018,27(3): 302-304.
[17] 钟寒, 蒋慧娟, 潘玉之. 正畸联合牙周夹板治疗牙周炎所致前牙扇形移位的美学效果观察[J]. 上海口腔医学, 2019, 28(4):417-421.
[18] Sayed ME, Porwal A, Alfaraj NA, et al.Evaluation of the current techniques and introduction of a novel approach for estimating maxillary anterior teeth dimensions[J].J Oral Implants,2017,18(7): 541-548.
[19] 喻爱霞. 牙周炎患者应用牙周组织再生术联合正畸治疗的临床效果评价[J] .河北医科大学学报,2017,38(3): 306-310.
[20] 吴周强, 廖正宇, 赖文莉.功能性Ⅲ类错伴前牙反正畸掩饰性治疗长期随访1例[J].中华口腔医学杂志,2018,53(9): 624-627.

牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响

Effect of root development on the root and periodontal absorptions of maxillary impacted anterior teeth after orthodontic traction

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	王文丽, 傅亚婷, 刘华, 马潇. 上颌前牙美学区牙龈三维形态的锥形束CT测量分析[J]. 上海口腔医学, 2023, 32(2): 177-182.
[2]	张薇, 陈威, 陈志方. 可调式活动牵引器治疗上颌唇侧倒置阻生中切牙效果评价[J]. 上海口腔医学, 2023, 32(2): 193-197.
[3]	宋珏, 刘好好, 刘嘉靓, 陈美华. 上颌磨牙与上颌窦黏膜增厚发生的相关性分析[J]. 上海口腔医学, 2022, 31(6): 638-642.
[4]	吕云松, 李朝晖. 颞下颌关节紊乱综合征伴偏侧咀嚼患者锥形束CT特征分析[J]. 上海口腔医学, 2022, 31(6): 653-656.
[5]	周子芊, 陈振琦. 上颌窦底对上颌第一磨牙近中移动的影响[J]. 上海口腔医学, 2022, 31(6): 661-667.
[6]	林翔, 傅裕杰, 任根强, 温佳欢, 陈宇飞, 张旗. U-Net神经网络分割锥形束CT影像中下颌磨牙牙体与牙髓腔及其准确性验证[J]. 上海口腔医学, 2022, 31(5): 454-459.
[7]	马智菲, 周梦琪, 王丽珍, 承清, 洪瑾. Er:YAG 激光在小型猪牙髓血运重建术中的应用效果评价[J]. 上海口腔医学, 2022, 31(4): 367-373.
[8]	黄锦程, 赵华强, 李国菊. Stafne骨腔影像学特征：基于CBCT的回顾性分析[J]. 上海口腔医学, 2022, 31(4): 439-444.
[9]	林怡君, 鄢洁雅, 王天鸽, 周志捷, 廖盛轩, 毛丽霞, 刘加强. 减数正畸治疗中中切牙牙根及牙槽骨形态变化的锥形束CT测量分析[J]. 上海口腔医学, 2022, 31(2): 211-216.
[10]	杜悦, 彭笑, 韩瑞, 王栋, 胡洁, 高廷益, 张凯. 颌骨囊肿开窗治疗临床特征动态研究[J]. 上海口腔医学, 2021, 30(6): 658-662.
[11]	马晓晴, 赵宁, 董晛, 钱文昊. 2种锥形束CT转化头颅侧位片的定点一致性探讨[J]. 上海口腔医学, 2021, 30(5): 522-525.
[12]	毛晓燕, 杨佳音, 李佳, 徐睿. 成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析[J]. 上海口腔医学, 2021, 30(4): 419-423.
[13]	郑美里, 吕政展, 朱柏恺, 汪席均, 瞿然奕, 樊林峰, 江凌勇. 成人上颌骨性扩弓疗效评价及对面中部相邻骨块的影响[J]. 上海口腔医学, 2021, 30(3): 316-322.
[14]	丁元凤, 宋丽娟. 青少年安氏Ⅱ类亚类错牙合患者颞下颌关节形态及髁突位置分析[J]. 上海口腔医学, 2020, 29(6): 656-660.
[15]	涂业颖, 周健, 于艳春, 樊明星, 泮海松, 林海燕. 国产六维导板辅助无牙颌种植手术的精度分析[J]. 上海口腔医学, 2020, 29(5): 504-508.