[下颌第一或第二磨牙拔除后第三磨牙的萌出]。

K Yamabe, M Kouguchi, Y Watanabe, K Yamauchi
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引用次数: 0

摘要

在正畸实践中,第一或第二磨牙是根据治疗计划的需要拔除的。在这些情况下,第三磨牙将参与咀嚼功能是可取的。本研究通过连续侧位头颅x线片和正位断层片观察拔除第一或第二磨牙后萌出第三磨牙的自然运动情况。研究对象被分为三组。第一组是拔除下颌第二磨牙的组。第二组是拔除第一磨牙后,第三磨牙又成功长出的组。第三组是拔第一磨牙导致第三磨牙出牙失败的组。在所有病例中,正畸力均未应用于第三磨牙。实验结果如下:1.实验结果表明:第一组第三磨牙全部拔除成功,第二磨牙拔除后的大量空隙用于第三磨牙的拔除。2. 第二组第三磨牙全部拔除成功,第一磨牙拔除后的大部分空隙用于第二磨牙的近中活动。3.在第三组中,第三磨牙的嵌塞有不同的模式。提示第三磨牙的出牙与第二磨牙的远端间隙有关,而与下颌体的前后长度关系不明显。
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[On eruption of mandibular third molar after extraction of mandibular first or second molar].

In the orthodontic practice, the first or second molars are extracted by reason of a necessity based on the treatment planning. In these cases, it is desirable that the third molar would be taken part in the masticatory function. This study was made to investigate the natural movement of the erupting third molars after the extraction of the first or second molar on the serial lateral cephalometric radiographs and orthopantomographs. Subjects were divided into three groups. The first is the group which the mandibular second molars were extracted. The second is the group which the first molars were extracted bringing about the successful eruption of the third molars. The third is the group which the first molars were extracted with resultant in the failure of the third molar eruption. In all cases, the orthodontic forces were not applied to the third molars. The results were as follows: 1. In the first group, all third molars were successfully erupted and a lot of the spaces after the extraction of second molars were utilized for the eruption of third molars. 2. In the second group, all third molars were successfully erupted and a lot of the spaces after the extraction of first molars were utilized for the mesial movement of the second molars. 3. In the third group, there were various patterns of the impaction of the third molars. It was suggested that the eruption of the third molar was related to the space distal to the second molar but it was not related to the anterio-posterior length of the mandibular body significantly.

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