正畸运动中重要牙和经根管治疗牙的根吸收。

I Satoh
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引用次数: 0

摘要

正畸牙齿移动经常引起牙根的吸收,尽管获得了有关牙根吸收与力大小、牙齿移动的持续时间和类型以及牙周组织状况之间关系的有价值的信息。然而,目前尚不完全清楚的是,正畸运动中候选牙本身的情况对牙根吸收和随后的修复过程的影响。因此,本研究旨在阐明除牙伴牙齿移动对牙根吸收和牙周组织再生过程的影响。以体重180 ~ 200 g、6周龄Wistar大鼠150只为实验动物。实验拔牙前,50只大鼠分别行双侧第一磨牙除髓后充填根管(第一组)和单侧第一磨牙(第二组)。保留上颌第一磨牙作为重要牙髓对照(第三组)。根据Waldo(1953)的描述,将第一组和第三组动物进行为期3天、1、2、3和4周的实验性牙齿移动,并在近端间插入弹性橡胶。停牙后,采用乙醚吸入法或戊二醛固定液灌注法处死。取每只大鼠上颌标本,分别作非脱钙切片和光镜切片。采用模块化系统对光显微切片图像进行半自动定量评价,定量评价牙骨质的根吸收和再生。多核破牙细胞外牙根吸收与实验牙运动的发生,在去髓牙中比在活牙中发生得更少、更晚。这些结果表明,牙髓在牙根吸收和牙骨质重塑过程中起着重要的作用,与正畸牙齿的运动有关。
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[Root resorption of vital and endodontically treated teeth in orthodontic movement].

Orthodontic tooth movement frequently induces the resorption of the tooth root, although valuable information concerning the relationship between the root resorption and force magnitude, duration and types of tooth movement and the condition of periodontium obtained. However, it is incompletely known that the situation of candidated tooth itself of orthodontic movement in which pulpectomized non-vital condition influence the process of root resorption and subsequent repairing. Thus, the study was conducted to clarify the effect by the pulpectomy accompanied with tooth movement on the process of root resorption and regeneration of periodontium. A hundred and fifty Wistar rats, weight 180-200 g, 6 weeks old, were used as experimental animals. Prior to experimental tooth movement, first molars of 50 rats were received pulpectomy on both sides followed by filling of root canal (first group) and those of another 50 rats on single side (second group). Maxillary first molars of the other 50 rats were saved as a vital dental pulp control (third group). The first and the third groups of animals were then subjected to experimental tooth movement with the interproximal insertion of elastic rubber as described by Waldo (1953) for 3 days, 1, 2, 3 and 4 weeks. After tooth movement was terminated, animals were sacrificed by ether inhalation or by perfusion of glutaraldehyde fixation solution. The upper jaw from each rat was dissected and prepared specimens for non-decalcified section and light microscopic section. Root resorption and regeneration of cementum were evaluated quantitatively using the modular system for semiautomatic quantitative evaluation of images on the light microscopic section. Occurrence of external root resorption with multinucleated odontoclast associated with experimental tooth movement in pulpectomized tooth were lesser and later than those of vital teeth. These findings suggest that the dental pulp plays an important role in the processes of root resorption and remodeling of cementum associated with orthodontic tooth movement.

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