正畸治疗导致牙根外吸收的临床分析.PDFVIP

临床口腔医学杂志2009 年5 月第25 卷第5 期 J Clin Stomatol , Mar, 2009, Vol.25, No.5 · · 293 正畸治疗导致牙根外吸收的临床分析 * 焦雪雯，李新桂，刘月华 （同济大学口腔医学院正畸科 上海 200072） ［摘要］ 目的：调查正畸治疗导致牙根外吸收的发病情况，分析其临床特征及相关因素。方法：随机选择经直丝 弓矫治技术完成的病例230 例，以Levander 根吸收分级法对患者全颌曲面断层片进行分析，评估矫治前后中切牙至 第一磨牙的根吸收情况。结果：正畸治疗后根吸收发生率明显升高，根吸收均值（root resorption after treatment ，RRAT） 及根吸收增加量均值（increment of root resorption ，IRR）表现为上切牙最高，拔牙组高于未拔牙组，异常根形态组高于 正常根形态组。结论：正畸治疗可提高根吸收发生几率，并加重根吸收程度，此可能与拔牙与否、牙位、根形态及治疗 前牙根吸收程度有关。 ［关键词］ 牙根吸收；正畸；发生率 ［中图分类号］R783.5 ［文献标识码］A ［文章编号］1003－1634 （2009）05-0293-03 A clinical investigation of orthodontically induced external apical root resorption． JIAO Xue－wen ，LI Xin－gui ， LIU Yue－hua． Department of Orthodontics ，School of Stomatology ，Tongji University，Shanghai 200072 ，China． ［Abstract］ Objective ：To investigate the frequence of external apical root resorption （EARR）in relation to orthodon－ tic treatment． Method ：230 cases treated with straight wire appliance were randomly selected． Pretreatment and posttreat－ ment panoramic radiographs of those patients were examined to assess changes in root length and apical contour according to criteria modified from Levander et al． Result ：The prevalence of EARR rose significantly after treatment． There were sta－ tistically significant differences in the prevalence of EARR and root resorption after treatment （RRAT）as well as increment of root resorption （IRR）between different groups divided by teeth position ，extraction or not and root shape （P ＜0．05）．The teeth most suscepti