正畸牵引时机对上颌埋伏阻生尖牙牙根影响的临床研究  

Clinical Study on the Influence of Orthodontic Traction Time of Impacted Maxillary Canines on Root

作　　者：廖洁 陈桂军[2] 廖明华 LIAO Jie;CHEN Guijun;LIAO Minghua(Department of Stomatology,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,Guangxi,China;Department of Stomatology,Beihai People's Hospital,Beihai 536000,Guangxi,China;School of Stomatology,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]广西壮族自治区人民医院口腔科,广西南宁530000 [2]北海市人民医院口腔科,广西北海536000 [3]右江民族医学院口腔医学院,广西百色533000

出　　处：《中国美容医学》2025年第2期137-141,共5页Chinese Journal of Aesthetic Medicine

基　　金：中华口腔医学会西部口腔医学临床科研基金(编号:CSA-W2020-07)。

摘　　要：目的:探讨上颌埋伏阻生尖牙最佳正畸牵引时机。方法:选取需行外科联合正畸牵引的20颗上颌埋伏阻生尖牙,分为牙根发育完全组和牙根未发育完全组。通过CBCT及临床检查测量记录牵引前、后两组埋伏牙牙根相关指标的变化,比较两组埋伏牙牵引到位后牙根的差异。结果:两组埋伏牙均能牵引到位。牙根未发育完全的埋伏牙牵引后的牙根长度长于牵引前的牙根长度,但短于对照牙,牵引过程中不会形成新的牙根弯曲。牙根发育完全的埋伏牙牵引后的牙根长度短于自身牵引前、牙根未发育完全组牵引后以及对照牙的牙根长度,且牵引时间长于牙根未发育完全的埋伏牙。两组埋伏牙根管壁厚度、牙髓活力均正常。结论:正畸牵引治疗中,牙根未发育完全的埋伏阻生尖牙具有牙周组织改建速度快,正畸牵引时间短、牙根吸收程度轻的优点,其总体疗效优于牙根发育完全的埋伏牙。Objective To investigate the best orthodontic traction time of impacted maxillary canines.Methods 20 impacted maxillary canines requiring surgical combined orthodontic traction were selected and divided into two groups:fully developed root group and underdeveloped root group.CBCT and clinical examination were used to record the changes of related indexes of the impacted teeth before and after traction.The root differences of the two groups were compared after implantation.Results The two groups of embedded teeth could be drawn into position.The root length of the imperfectly developed embedded teeth after traction was longer than that before traction,but shorter than that of the control teeth.No new root curvature was formed during traction.The root length of fully developed embedded teeth after traction was shorter than that before selftraction,undeveloped teeth and control teeth,and the root length of fully developed embedded teeth was longer than that of undeveloped teeth.The thickness of root canal wall and pulp activity were normal in the two groups.Conclusion In orthodontic traction treatment,impacted canine with incomplete root has the advantages of rapid periodontal tissue reconstruction,short orthodontic traction time and light root absorption.The overall curative effect is better than that of embedded teeth with fully developed root.

关 键 词：上颌尖牙 埋伏牙 锥形束CT 正畸牵引 导萌术 

分 类 号：R783.5[医药卫生—口腔医学]