Histologic assessment of the biological effects after speedy surgical orthodontics in a beagle animal model: a preliminary study
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: Speedy surgical orthodontics (SSO), an innovative orthodontic treatment, involves the application of orthopedic forces against temporary skeletal anchorage devices following perisegmental corticotomy to induce movement of specific dental segments. Herein, we report the biological effects of SSO on the teeth and periodontal structures. Methods: Five beagle dogs were divided into 2 groups and their 6 maxillary incisors were retracted en masse by applying 500 g orthopedic force against a single palatal mini-plate. Retraction was performed without and with perisegmental corticotomy in groups I and II, respectively. All animals were killed on the 70th day, and their periodontal structures were processed for histologic analyses and scanning electronic microscopy (SEM). The linear distance between the third maxillary incisor and canine was used as a benchmark to quantify the retraction amount. Results: Retraction was markedly faster and retraction amount greater in group II than in Group I. Surprisingly, Group II did not show any root resorption despite extensive retraction, while Group I showed prominent root surface irregularities. Similarly, SEM showed multiple resorption lacunae in Group I, but not in Group II. Conclusions: SSO is an effective and favorable orthodontic approach for major en masse retraction of the maxillary anterior teeth.
Abstract
Objective: Speedy surgical orthodontics (SSO), an innovative orthodontic treatment, involves the application of orthopedic forces against temporary skeletal anchorage devices following perisegmental corticotomy to induce movement of specific dental segments. Herein, we report the biological effects of SSO on the teeth and periodontal structures. Methods: Five beagle dogs were divided into 2 groups and their 6 maxillary incisors were retracted en masse by applying 500 g orthopedic force against a single palatal mini-plate. Retraction was performed without and with perisegmental corticotomy in groups I and II, respectively. All animals were killed on the 70th day, and their periodontal structures were processed for histologic analyses and scanning electronic microscopy (SEM). The linear distance between the third maxillary incisor and canine was used as a benchmark to quantify the retraction amount. Results: Retraction was markedly faster and retraction amount greater in group II than in Group I. Surprisingly, Group II did not show any root resorption despite extensive retraction, while Group I showed prominent root surface irregularities. Similarly, SEM showed multiple resorption lacunae in Group I, but not in Group II. Conclusions: SSO is an effective and favorable orthodontic approach for major en masse retraction of the maxillary anterior teeth.
참고문헌 (25)
- Melsen B, "Limitations in adult orthodontics. In Current controversies in orthodontics. 1st ed.", pp.147~180 (1991), Hanover Park, IL: Quintessence Publishing Co, Inc
- Vardimon AD, "Cortical bone remodeling", tooth movement ratio during maxillary incisor retraction with tip versus torque movements, 1998, pp.114, 520~529
- Bojrab DG, "Lahrman on surgical-orthodontics", J Clin Orthod, 11, pp.330~342 (1977)
- Wilcko WM, "Rapid orthodontics with alveolar reshaping: two case reports of decrowding", Int J Periodontics Restorative Dent, 21, pp.9~19 (2001)
- Chen YR, "Multiple-segment osteotomy in maxillofacial surgery", Plast Reconstr Surg, 104, pp.381~388 (1999)
- Kole H, "Surgical operations on the alveolar ridge to correct occlusal abnormalities", Oral Surg Oral Med Oral Pathol, 12, pp.413~420 (1959)
- Wilcko MT, "Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation", J Oral Maxillofac Surg, 67, pp.2149~2159 (2009)
- Wilcko MT, "Full-thickness flap", subepithelial connective tissue grafting with intramarrow penetrations: three case reports of lingual root coverage, 2005, pp.25, 561~569
- Suya H, "Corticotomy in orthodontics. In Mechanical and biological basics in orthodontic therapy", pp.207~226 (1991), Heidelberg, Germany: Huthig Buch
- Lee BS, "Clinical use of corticotomies in adult orthodontics", J Korean Assoc Maxillofac Plast Reconstr Surg, 21, pp.303~311 (1999)
- Chung KR, "Corticotomy-assisted orthodontics", J Clin Orthod, 35, pp.331~339 (2001)
- Chung KR, "Speedy Surgical Orthodontic Treatment With Skeletal Anchorage in Adults-Sagittal Correction and Open Bite Correction", JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 67, pp.2130~2148 (2009), American Association of Oral and Maxillofacial Surgery
- Kim S, "Severe anterior open bite malocclusion with multiple odontoma treated by C-lingual retractor and horseshoe mechanics", Angle Orthod, 73, pp.206~212 (2003)
- 김성훈, "Severe bimaxillary protrusion with adult periodontitis treated by corticotomy and compression osteogenesis", 대한치과교정학회지, 39(1), pp.54~65 (2009), 대한치과교정학회
- Frost HM, "The biology of fracture healing. An overview for clinicians. Part I", Clin Orthop Relat Res, 248, pp.283~293 (1989)
- Frost HM, "The biology of fracture healing. An overview for clinicians. Part II", Clin Orthop Relat Res, 248, pp.294~309 (1989)
- 곽춘, "백서의 치아이동 시 피질골 천공이 치주조직의 MMP-1, -8, -13 mRNA의 발현에 미치는 영향", 대한치과교정학회지, 38(3), pp.187~201 (2008), 대한치과교정학회
- 박우경, "백서의 치아이동 시 피질골 천공이 치주조직의 OPG, RANK, RANKL의 발현에 미치는 영향", 대한치과교정학회지, 38(3), pp.159~174 (2008), 대한치과교정학회
- 김성훈, "Speedy surgical-orthodontic treatment with temporary anchorage devices as an alternative to orthognathic surgery", AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 135, pp.787~798
- 김동환, "초소형 전기장치에 의한 미세 전류가 치아이동에 미치는 효과", 대한치과교정학회지, 38(5), pp.337~346 (2008), 대한치과교정학회
- Yoshikawa Y, "Pulpal and radicular changes following maxillary subapical corticotomy", Endod Dent Traumatol, 8, pp.245~247 (1992)
- Lee JK, "Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion", Plast Reconstr Surg, 120, pp.1027~1036 (2007)
- Iino S, "Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog", Am J Orthod Dentofacial Orthop, 131(448), pp.e1~8 (2007)
- Wang L, "Tisssue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining", Am J Orthod Dentofacial Orthop, 136(770), pp.e1~11 (2009)
- 이혜련, "Class II malocclusion treated by combining a lingual retractor and a palatal plate", AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 133, pp.112~123
