|本期目录/Table of Contents|

[1]张 茜,李洪发,刘俊玲,等. 快速扩弓后牙齿及牙槽骨变化的锥体束CT研究[J].天津医科大学学报,2014,20(01):57-060.
　ZHANG Qian,LI Hong- fa,LIU Jun-ling,et al. Study on cone beam computed tomography study of tooth and alveolar bone changes after rapid maxillary expansion treatment [J].Journal of Tianjin Medical University,2014,20(01):57-060.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
20卷
期数:
2014年01期
页码:
57-060
栏目:
临床医学
出版日期:
2014-01-20

文章信息/Info

Title:
 Study on cone beam computed tomography study of tooth and alveolar bone changes after rapid maxillary expansion treatment
文章编号:
1006-8147(2014)01-0057-04
作者:
 张 茜1; 李洪发1; 刘俊玲2; 门海艳1
 (1.天津医科大学口腔医院正畸科,天津300070；2.天津市南开医院口腔科,天津300100 )

Author(s):
 ZHANG Qian1; LI Hong- fa1; LIU Jun-ling2; MEN Hai-yan1
 (Department of Orthodontics,Stomatological Hospital,Tianjin Medical University,Tianjin 300070,China;2.Department of Stomatology, Tianjin Nankai Hospital,Tianjin 300100,China)
关键词:
 ; 快速扩弓; 锥体束CT; 牙齿; 牙槽骨
Keywords:
 ; rapid maxillary expansion;  cone-beam computed tomography;  tooth ;  alveolar bone
分类号:
R783.5
DOI:
-
文献标志码:
A
摘要:
 目的：研究生长发育高峰期患者快速扩弓前后牙齿及牙槽骨的变化。方法 选取生长发育高峰期上颌牙弓狭窄患者30例，扩弓治疗前后分别进行锥体束CT扫描重建，对上颌牙及牙槽骨进行测量并做统计学分析。结果：快速扩弓后牙弓宽度明显增加(P<0.05)，从尖牙到第一磨牙根冠宽度增加量的比值依次为0.97、0.58、0.43、0.40。颊侧牙槽骨厚度减小，腭侧牙槽骨厚度增加，变化量均有统计学差异(P<0.05)。牙槽骨总宽度不变(P>0.05)。牙槽骨牙及牙槽骨均发生颊倾，颊侧牙槽骨倾斜度大于腭侧，两侧牙槽骨与牙的颊倾度呈正相关。结论：快速扩弓后牙槽骨随牙的颊倾发生适应性变化，在适应征范围内扩弓是安全的。
Abstract:
 Objective: To evaluate the effect of rapid maxillary expansion on toothmovement and alveolar alteration of adolescents. Methods: Thirty patients aged11 to 13years presenting dental arch stenosis with adolescence growth spurt were included -in the study. The arches were scanned before and after Hyrax expansion by cone beamcomputed tomography and three-dimensional images were reconstructed. Themorphologi-cal data of maxillary tooth and alveolar were measured and analyzed. Results: A significant increase in interdental transverse was found after rapid maxillary expansion (P<0.05). The radio of the increased root width of crown（比较对象？） was 0.97, 0.58,0.43,0.40. The thickness of buccal alveolar decreases, and the opposite result was found in palatal alveolar. Significant difference were found in both (P<0.05). Alveolar total width remained the same (P>0.05). Tooth and alveolar bone were both tipped with buccal bone tipped more than palatal bone. Inclinations of both the buccal bone and the palatal bone were positively correlated with the tooth. Conclusion: Alveolar bone tends to adapt to tooth and the dental arch would expand after the treatment of rapid maxillary expansion. And moderate expansion is safe and effective.

参考文献/References:

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[6]Garib DG, Henriques JF, Janson G, et al. Rapid Maxillary Expansion--Tooth Tissue-Borne Versus Tooth-Borne Expanders: A Computed Tomography Evaluation of Dentoskeletal Effects，Angle Orthod，2005, 75(4): 548

[7]Kartalian A, Gohl E, Adamian M, et al. Cone-beam computerized tomography evaluation of the maxillary dentoskeletal complex after rapid palatal expansion[J]. Am J Orthod Dentofacial Orthop, 2010, 138(4):486

[8]Ghoneima A, Abdel-Fattah E, Eraso F, et al. Skeletal and dental changes after rapid maxillary expansion: a computed tomography study[J]. Aust Orthod J, 2010,26(2):141

[9] Lagravere MO, Carey J, Heo G, et al. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial[J]. Am J Orthod Dentofacial Orthop, 2010,137(3):301

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[12] Garlet TP, Coelho U, Repeke CE, et al. Differential expression of osteoblast and osteoclast chemmoatractants in compression and tension sides during orthodontic movement[J]. Cytokine, 2008,42(3):330

[13] Garrett BJ, Caruso JM, Rungcharassaeng K, et al. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2008,134(1):8

[14]赵颖,Armine Kartalian,Elizabeth Gohl, et al. 三维锥形束CT评价Hyrax扩弓器治疗上颌第二前磨牙区的变化[J].口腔医学研究,2009,8(25):455

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备注/Memo

备注/Memo:
 作者简介 张茜（1987-），女，硕士在读，研究方向：口腔临床医学；
通信作者：李洪发，E-mail: lihongfa0923@yahoo.com。
更新日期/Last Update: 2014-03-28