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Tooth Movement out of the Bony Wall Using Augmented Corticotomy with Nonautogenous Graft Materials for Bone Regeneration

机译:使用非自体移植材料的增强皮质切开术将牙齿移出骨壁以进行骨再生

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摘要

This prospective randomized split-mouth study was performed to compare the effects of augmented corticotomy with those of different nonautogenous bone graft materials combined with orthodontic tooth movement in dogs. Decortication was performed on the buccal bone surface of 6 male beagle dogs that were randomly assigned to receive grafts of deproteinized bovine bone mineral, irradiated cortical bone, or synthetic bone. Immediate orthodontic force was applied to the second and third premolars for buccal tipping for 6 weeks. The pocket depth and width of keratinized tissue (WKT) were measured. Histologic and histomorphometric analyses were performed. The probing depth, WKT, and ratio of the area of new bone to that of total bone on the buccal side were not significantly different between groups. All groups had considerable new bone formation on the pressure side. New bone formation on the buccal side and buccal plate formation in the coronal direction along the root surfaces were induced by the bone-derived and PDL-derived mesenchymal matrix, respectively. The angular change between groups was significantly different (P < 0.001). Augmented corticotomy using nonautogenous graft materials facilitated tooth movement without fenestrations and accelerated new bone formation on the pressure side.
机译:进行这项前瞻性随机开口嘴研究,以比较增强皮质切开术与不同非自体骨移植材料联合正畸牙齿移动对狗的影响。对6只雄性比格犬的颊骨表面进行脱皮,随机分配这些雄性比格犬接受脱蛋白的牛骨矿物质,辐照的皮质骨或合成骨的移植物。立即对第二和第三前磨牙施加正畸力,进行颊侧倾翻,持续6周。测量了角化组织的口袋深度和宽度(WKT)。进行组织学和组织形态分析。两组的探查深度,WKT和新骨面积与总骨面积之比无显着差异。所有组在压力侧都有相当多的新骨形成。沿骨表面沿冠状方向在颊侧的新骨形成和沿颊面的颊板形成分别是由骨衍生和PDL衍生的间充质基质诱导的。组之间的角度变化显着不同(P <0.001)。使用非自体移植材料的增强皮质切开术可促进牙齿移动而无开窗现象,并加快压力侧新骨的形成。

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