CBCT follow-up study on alveolar bone remodeling in the anterior teeth area of adolescent patients with anterior arch protrusion after tooth extraction correction
10.3969/j.issn.1001-3733.2024.06.011
- VernacularTitle:青少年上牙弓前突患者拔牙矫治后上前牙区牙槽骨改建的CBCT随访研究
- Author:
Jueyao XIA
1
;
Zanzan ZHANG
;
Chong ZHONG
;
Jing JIN
;
Fengyang YU
;
Jianan ZHANG
;
Qunzhi FANG
;
Haiping LU
Author Information
1. 310005,杭州市第九人民医院口腔科
- Keywords:
Alveolar bone remodeling;
Ortho-dontics;
Anterior teeth;
CBCT
- From:
Journal of Practical Stomatology
2024;40(6):799-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the alveolar bone remodeling of maxillary anterior teeth after extraction treatment and 2-year recovery period in adolescent patients with maxillary anterior arch protrusion.Methods:15 adolescent patients with maxillary anterior arch protru-sion were included,2 maxillary first premolars were extracted and implant anchorage combined with sliding method were used to close the extraction gap.CBCT images were taken before treatment(T0),after treatment(T1)and 2 years of recorvery period(T2),respectively.After multi-plane reconstruction with Dophin Imaging,the alveolar bone area(ABA)changes of maxillary central incisor,lateral incisor and canine at cementoenamel junction(CEJ-3 mm),root neck,central part,and root tip were measured and recorded as TAC,TA1,TA2 and TA3 respectively.The labial palatal alveolar crest to CEJ bone height(BH)of each tooth was recorded as BCL,BCP respectively.The data were analyzed by IBM SPSS statistics 25.0.Results:In T0-T2 phase,TA1 of each tooth was reduced.In T0-T1 phase,the horizontal adsorption of teeth was significantly correlated with ΔBCP,followed by ΔTA3.In T0-T2 phase,ΔBCP,ΔTA2,ΔTA3 and the horizontal adsorption of teeth showed low negative correlation.In T0-T1 phase,the vertical reduction of teeth was significantly positively correlated with ΔTAC,followed by low correlation with ΔTA3 and ΔTA1.Conclusion:In the treatment of anterior arch protrusion after extraction correction in adolescent patients the more the vertical reduction and horizontal adsorption of teeth in the treatment phase,the more the alveolar bone thickness and height around the tooth root in the maintenance phase,which were significantly positively correlated.Reasonable control of the vertical move-ment of teeth in the alveolar bone can improve the periodontal condition around the teeth to a certain extent.
