The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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An effect of immediate orthodontic force on palatal endosseous appliance$(C-Palatal\;Plate^{TM})$ in beagle Dog

성견 구개부 골내고정원 장치에 가해진 즉시 교정력이 주위조직에 미치는 영향

  • 김수정 (경희대학교 치과대학 교정학교실) ;
  • 이영준 (경희대학교 치과대학 교정학교실) ;
  • 정규림 (급속교정연구회, 웰치과의원)
  • Published : 2003.04.01
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Abstract

This study was performed to investigate the effect of immediate orthodontic force on soft md hard tissues surrounding C-Palatal $Plate^{TM}$ in beagle Dog. Immediately after this appliance was implanted on the midpalate of 4 adult beagle Dogs, 400gm continuous orthodontic force was applied. Experimental animals were euthanized at 8weeks, 18weeks, and 22weeks (including post-removal healing time of 4weeks), and a control animal was euthanized at 8weeks after implantation without orthodontic force application. The appliance and the surrounding tissue were studied radiographically, macroscopically, and histologically. The results were as follows: 1. The lateral radiographs taken after euthanasia showed very slight displacement of the vortical plate in the experimental animals, compared with the control animal. Mobility test of all animals confirmed primary stability without any increase of mobility during experimental period. 2. No pathologic changes were found in the healing condition of covering soft tissue and bone-screw interface in experimental animals as well as a control animal. 3. Osseointegration was achieved in the bone-screw interface in 8weeks after implantation and the amount of osseointegration increased in 18weeks. There was little difference of osseointegration between the compression side and the tension side. 4. In the marginal bone area, slight bone apposition and resorption were found regardless of compression and tension side, while there was no change in the control animal. 5. Both 8week-animal and 18week-animal showed the new bone apposition along the surface of screws which were perforated into the nasal cavity, while the control animal showed no change. 6. After 4weeks of plate removal, the covering epithelium was repaired intactly, while the connective tissue showed loose and irregular rearrangement and the connective tissue capsule remained. The C-Palatal $Plate^{TM}$ manifested sufficient anchorage capacity in the context of histological study as well as clinical outcomes, when immediate orthodontic force was applied after implantation.

이 연구는 구개부 골내고정원 장치 C-Palatal $Plate^{TM}$에 가해진 즉시 교정력이 장치 주위 골조직 및 연조직의 치유 반응에 미치는 영향을 조직학적으로 관찰하고자 시행되었다. 4마리의 비글 성견을 대상으로 정중 구개부에 장치를 식립한 후, 교정력을 전혀 가하지 않고 8주 경과된 한 마리를 대조군으로 하고, 식립 직후부터 8주간 지속적인 교정력을 받은 한 마리, 18주간 지속적인 교정력을 받은 한 마리, 그리고 18주간 지속적인 교정력을 받은 후 장치가 제거되고 이후 4주간의 치유기간을 거친 한 마리, 총 세마리를 실험군으로 하여 동요도 검사, 방사선 사진 관찰, 그리고 조직학적 관찰을 시행한 결과 다음과 같은 결론을 얻었다. 1. 희생 후 조직괴의 측면 방사선 사진상에서, 대조군에 비하여 즉시 교정력을 받은 군에서는 플레이트의 수직적 변위가 발생하였으나 경미하였고, 동요도 검사시 모든 군에서 초기 안정성이 확인되었으며 실험기간 중 동요도의 증가는 없었다. 2. 상부 연조직의 치유상태는 실험군과 대조군 모두 병리적 변화가 관찰되지 않았다. 3. 골유착은 교정력을 가한 8주군과 18주군 모두에서 관찰되었고 18주 경과시 골유착의 분포가 더욱 증가되었다. 그러나 압박측과 긴장측간에 골유착 분포의 차이는 관찰되지 않았으며, 대조군이 실험군에 비하여 골유착에 불리한 것으로 나타났다. 4. 스크류 경부의 변연골은 대조군에서는 뚜렷한 변화가 없었던 반면, 8주군과 18주군에서는 압박측, 긴장측과 무관하게 부분적으로 변연골 침착 및 흡수가 일어났으나 경미하였다. 5. 비강으로 관통된 스크류에서, 8주군과 18주군에서는 스크류 표면을 따라 비강측으로 신생골 침착이 관찰되었으나, 대조군에서는 관찰되지 않았다. 6. 장치 제거 4주 후, 상피층은 긴밀하게 재생되었으나 결합조직은 성글고 불규칙한 배열을 보였으며, 장치를 둘러쌌던 결합조직피막이 잔존하였다. 스크류가 식립되었던 골부위에서는 왕성한 골개조가 진행되고 있었다. 즉시 교정력에 대하여 C-Palatal $Plate^{TM}$는 임상적으로 뿐만 아니라 조직학적으로도 충분한 고정원 가치를 지니는 것으로 확인되었다.

Keywords

References

  1. 정규림. 급속교정, 서울 : 지성출판사, 2001
  2. Turley PK, Kean C, Schur J, Stefanac J, Gray J, Hennes J, Poon LC. Orthodontic force application to titanium endosseous implants. Angle Orthod 1988: 58 : 151-61
  3. Higuchi KW, Slack JM. The use of titanium fixtures for intraoral anchorage to facilitate orthodontic tooth movement. Int J Oral Maxillofac Implants 1991 : 6 : 338-44
  4. Odman J, Lekholm U, Jemt T, Thilander B. Osseointegrated implants as orthodontic anchorage in the treatment of partially edentulous adult patients. Eur J Orthod 1994 : 16 : 187-201
  5. De Pauw GA, Dermaut L, De Bruyn H, Johansson C. Stability of implants as anchorage for orthopeic traction. Angle Orthod 1999: 69: 5 : 401-7
  6. Majzoub Z, Finotti M, Miotti F, Giardino R, Aldini NN, Cordioli G. Bone response to othodontic loading of endosseous implants in the rabbit calvaria: early continuous distalizing forces. European J Orthod 1999 : 21 : 223-230
  7. Akin-Nergiz N, Nergiz I, Schulz A, Arpak N, Niedermeier W. Reactions of peri-impiant tissues to continuous loading of osseointegrated implants. Am J Orthod Dentofacial Orthop 1998: 114 : 292-8
  8. Saito S, Sugimoto N, Morohashi T, Ozeki M, Kurabayashi H, Shibasaki Y, Shimizu H, Yanasaki K, Shiba A, Yamada S. En osseous titanium implants as anchors for mesiodistal tooth movement in the beagle Dog. Am J Orthod Dentofacial Orthop 2000 : 118 : 601-7
  9. Wehrbein H, Glatzmaier J, Yildirim M. Orthodontic anchorage capacity of short titanium screw implants in the maxilla. Clin Oral Impl Res 1997 : 8 : 131-41
  10. Wehrbein H, Merz BR, Diedrich P. Palatal bone support for orthodontic implant anchorage-a clinical and radiological study. European J Orthod 1999 : 21 : 65-70
  11. Wehrbein H, Feifel H, Diedrich P. Palatal implant anchorage reinforcement of posterior teeth: a prospective study. Am J Orthod Dentofacial Orthop 1999 : 116 : 678-86
  12. 박효상 :A new protocol of the sliding mechanics with micro-implant anchorage(MIA). Korea J Orthod 2000 : 30 : 6 : 677-85
  13. Ohmae M, Saito S, Morohashi T, Seki K, Qu H, Kanomi R, Yamasaki KL, Okano T, Yamada S, Shibasaki Y. A clinical and hisotological evaluation of titanium mini-implants as anchors for orthodontic intrusion in the beagle Dog. Am J Orthod Dentofacial Orthop 2001 : 119 : 5 : 489-97
  14. 경승현, 임중기, 박영철 miniscrew를 고정원으로 이용한 교정치료. 대치교정지 2001 : 31 : 4 : 415-24
  15. Costa A, Raffaini M, Melsen B : Miniscrews as orthodontic anchorage: A preliminary report. Int J Adult Orthod Orthognath Surg 1998 : 13: 201-9
  16. 천훈, 이영준, 박영국, 정규림. 구강내 고정원으로서 titanium miniscrew의 이용증례(II) 대한치과의사협회지 2000 : 38 : 1241-50
  17. 윤병수 이원유, 김경남: 성견에서 교정적 고정원으로서의 티타늄 미니스크류에 대한 연구. 대치교정지 2001 : 31 : 5 : 517-23
  18. Kanomi R : Mini-Implant for orthodontic anchorage. J Clin Orthod 1997 : 31 : 11 : 763-7
  19. Block MS, Hoffman DR. A new device for absolute anchorage for orthodontics. Am J Orthod Dentofacial Orthop 1995 : 107 : 251-8
  20. Melsen B, Petersen JK and Casta A. Zygoma ligatures : an alternative form of maxillary anchorage. J Clin Orthod 1998 : 32 : 154-8
  21. Umemori M, sugawara J, Mitani H, Nagasaka H, Kawamura H. Skeletal anchorage system for openbite correction. Am J Orthod Dentofacial Orthop 1999 : 115 : 166-74
  22. Sugawara J Dr. Junji sugawara on the skeletal anchorage system. J Clin Orthod 1999 : 33 : 689-96
  23. Roberts WE, Smith RK, Zilberman Y, Mozsary PG, Smith RS. Osseous adaptation to continuous loading of rigid endosseous implants. Am J Orthod 1984 : 86 : 95-111
  24. Melsen B, Costa A : Immediate loading of implants used for orthodontic anchorage. Clin Orthod Res 2000 : 3 : 23-8 https://doi.org/10.1034/j.1600-0544.2000.030105.x
  25. Zubery Y, Bichacho N, Moses O and Tal H : Immediate loading of modular transitional implants: A hisologic and histomorphometric study in Dogs. Int J Perio Res Dent 1999 : 19 : 343-53
  26. Ramp LC, Jeffcoat RL Dynamic behavior of implants as a measure of osseintegration. Int J Oral Maxillofac Implants 2001 : 16 : 637-45
  27. Roberts WE: Bone tissue interface. J Dental Education 1988 : 52 : 804-9
  28. Parr JA, Roberts WE, Garetto LP, Chen J : Remodeling dynamics of bone supporting rigidly fixed titanium implants: a histomorphometric comparison in four species including humans. Implant Dent 1995 : 235-43
  29. Gray JB, Steen ME, King GJ, Clark AE. Studies on the efficacy of implants as orthodontic anchorage. Am J Orthod 1983 : 83 : 4 : 311-7
  30. Favero L, Brollo P, Bressan E. Orthodontic anchorage with specific fixtures : Related study analysis. Am J Orthod Dentofacial Orthop 2002 : 122 : 84-94 https://doi.org/10.1067/mod.2002.124870
  31. Roberts WE, Helm FR, Marshall KJ, Gongloff RK : Rigid endosseous implant for orthodontic and orthopedic anchorage. Angle Orthod 1989 : 59 : 4 : 247-56
  32. Branemark PI : Ossoeintegration and its experimental background. J Prosthet Dent 1983 : 50 : 399-410 https://doi.org/10.1016/S0022-3913(83)80101-2
  33. Turley PK : Orthodontic force application to vitallium subperiosteal implants. J Dent Res 1983 : 62A : 282
  34. Sherman AJ : Bone reaction to orthodontic forces on vitreous carbon dental implants. Am J Orthod 1978 : 74 : 79-87 https://doi.org/10.1016/0002-9416(78)90047-7
  35. Smith JR : Bone dynamics associated with the controlled loading of bioglass-caoted aluminum oxide endosteal implants. Am J Orthod 1979 : 76 : 618-36 https://doi.org/10.1016/0002-9416(79)90208-2
  36. Douglass JB, Killiany DM. : Dental implants used as orthodontic anchorage. J Oral Implantol 1987 : 13 : 28-38
  37. Langford RJ,, Frame JW. Tissure changes adjacent to titanium plates in patients. J Craniolvlaxilio-facial surgery 2002 : 30 : 103-7
  38. Asikainen P, Klemetti E, Vuillemin T, Sutter F, Rainio v and Kotilainen R. Titanium implants and lateral forces An experimental study with sheep. Clin Oral Impl Res 1997 : 8 : 466-8
  39. Roberts WE, Nelson CL, Goodacre CJ : Rigid implant anchorage to close a mandibular first molar extraction site. J Clin Orthod 1994 : 28 : 693-704