Nigerian journal of clinical practice · 2023
Effect of piezoincision on the rate of mandibular molar mesialization: A randomised clinical trial.
Рандомизированное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ogrenim M, Cesur M G, Demetoglu U, Yucel Z P, Avcı B
Аннотация
BACKGROUND AND AIM: The aim of this clinic study was to investigate the effect of piezoincision on the rate of mandibular molar mesialization using clinical, radiological, and biochemical methods.
MATERIALS AND METHODS: Twenty-one patients requiring mandibular first molar extraction and second molar mesialization were included in the study which was designed as split-mouth study. Piezoincision was performed on the buccal surface of alveolar bone following regional alignment to the randomly selected side. 150 g of force was applied to the second molar teeth using mini-screw-supported anchorage after the piezoincision. Cone beam computed tomography (CBCT), gingival crevicular fluid (GCF) and digital model records of the patients were obtained. Two- and three-dimensional measurements were performed and compared on the CBCT images in a study which lasted 24 weeks.
RESULTS: According to the model analysis, the canine-second molar distance was consistently reduced and a greater decrease was measured on the experimental group (p < 0.05). Second molar mesial rotations increased in both groups (p < 0.001). Two-dimensional measurements on CBCT images showed increased mesial and buccal tipping of second molars in experimental group (p < 0.001). There was a significant increase in mesialization measurements of experimental group (p < 0.001). Three-dimensional measurements on the CBCT images showed a decrease of root length in both groups (p < 0.001), and a greater decrease was found in the experimental group (p < 0.001). When intra-group changes in GCF results were examined, it was observed that there was no significant change in osteoprotegerin (OPG) values over time in experimental group (p = 0.148).
CONCLUSION: The piezoincision technique provided acceleration of mandibular molar mesialization and did not cause further damage to the buccal alveolar bone. Piezoincision can be used as a safe method in the mandibular molar region.
MATERIALS AND METHODS: Twenty-one patients requiring mandibular first molar extraction and second molar mesialization were included in the study which was designed as split-mouth study. Piezoincision was performed on the buccal surface of alveolar bone following regional alignment to the randomly selected side. 150 g of force was applied to the second molar teeth using mini-screw-supported anchorage after the piezoincision. Cone beam computed tomography (CBCT), gingival crevicular fluid (GCF) and digital model records of the patients were obtained. Two- and three-dimensional measurements were performed and compared on the CBCT images in a study which lasted 24 weeks.
RESULTS: According to the model analysis, the canine-second molar distance was consistently reduced and a greater decrease was measured on the experimental group (p < 0.05). Second molar mesial rotations increased in both groups (p < 0.001). Two-dimensional measurements on CBCT images showed increased mesial and buccal tipping of second molars in experimental group (p < 0.001). There was a significant increase in mesialization measurements of experimental group (p < 0.001). Three-dimensional measurements on the CBCT images showed a decrease of root length in both groups (p < 0.001), and a greater decrease was found in the experimental group (p < 0.001). When intra-group changes in GCF results were examined, it was observed that there was no significant change in osteoprotegerin (OPG) values over time in experimental group (p = 0.148).
CONCLUSION: The piezoincision technique provided acceleration of mandibular molar mesialization and did not cause further damage to the buccal alveolar bone. Piezoincision can be used as a safe method in the mandibular molar region.