1
|
Wang S, Liu D, Guo R, Huang Y, Liu X, Wang X, Li W. Maxillary cortical bone remodeling characteristics in extraction patients: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2023:S0889-5406(23)00072-0. [PMID: 37024336 DOI: 10.1016/j.ajodo.2022.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 11/22/2022] [Accepted: 11/22/2022] [Indexed: 04/08/2023]
Abstract
INTRODUCTION This study aimed to evaluate labial and palatal cortical bone remodeling (BR) characteristics and related aspects of maxillary incisors after retraction, as these aspects are still controversial among orthodontists. METHODS Cortical BR and incisor movement of 44 patients (aged 26.18 ± 4.71 years) who underwent maxillary first premolar extraction and incisor retraction were analyzed using superimposed cone-beam computed tomography images. Labial BR/tooth movement (BT) ratios at the crestal, midroot (S2), and apical (S3) levels were compared using the Friedman test and pairwise comparisons. Multivariate linear regressions were used to explore the relationships between the labial BT ratio and several factors, including age, ANB angle, mandibular plane angle, and incisor movement patterns. According to the type of palatal cortical BR observed, the patients were divided into 3 groups: type I (no BR without root penetration of the original palatal border [RPB]), type II (BR with RPB), and type III (no BR with RPB). Student's t test was used to compare the type II and III groups. RESULTS The mean labial BT ratios at all levels were <1.00 (0.68-0.89). This value at the S3 level was significantly smaller than that at the crestal and S2 levels (P <0.01). Multivariate linear regression indicated that the tooth movement pattern negatively correlates with the BT ratio at S2 and S3 levels (P <0.01). Type I was noted in 40.9% of the patients, and similar proportions exhibited type II (29.5%, 25.0%) or type III remodeling (29.5%, 34.1%). The retraction distance of the incisors in type III patients was significantly larger than in type II patients (P <0.05). CONCLUSIONS The amount of cortical BR secondary to maxillary incisor retraction is less than the tooth movement. Bodily retraction may lead to lower labial BT ratios at the S3 and S2 levels. Roots penetrating the original border of the cortical plate are necessary for palatal cortical BR initiation.
Collapse
Affiliation(s)
- Shuo Wang
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Dawei Liu
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Runzhi Guo
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Yiping Huang
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Xiaomo Liu
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Xuedong Wang
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China
| | - Weiran Li
- Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
| |
Collapse
|
2
|
Wang M, Fan J, Wang A, Jin X, Zhang Z, Hu X, Liu L, Zhao Y, Li Y. Effect of local application of bone morphogenetic protein -2 on experimental tooth movement and biological remodeling in rats. Front Physiol 2023; 14:1111857. [PMID: 37143931 PMCID: PMC10151543 DOI: 10.3389/fphys.2023.1111857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 03/27/2023] [Indexed: 05/06/2023] Open
Abstract
Background: This study attempts to detect the potential effects of local bone morphogenetic protein -2 (BMP-2) on orthodontic tooth movement and periodontal tissue remodeling. Methods: Forty adult SD rats were randomly divided into four groups: blank control group, unilateral injection of BMP-2 on the pressure side or tension side of orthodontic teeth and bilateral injection of BMP-2. Their maxillary first molar was moved by a 30 g constant force closed coil spring. 60 μL of BMP-2 with a concentration of 0.5 μg/mL was injected into each part at a time. In addition, three rats were selected as healthy control rats without any intervention. Fluorescent labeled BMP-2 was used to observe the distribution of exogenous BMP-2 in tissues. Micro-CT was used to measure the microscopic parameters of tooth displacement, trabecular bone and root absorption volume. Three different histological methods were used to observe the changes of tissue remodeling, and then the number of osteoclasts and the content of collagen fibers were calculated. Results: Compared with the blank control group, BMP-2 injection reduced the movement distance and increased the collagen fiber content and bone mass (p < 0.01). There was no significant difference in tooth movement distance, BV/TV ratio and BMD between injection sites in unilateral injection group (p > 0.05). In the case of bilateral injection of BMP-2, the osteogenesis is enhanced. Unilateral injection of BMP-2 did not promote root resorption, but double injection showed root resorption (p < 0.01). Conclusion: Our study does show that the osteogenesis of BMP-2 is dose-dependent rather than site-dependent when a certain amount of BMP-2 is applied around orthodontic teeth. Local application of BMP-2 around orthodontic teeth in an appropriate way can enhance bone mass and tooth anchorage without increasing the risk of root absorption volume. However, high levels of BMP-2 may cause aggressive root resorption. These findings are of great significance, that is, BMP-2 is an effective target for regulating orthodontic tooth movement.
Collapse
Affiliation(s)
- Menglin Wang
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Jiadong Fan
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Aoao Wang
- Senior Department of Orthopedics, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Xiang Jin
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Zhenbao Zhang
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Xiantong Hu
- Senior Department of Orthopedics, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
| | - Le Liu
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
- *Correspondence: Le Liu, ; Yantao Zhao, ; Yanfeng Li,
| | - Yantao Zhao
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
- Senior Department of Orthopedics, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
- Beijing Engineering Research Center of Orthopedics Implants, Beijing, China
- State Key Laboratory of Military Stomatology, Xi’an, China
- *Correspondence: Le Liu, ; Yantao Zhao, ; Yanfeng Li,
| | - Yanfeng Li
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China
- *Correspondence: Le Liu, ; Yantao Zhao, ; Yanfeng Li,
| |
Collapse
|
3
|
Zhao L, Matsumoto Y, Iseki S, Ono T. Effects of short-term orthodontic force application on the root at different developmental stages in rat maxillary molars. Am J Orthod Dentofacial Orthop 2022; 163:531-539.e2. [PMID: 36564315 DOI: 10.1016/j.ajodo.2022.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 04/01/2022] [Accepted: 04/01/2022] [Indexed: 12/24/2022]
Abstract
INTRODUCTION The suitable timing and duration of orthodontic force to be applied to teeth with developing roots are unclear. We investigated the effects of short-term orthodontic force application on the roots at different root developmental stages in rats to predict the optimal timing for orthodontic treatment of teeth with developing roots. METHODS Light orthodontic force was applied on the maxillary first molars of rats from postnatal day (PN) 21 or PN28 for 3 days. After that, the force was released, and the roots were evaluated on PN35 to determine the root length, apical morphology, and cell proliferation of the maxillary first mesial roots using microcomputed tomography and histologic evaluation. RESULTS When a light orthodontic force was applied from PN21, the root length did not differ from that in age-matched controls. In addition, after the force was released, the roots attained the normal root-completing length and had a well-formed root apical morphology at PN35. Conversely, when the force was applied from PN28, the roots showed apical abnormalities characterized by deformed dentin and disorganized arrangement of odontoblasts, reduced apical cell proliferation, and significantly shorter length than those in the age-matched controls at PN31. The shortened root and disturbed apical integrity could not be rescued by releasing the orthodontic force at PN35. CONCLUSIONS Short-term orthodontic force at the late and slow root developmental stage results in a shortened root and a defect in the root apex with reduced cell proliferation. Our findings support that orthodontic force for a limited duration during the active and rapid root developmental stage is more favorable than during the late and slow stage.
Collapse
Affiliation(s)
- Lu Zhao
- Department of Orthodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, Guangdong, China; Department of Orthodontic Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan; Department of Molecular Craniofacial Embryology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yoshiro Matsumoto
- Department of Orthodontic Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
| | - Sachiko Iseki
- Department of Molecular Craniofacial Embryology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takashi Ono
- Department of Orthodontic Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| |
Collapse
|
4
|
Tonial FG, Ferreira MC, Araki J, de Mello Ferreira V, da Luz Silva Lima M, Guimarães, Jr CH. Evaluation of WALA ridge in different facial patterns: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2022; 161:e580-e587. [DOI: 10.1016/j.ajodo.2022.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 11/25/2022]
|
5
|
Vitamin E enriched diet increases the rate of orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2022; 161:687-697.e3. [PMID: 35012806 DOI: 10.1016/j.ajodo.2020.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 10/01/2020] [Accepted: 10/01/2020] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Vitamin E is a popular antioxidant suggested to affect bone turnover. However, the effects of a vitamin E enriched diet on the rate of tooth movement are unknown. Therefore, this study aimed to evaluate tooth movement in rats receiving a vitamin E enriched diet. In addition, we examined bone remodeling in experimental and control rats. METHODS Thirty-two 6-week-old male rats were divided into 4 groups: (1) group 1 (n = 8): orthodontic tooth movement (OTM) for 4 days + regular diet; (2) group 2 (n = 8): OTM for 14 days + regular diet; (3) group 3 (n = 8): OTM for 4 days + vitamin E diet; and (4) group 4 (n = 8) - OTM for 14 days + vitamin E diet. Maxillary alveolar bones and femurs of rats were analyzed by microcomputed tomography and histology. RESULTS Rats fed a vitamin E diet presented an increased OTM rate at days 4 and 14. We found an increased number of osteoclasts and decreased bone volume in the vitamin E diet group at day 14 of OTM. In addition, there was increased expression of the microphthalmia-associated transcription factor in the alveolar bone of the vitamin E diet group. In contrast, there was no difference in bone remodeling in femurs or alveolar bone at the control side. CONCLUSIONS We found that an enriched vitamin E diet increases the rate of OTM in rats, suggesting that vitamin E may be useful as an avenue to accelerate OTM.
Collapse
|
6
|
Kim JW, Baik HS, Mo SS, Giap HV, Lee KJ. Age-related osteogenesis on lateral force application to rat incisor – Part II: Bony recession and cortical remodeling. APOS TRENDS IN ORTHODONTICS 2021. [DOI: 10.25259/apos_124_2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objective:
The aim of this study is to analyze the age-related changes in the bony recession and cortical bone remodeling induced by lateral orthodontic tooth movement, using a three-dimensional micro-computed tomography (CT) analysis.
Material and Methods:
A total of 40 male Sprague-Dawley rats were divided into two distinct age groups (young, 10 weeks and adult, 52 weeks). Double-helical springs exerting 40 g of force were applied to central incisors to analysis of changes in lateral cortical bone and tooth movement with age and time. The young and adult rats were divided into four subgroups, T0 (0 week), T1 (1 week), T2 (2 weeks), and T3 (3 weeks), depending on the period of wearing the appliance. Micro-CT image was taken on each dissected pre-maxilla specimen. In each subgroup, distance between the center of teeth, suture width, tooth displacement, bony recession, and bone volume was evaluated.
Results:
The changes in the distance between the center of teeth and the suture width were significantly greater in the young group. However, the change in the tooth displacement showed no significant difference between groups. In the young group, bony recession of outer cortical layer was observed at T1 (P < 0.05), but the amount of recession gradually decreased at T2 and T3. In contrast, in the adult group, bony recession increased gradually over observation period (P < 0.05). The bone volume decreased at T1 (P < 0.05), but recovered at T2 and T3 in both groups.
Conclusion:
The compensatory bone formation occurs in the pressure side of cortical bone more significantly in the young group than in the adult according to the lateral displacement of incisor in rats. The reduced bone reaction in the adult is considered a limiting factor of the excessive tooth movement in the compromised treatment of skeletal malocclusion.
Collapse
Affiliation(s)
- Jin-Wook Kim
- Department of Orthodontics, College of Dentistry, Institute of Craniofacial Deformity, Yonsei University, Seoul, Korea,
| | - Hyoung-Seon Baik
- Department of Orthodontics, College of Dentistry, Institute of Craniofacial Deformity, Yonsei University, Seoul, Korea,
| | - Sung-Seo Mo
- Department of Orthodontics, Division of Dentistry, College of Medicine, The Catholic University, Seoul, Korea,
| | - Hai-Van Giap
- Department of Orthodontics, College of Dentistry, Institute of Craniofacial Deformity, Yonsei University, Seoul, Korea,
| | - Kee-Joon Lee
- Department of Orthodontics, College of Dentistry, Institute of Craniofacial Deformity, Yonsei University, Seoul, Korea,
| |
Collapse
|
7
|
Trelenberg-Stoll V, Wolf M, Busch C, Drescher D, Becker K. Standardized assessment of bone micromorphometry around teeth following orthodontic tooth movement : A µCT split-mouth study in mice. J Orofac Orthop 2021; 83:403-411. [PMID: 34342661 PMCID: PMC9596514 DOI: 10.1007/s00056-021-00336-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 05/25/2021] [Indexed: 11/30/2022]
Abstract
Purpose Volumetric quantitative analyses of bone micromorphometry changes following orthodontic tooth movements are hardly standardizable. The present study aimed at validating and applying a novel microcomputed tomography (CT)-based approach that enables the segmentation of teeth and definition of a standardized volume of interest (VOI) around the roots to assess local bone micromorphometry. Methods The jaws of 3 untreated and 14 orthodontically treated mice (protraction of the upper right molar for 11 days with 0.5 N; untreated left upper molar) were scanned with a micro-CT. The first molars and the alveolar bone were segmented, and a standardized VOI was defined around the teeth. The bone volume per total volume (BV/TV) was assessed within the VOI, and BV/TV values were compared between contralateral sites in both untreated (method validation) and treated animals (method application). Results The intraclass correlation coefficient of 0.99 revealed high reliability of the method. In the untreated animals, Bland–Altman analysis confirmed comparable BV/TV fractions (mean difference: −1.93, critical difference: 1.91, Wilcoxon: p = 0.03). In the orthodontically treated animals, BV/TV values were significantly lower at the test compared to the control site (test: 33.23% ± 5.74%, control: 41.33% ± 4.91%, Wilcoxon: p < 0.001). Conclusion Within the limits of the study, the novel approach demonstrated the applicability to evaluate bone micromorphometry around teeth subjected to orthodontic treatment.
Collapse
Affiliation(s)
| | - Michael Wolf
- Department of Orthodontics, Universitätsklinikum RWTH Aachen, Aachen, Germany
| | - Caroline Busch
- Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - Dieter Drescher
- Department of Orthodontics, Universitätsklinikum Düsseldorf, 40225, Düsseldorf, Germany
| | - Kathrin Becker
- Department of Orthodontics, Universitätsklinikum Düsseldorf, 40225, Düsseldorf, Germany.
| |
Collapse
|
8
|
Nogueira AVB, Marcantonio CC, de Molon RS, Leguizamón NDP, Silva RCL, Deschner J, Cerri PS, Cirelli JA. Experimental models of orthodontic tooth movement and their effects on periodontal tissues remodelling. Arch Oral Biol 2021; 130:105216. [PMID: 34365145 DOI: 10.1016/j.archoralbio.2021.105216] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 06/28/2021] [Accepted: 07/24/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVES The present study aimed to compare two different models of orthodontic tooth movement (OTM) in rats by evaluating tooth movement efficiency and periodontal tissues remodelling. DESIGN Fifteen animals were randomly distributed into 3 groups: control group (untreated); ligature appliance (LA) as experimental OTM using a closed coil spring fixed around maxillary first molar by steel ligature; occlusal appliance (OA) as experimental OTM using a closed coil spring attached on the occlusal surface of the maxillary first molar. After 15 days, all animals were euthanized, and the maxilla of each animal was collected for qPCR, micro-computed tomography, and histological analyses. RESULTS Interleukin-1 beta, interleukin-6, and tumor necrosis factor-alpha gene expressions were significantly upregulated in the animals of the LA group as compared to the other groups. No significant difference was observed in tooth displacement between both methods. The LA group presented higher linear bone loss and lower values of bone volume fraction, bone mineral density, trabecular number and increased values of trabecular separation compared to the other groups. The birefringent collagen content in the tension side of the periodontal ligament contained significantly lower collagen content in the LA group than in the control group. Furthermore, on the pressure side, the collagen content was significantly lower in the LA and OA groups than in the control group. CONCLUSIONS The OA group presented little or no deleterious effect on periodontal tissues compared to the LA group, suggesting its use may be more reliable for OTM induction in rats for 15 days.
Collapse
Affiliation(s)
- Andressa V B Nogueira
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil; Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University, 55131, Mainz, Germany.
| | - Camila C Marcantonio
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| | - Rafael S de Molon
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| | - Natalia D P Leguizamón
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| | - Renata C L Silva
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| | - James Deschner
- Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University, 55131, Mainz, Germany.
| | - Paulo S Cerri
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| | - Joni A Cirelli
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, São Paulo State University - UNESP, 14801-903, Araraquara, São Paulo, Brazil.
| |
Collapse
|
9
|
Tsai MT, Huang HL, Yang SG, Su KC, Fuh LJ, Hsu JT. Biomechanical analysis of occlusal modes on the periodontal ligament while orthodontic force applied. Clin Oral Investig 2021; 25:5661-5670. [PMID: 33665683 DOI: 10.1007/s00784-021-03868-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 02/25/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The study objective was to investigate four common occlusal modes by using the finite element (FE) method and to conduct a biomechanical analysis of the periodontal ligament (PDL) and surrounding bone when orthodontic force is applied. MATERIALS AND METHODS A complete mandibular FE model including teeth and the PDL was established on the basis of cone-beam computed tomography images of an artificial mandible. In the FE model, the left and right mandibular first premolars were not modeled because both canines required distal movement. In addition, four occlusal modes were simulated: incisal clench (INC), intercuspal position (ICP), right unilateral molar clench (RMOL), and right group function (RGF). The effects of these four occlusal modes on the von Mises stress and strain of the canine PDLs and bone were analyzed. RESULTS Occlusal mode strongly influenced the distribution and value of von Mises strain in the canine PDLs. The maximum von Mises strain values on the canine PDLs were 0.396, 1.811, 0.398, and 1.121 for INC, ICP, RMOL, and RGF, respectively. The four occlusal modes had smaller effects on strain distribution in the cortical bone, cancellous bone, and miniscrews. CONCLUSION Occlusal mode strongly influenced von Mises strain on the canine PDLs when orthodontic force was applied. CLINICAL RELEVANCE When an FE model is used to analyze the biomechanical behavior of orthodontic treatments, the effect of muscle forces caused by occlusion must be considered.
Collapse
Affiliation(s)
- Ming-Tzu Tsai
- Department of Biomedical Engineering, Hungkuang University, Taichung, 433, Taiwan
| | - Heng-Li Huang
- School of Dentistry, College of Medicine, China Medical University, Taichung, 404, Taiwan
- Department of Bioinformatics and Medical Engineering, Asia University, Taichung, 413, Taiwan
| | - Shih-Guang Yang
- Master Program for Biomedical Engineering, China Medical University, Taichung, 404, Taiwan
| | - Kuo-Chih Su
- Department of Biomedical Engineering, Hungkuang University, Taichung, 433, Taiwan
- Department of Medical Research, Taichung Veterans General Hospital, Taichung, 407, Taiwan
| | - Lih-Jyh Fuh
- School of Dentistry, College of Medicine, China Medical University, Taichung, 404, Taiwan
- Department of Dentistry, China Medical University and Hospital, Taichung, 404, Taiwan
| | - Jui-Ting Hsu
- School of Dentistry, College of Medicine, China Medical University, Taichung, 404, Taiwan.
- Department of Bioinformatics and Medical Engineering, Asia University, Taichung, 413, Taiwan.
- School of Dentistry, College of Dentistry, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan.
| |
Collapse
|
10
|
Ruíz-Mora GA, Arriola-Guillén LE, Rodríguez-Cárdenas YA, Aliaga-Del Castillo A, Boessio-Vizzotto M, Dias-Da Silveira HL. Changes in alveolar bone morphology after traction of buccally vs palatally unilateral maxillary impacted canines: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2021; 159:258-270. [PMID: 33495062 DOI: 10.1016/j.ajodo.2020.01.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 12/01/2019] [Accepted: 01/01/2020] [Indexed: 12/24/2022]
Abstract
INTRODUCTION The objective of this study was to evaluate the 3-dimensional changes in alveolar bone morphology after traction of buccally vs palatally unilateral maxillary impacted canines (MIC). METHODS Following a split-mouth model, 27 cone-beam computed tomography images of unilaterally MIC (14 palatally and 13 buccally) and 27 contralateral unimpacted controls were obtained before and after traction using nickel-titanium closed-coil springs and a rigid anchorage appliance. Alveolar bone height and width were measured in the axial, coronal, and sagittal slides by 3 calibrated orthodontists, taking into account the impaction characteristics. A t test was used to compare the 2 groups, and a paired t test was applied for intragroup comparisons (both sides). A multiple linear regression model was used to evaluate the influence of the predictor variables on alveolar bone dimensional changes. RESULTS The alveolar height showed a significantly greater decrease in palatally MIC (2.09 to 2.79 mm) than buccally MIC (0.28 to 0.57 mm) (P <0.05) for all surfaces. However, the alveolar width increased similarly in both groups up to 1.36 mm. In general, the affected side had a more significant height loss and greater increases in alveolar width than the nonaffected side. Regression analysis indicated that buccally MIC and age decreased alveolar changes, whereas female sex increased alveolar changes (P <0.05). CONCLUSIONS MIC traction with nickel-titanium closed-coil springs and heavy anchorage induces significant 3-dimensional changes in alveolar bone characterized by alveolar bone height decreases and cervical alveolar bone width increases. The height decrease is greater in palatally than in buccally MIC.
Collapse
Affiliation(s)
- Gustavo Armando Ruíz-Mora
- Division of Orthodontics, Faculty of Dentistry, Universidad Nacional de Colombia, Bogotá Distrito Capital, Colombia, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
| | - Luis Ernesto Arriola-Guillén
- Division of Orthodontics, and Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur, Lima, Perú
| | | | | | - Mariana Boessio-Vizzotto
- Division of Oral Radiology, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | |
Collapse
|
11
|
Teh NHK, Sivarajan S, Asif MK, Ibrahim N, Wey MC. Distribution of mandibular trabeculae bone volume fraction in relation to different MOP intervals for accelerating orthodontic tooth movement. Angle Orthod 2020; 90:774-782. [PMID: 33378515 DOI: 10.2319/032820-227.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Accepted: 06/01/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To investigate the effect of micro-osteoperforation (MOP) on the horizontal and vertical distribution of mandibular trabeculae bone volume fraction in relation to different MOP intervals during canine retraction. MATERIALS AND METHODS This single-center, single-blinded, prospective randomized split-mouth clinical trial included 30 healthy participants aged 18 years and older, randomized into three groups of different MOP intervals (4, 8, and 12-weekly). Cone beam computed tomography images were taken to assess the bone volume fraction (bone volume over total volume or BV/TV). RESULTS BV/TV was significantly reduced (mean difference: 9.79%, standard deviation [SD]: 11.89%; 95% confidence interval [CI]: 4.77, 14.81%; P < .01) and canine retraction increased (mean difference: -1.25 mm/4 mo, SD: 0.79 mm; 95% CI: -1.59, -0.92 mm; P < .01) with MOP, compared to control sites. MOP significantly changed the vertical and horizontal patterns of trabeculae bone with lower values nearer to intervention sites. Only the 4-weekly MOP interval group showed significant decrease in BV/TV (mean difference: 14.73%, SD: 12.88%; 95% CI: 3.96, 25.50%; P = .01) despite significant increase in canine retraction rate for all interval groups. With the use of MOP, BV/TV was found to be inversely correlated to the rate of canine retraction (r = -0.425; P = .04). CONCLUSIONS Mandibular trabecular alveolar bone volume fraction was reduced and rate of orthodontic tooth movement increased with MOP, especially in the 4-weekly interval. However, this effect was limited to the immediate interdental region of MOP.
Collapse
|
12
|
Ji Y, Tang Y, Wu Q, Huang D, Zhu J, Kang F. The effects of mandibular osteotomy on maxillary orthodontic tooth movement and bone remodelling in a rat model. Eur J Orthod 2020; 43:467-472. [PMID: 32929502 DOI: 10.1093/ejo/cjaa053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The accelerated tooth movement phenomenon after orthognathic surgery has been observed. However, the underlying mechanism remains unclear. There is no experimental study showing the effect of orthognathic surgery on orthodontic tooth movement of the opposing jaw. Therefore, the present study aimed at investigating if mandibular osteotomy enhances maxillary tooth movement and bone remodelling. MATERIALS AND METHODS Fifty-four male Sprague-Dawley rats were randomly divided into two groups: maxillary tooth movement (TM) and maxillary tooth movement + mandibular surgery (TM + MS). The orthodontic force was delivered to move the left maxillary first molar mesially. The surgical intervention was performed on the left mandible. Microcomputed tomography, histological analysis, enzyme-linked immunosorbent assay, and quantitative real-time polymerase chain reaction were used to assess changes at 3, 7, and 21 days after surgery. RESULTS The mandibular osteotomy accelerates the rate of maxillary tooth movement with decreased bone volume fraction on the seventh day. Bone resorption was observed on the third and seventh day after mandibular osteotomy. It was found that serum interleukin-1β level increased significantly in the TM + MS group compared with the TM group, as well as the high expression level of cathepsin K and tumour necrosis factor receptor-associated factor 5 of the orthodontic tooth on the third and seventh day after mandibular osteotomy. CONCLUSION Data from the present study suggested that mandibular osteotomy accelerates maxillary osteoclast activity and post-operative tooth movement, providing evidence for accelerated tooth movement phenomenon after orthognathic surgery.
Collapse
Affiliation(s)
- Yingchen Ji
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| | - Yi Tang
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| | - Qing Wu
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| | - Danqing Huang
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| | - Jie Zhu
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| | - Feiwu Kang
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai.,Shanghai Engineering Research Center of Tooth Restoration and Regeneration, China
| |
Collapse
|
13
|
Lee Y, Park JH, Chang NY, Lee MY, Kim BC, Seo HY, Mangal U, Chae JM. Assessment of bone density changes following two-jaw surgery using multidetector computed tomography: A pilot study. Korean J Orthod 2020; 50:157-169. [PMID: 32475843 PMCID: PMC7270939 DOI: 10.4041/kjod.2020.50.3.157] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 11/06/2019] [Accepted: 12/27/2019] [Indexed: 12/02/2022] Open
Abstract
Objective The aim of this retrospective study was to evaluate the pre- and postsurgical
bone densities at alveolar and extra-alveolar sites following two-jaw
orthognathic surgery. Methods The sample consisted of 10 patients (mean age, 23.2 years; range,
18.0–27.8 years; 8 males, 2 females) who underwent two-jaw
orthognathic surgery. A three-dimensional imaging program (Invivo 5) was
used with multidetector computed tomography images taken pre- and
postoperatively (obtained 32.3 ± 6.0 days before surgery and 5.8 ±
2.6 days after surgery, respectively) for the measurement of bone densities
at the following sites: (1) alveolar bone in the maxilla and mandible, (2)
extra-alveolar sites, such as the top of the head, menton (Me), condyle, and
the fourth cervical vertebrae (C4). Results When pre- and postsurgical bone densities were compared, an overall tendency
of decrease in bone density was noted. Statistically significant reductions
were observed in the densities of cancellous bone at several areas of the
maxillary alveolar bone; cortical and cancellous bone in most areas of the
mandibular alveolar bone; cortical bone in Me; and cancellous bone in C4.
There was no statistically significant difference in bone density in
relation to the depth of the alveolar bone. In a comparison of the bone
densities between groups with and without genioplasty, there was almost no
statistically significant difference. Conclusions Accelerated tooth movement following orthognathic surgery may be confirmed
with reduced bone density. In addition, this study could offer insights into
bone metabolism changes following orthognathic surgery, providing direction
for further investigations in this field.
Collapse
Affiliation(s)
- Youngjoo Lee
- Department of Orthodontics, Wonkwang University College of Dentistry, Iksan, Korea
| | - Jae Hyun Park
- Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health, A.T. Still University, Mesa, AZ, USA.,Graduate School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Na-Young Chang
- Department of Orthodontics, Wonkwang Dental Research Institute, Wonkwang University College of Dentistry, Iksan, Korea
| | - Mi-Young Lee
- Department of Orthodontics, Seoul National University Gwanak Dental Hospital, Seoul, Korea
| | - Bong Chul Kim
- Department of Oral and Maxillofacial Surgery, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
| | - Hye Young Seo
- School of Big Data and Financial Statistics, Wonkwang University College of Natural Sciences, Iksan, Korea
| | - Utkarsh Mangal
- Department of Orthodontics, Yonsei University College of Dentistry, Seoul, Korea
| | - Jong-Moon Chae
- Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health, A.T. Still University, Mesa, AZ, USA.,Department of Orthodontics, Wonkwang Dental Research Institute, Wonkwang University College of Dentistry, Iksan, Korea
| |
Collapse
|
14
|
Kaya S, Çifter M, Çekici A, Olgaç V, İşsever H, Işık G. Effects of orthodontic force magnitude on cell apoptosis and RANKL-induced osteoclastogenesis : Studies in a rat model. J Orofac Orthop 2020; 81:100-112. [PMID: 31925448 DOI: 10.1007/s00056-019-00205-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 10/20/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of this study was to evaluate the time course of orthodontic force-induced apoptosis and receptor activator of nuclear factor-κB ligand (RANKL)-induced osteoclastogenesis in a rat model under light- and heavy-force conditions. METHODS Male Wistar rats were divided into light-force (10 cN) and heavy-force (60 cN) groups (N = 28/group). Each group was divided into four time-course subgroups to evaluate all phases of orthodontic tooth movement. Mesialization appliances were placed on three united maxillary molars unilaterally and activated. Tooth movements were calculated, and periodontal ligament (PDL) widths were measured. Expression of Bax, Bcl‑2, caspase 3, caspase 9, and RANK-RANKL were assessed by immunohistochemistry. Expression levels at the PDL-alveolar bone border were compared between experimental and control groups and force groups. RESULTS The rate of tooth movement did not differ between the force groups. PDL widths were higher on the tension side in the heavy-force group in the post-lag phase. Pro-apoptotic protein Bax expression was elevated in the heavy-force group, whereas anti-apoptotic protein Bcl‑2 expression was elevated in the light-force group. RANK expression on days 7 and 21 and RANKL expression on day 21 differed between the force groups. CONCLUSIONS Evidence of orthodontic force-induced apoptosis is more robust with stronger forces than with weaker forces. Exuberant RANKL-induced osteoclastogenesis that was seen when applying a low force results from increased RANK and RANKL expression in the post-lag phase.
Collapse
Affiliation(s)
- S Kaya
- Department of Periodontology, Okan University Faculty of Dentistry, Gülbahar Mah. Oya Sok. No:23/A Mecidiyeköy/Şişli, TR 34394, Istanbul, Turkey. .,Department of Periodontology, Istanbul University Faculty of Dentistry, Istanbul, Turkey.
| | - M Çifter
- Department of Orthodontics, Istanbul University Faculty of Dentistry, Istanbul, Turkey
| | - A Çekici
- Department of Periodontology, Istanbul University Faculty of Dentistry, Istanbul, Turkey
| | - V Olgaç
- Department of Tumor Pathology and Cytology, Istanbul University Institute of Oncology, Istanbul, Turkey
| | - H İşsever
- Public Health, Istanbul University, Istanbul, Turkey
| | - G Işık
- Department of Periodontology, Istanbul University Faculty of Dentistry, Istanbul, Turkey
| |
Collapse
|
15
|
Gong X, Huang X, Yang Y, Zhou S, Dai Q, Jiang L. Local orthodontic force initiates widespread remodelling of the maxillary alveolar bone. AUSTRALASIAN ORTHODONTIC JOURNAL 2020. [DOI: 10.21307/aoj-2020-020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract
Objectives
To clarify the effects of a local orthodontic force on alveolar bone by analysing bone remodelling in different regions of the maxilla during orthodontic tooth movement (OTM).
Methods
An OTM model was established in rats. Histological changes in the maxilla were analysed using TRAP staining, IHC staining for CTSK and haematoxylin and eosin (H and E) staining. The root bifurcation region of the alveolar bone of the first (M1), second (M2) and third (M3) molars were selected as the regions of interest (ROIs), which were further divided into a cervical and an apical level. Sequential fluorochrome labelling was performed to analyse bone deposition rates.
Results
The maxillary left first molars were moved mesially. TRAP staining and IHC staining for CTSK showed orthodontic force increased osteoclast numbers in all six ROIs at both the cervical and apical levels. H and E staining indicated elevated osteoblast numbers in the OTM group in all induced regions. Sequential fluorochrome labelling exhibited increased bone deposition rates around M1, M2 and M3 in the OTM group.
Conclusions
An orthodontic force applied to the first molar could initiate widespread remodelling of the maxillary alveolar bone, which was not restricted to the tension and pressure sites. This may revise the orthodontic biomechanical theory and provide new insights for clinical work.
Collapse
Affiliation(s)
- Xinyi Gong
- * Center of Craniofacial Orthodontics , Department of Oral and Cranio-maxillofacial Science , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
- † The Affiliated Hospital of Stomatology , School of Stomatology , Zhejiang University School of Medicine , and University Key Laboratory of Oral Biomedical Research of Zhejiang Province , Hangzhou , P.R. China
| | - Xiangru Huang
- * Center of Craniofacial Orthodontics , Department of Oral and Cranio-maxillofacial Science , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
| | - Yiling Yang
- * Center of Craniofacial Orthodontics , Department of Oral and Cranio-maxillofacial Science , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
| | - Siru Zhou
- * Center of Craniofacial Orthodontics , Department of Oral and Cranio-maxillofacial Science , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
| | - Qinggang Dai
- ± 2nd Dental Center , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
| | - Lingyong Jiang
- * Center of Craniofacial Orthodontics , Department of Oral and Cranio-maxillofacial Science , Ninth People’s Hospital , Shanghai Jiao Tong University School of Medicine , Shanghai , P.R. China
| |
Collapse
|
16
|
Le MHT, Noor Hayaty AK, Zaini ZM, Dom SM, Ibrahim N, Radzi ZB. Alveolar restoration following rapid maxillary expansion with and without corticotomy: A microcomputed tomography study in sheep. Korean J Orthod 2019; 49:235-245. [PMID: 31367578 PMCID: PMC6658903 DOI: 10.4041/kjod.2019.49.4.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 03/12/2019] [Accepted: 03/25/2019] [Indexed: 12/01/2022] Open
Abstract
Objective This study examined bone microstructure restoration after rapid maxillary expansion (RME) with and without corticotomy over multiple retention periods. Methods Eighteen male Dorper sheep were randomly distributed into three groups (n = 6 each group): group 1, RME with corticotomy on the buccal and palatal sides; group 2, conventional RME treatment; and group 3, no treatment. Post-RME, trabecular bone microstructure and new bone formation were evaluated by using microcomputed tomography (microCT) and histomorphometry after a 4- or 12-week retention period. Intergroup differences in bone quality and bone remodeling were analyzed by using two-way analysis of variance with Bonferroni post-hoc test. Results The bone volume fraction (bone volume [BV]/total volume [TV]) values relative to the control in groups 1 and 2 were 54.40% to 69.88% after the 4-week retention period and returned to approximately 80% after the 12-week retention period. The pooled BV/TV values of the banded teeth in groups 1 and 2 were significantly lower than those of the control after the 4-week retention period (p < 0.05). However, after the 12-week retention period, the pooled BV/TV values in group 2 were significantly lower than those in groups 1 and 3 (p < 0.05). Histomorphological analysis showed that the new bone formation area in group 1 was approximately two to three times of those in group 2 and control. Conclusions Corticotomy significantly enhanced the restoration of bone quality after the retention periods for banded teeth. This benefit might result from the increased new bone formation after corticotomy.
Collapse
Affiliation(s)
- My Huy Thuc Le
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Abu Kasim Noor Hayaty
- Department of Restorative Dentistry, Wellness Research Cluster, University of Malaya, Kuala Lumpur, Malaysia
| | - Zuraiza Mohamad Zaini
- Department of Oro-maxillofacial Surgical and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Sulaiman Md Dom
- Department of Medical Imaging, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM), Selangor, Malaysia
| | - Norliza Ibrahim
- Department of Oro-maxillofacial Surgical and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Zamri Bin Radzi
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| |
Collapse
|
17
|
Kim JW, Kim HY, Kim SY, Kim SJ. Impaired osseointegration of dental implants associated with orthognathic surgery: Possible regional acceleratory phenomenon. Clin Implant Dent Relat Res 2019; 21:531-537. [PMID: 30884115 DOI: 10.1111/cid.12745] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 01/16/2019] [Accepted: 02/08/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Regional acceleratory phenomenon (RAP) is demonstrated to decrease regional bone mineral density and accelerate bone turnover. Hypothesizing that RAP can negatively affect the osseointegration of biomaterials, this study aimed to investigate the possible influence of the RAP on dental implant osseointegration. MATERIALS AND METHODS Orthognathic surgery, one of the major surgeries on oral and maxillofacial region was set as intervention for RAP. Considering that RAP exerts its physiologic effects until 4 months after noxious stimuli, patients were classified according to the time interval between orthognathic surgery and dental implant installation; group I was designated to patients who had implant installation within 4 months from orthognathic surgery. Group II were those with installation after 4-12 months and group III was longer than 12 months. Radiographic and clinical evaluations of dental implants including peri-implant marginal bone changes (MBR), implant stability, cumulative survival rates were analyzed. RESULTS A total of 54 patients with 106 implants (mean follow-up of 72.6 months) were included in the study. MBR was significantly higher in group I (2.62 ± 0.91 mm) and II (2.25 ± 0.95 mm) compared to that of group III (0.94 ± 0.90 mm) at last follow up (P < 0.05) and this group difference over time was also significant (P < 0.001). Compared to group III, groups I and II exhibited lower ISQ values and higher biological complications including peri-implantitis and peri-implant gingivitis (P < 0.05). Group I showed significantly low-cumulative survival rate (89.2%; implant-level) compared to groups II and III. CONCLUSIONS In this study, impaired osseointegration of dental implants was demonstrated associated with orthognathic surgery. Micro-environmental changes of hard tissue induced by major surgery on the jaw showed deteriorating effects on integrity of biomaterial osseointegration. Special considerations should be addressed for ideal treatment results and prognosis.
Collapse
Affiliation(s)
- Jin-Woo Kim
- Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, South Korea.,Department of Oral and Maxillofacial Surgery, Graduate School of Clinical Dentistry, Ewha Womans University, Seoul, South Korea
| | - Heon-Young Kim
- Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, South Korea
| | - Seon-Yeong Kim
- Department of Oral and Maxillofacial Surgery, Graduate School of Clinical Dentistry, Ewha Womans University, Seoul, South Korea
| | - Sun-Jong Kim
- Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, South Korea.,Department of Oral and Maxillofacial Surgery, Graduate School of Clinical Dentistry, Ewha Womans University, Seoul, South Korea
| |
Collapse
|
18
|
Gudhimella S, Ibrahim AY, Karanth D, Kluemper AM, Westgate PM, Puleo DA, Huja SS. A rodent model using skeletal anchorage and low forces for orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2019; 155:254-263. [PMID: 30712697 DOI: 10.1016/j.ajodo.2018.03.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Revised: 03/01/2018] [Accepted: 03/01/2018] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Nonhuman animal models have been used extensively to study orthodontic tooth movement (OTM). However, rodent models have disadvantages, including a reported reduction in bone volume during OTM. The purpose of this study was to determine the viability of a skeletal anchorage and the effect of low force (∼3 cN) on interradicular bone volume during OTM. METHODS Ninety Sprague-Dawley rats were divided into 5 time points. A miniscrew and a nickel titanium coil spring placed a load of 3 cN (experimental) or 0 cN (sham) on the maxillary first molar in a split-mouth design. Displacement of the first molar and bone volume/total volume (BV/TV) in the interradicular region were quantified. RESULTS The success rate of the miniscrew was 98.9% (89 out of 90). Linear and angular tooth movement increased steadily (mean 0.1 mm/wk, 0.48 mm at 40 days). BV/TV was significantly reduced between the tooth movement and non-tooth movement sides in the 3 cN group: by 13%, 23%, 15%, 23%, and 16% at 3, 7, 14, 28, and 40 days, respectively. CONCLUSIONS Our model resulted in efficient OTM without skeletal anchorage failure. BV/TV reduction was lower than in previous reports. This novel validated model is likely to be the basis for future studies.
Collapse
Affiliation(s)
- Sudha Gudhimella
- Department of Orthodontics, University of Louisville, Louisville, Ky
| | | | - Divakar Karanth
- Division of Orthodontics, University of Kentucky, Lexington, Ky
| | | | | | - David A Puleo
- School of Engineering, The University of Mississippi, University, Miss
| | - Sarandeep S Huja
- Department of Orthodontics, Medical University of South Carolina, Charleston, SC.
| |
Collapse
|
19
|
Atik E, Gorucu-Coskuner H, Akarsu-Guven B, Taner T. Evaluation of changes in the maxillary alveolar bone after incisor intrusion. Korean J Orthod 2018; 48:367-376. [PMID: 30450329 PMCID: PMC6234111 DOI: 10.4041/kjod.2018.48.6.367] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Revised: 03/12/2018] [Accepted: 04/21/2018] [Indexed: 12/02/2022] Open
Abstract
Objective This study was performed to investigate the changes in alveolar bone after maxillary incisor intrusion and to determine the related factors in deep-bite patients. Methods Fifty maxillary central incisors of 25 patients were evaluated retrospectively. The maxillary incisors in Group I (12 patients; mean age, 16.51 ± 1.32 years) were intruded with a base-arch, while those in Group II (13 patients; mean age, 17.47 ± 2.71 years) were intruded with miniscrews. Changes in the alveolar envelope were assessed using pre-intrusion and post-intrusion cone-beam computed tomography images. Labial, palatal, and total bone thicknesses were evaluated at the crestal (3 mm), midroot (6 mm), and apical (9 mm) levels. Buccal and palatal alveolar crestal height, buccal bone height, and the prevalence of dehiscence were evaluated. Two-way repeated measure ANOVA was used to determine the significance of the changes. Pearson's correlation coefficient analysis was performed to assess the relationship between dental and alveolar bone measurement changes. Results Upper incisor inclination and intrusion changes were significantly greater in Group II than in Group I. With treatment, the alveolar bone thickness at the labial bone thickness (LBT, 3 and 6 mm) decreased significantly in Group II (p < 0.001) as compared to Group I. The LBT change at 3 mm was strongly and positively correlated with the amount of upper incisor intrusion (r = 0.539; p = 0.005). Conclusions Change in the labial inclination and the amount of intrusion should be considered during upper incisor intrusion, as these factors increase the risk of alveolar bone loss.
Collapse
Affiliation(s)
- Ezgi Atik
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Hande Gorucu-Coskuner
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Bengisu Akarsu-Guven
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Tulin Taner
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| |
Collapse
|
20
|
Kim JW, Lee H, Lim HK, Kim JW, Byun SH, Choi YJ, Lee UL. Orthognathic surgery Deteriorates the osseointegration of dental implants: A propensity-matched multicentre cohort study. J Oral Rehabil 2018; 45:967-973. [PMID: 30125391 DOI: 10.1111/joor.12705] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 07/24/2018] [Accepted: 08/15/2018] [Indexed: 12/22/2022]
Abstract
This study aimed to investigate the possible influence of the regional acceleratory phenomenon (RAP) on dental implant osseointegration. Orthognathic surgery was set as an intervention for RAP, and a multicentre cohort study of two groups was undertaken. Group O included patients with single implant placement at least 4 months after orthognathic surgery and functional loading for more than 1 year, while controls (Group C) were without any major surgery. Clinical and radiographic assessments of implants, including changes in marginal bone levels, were analysed at baseline, 6- and 12-month follow-up. Bivariate analysis of two groups with propensity score matching was performed. After propensity score matching, all 10 confounding variables had acceptable standardised difference scores (<20%), indicating that the matching procedure had efficiently balanced the two groups. Following the propensity score adjustment, the marginal bone loss was significantly higher in Group O than the control at 6 months (1.66 ± 1.05 mm vs 0.59 ± 0.64 mm, P < 0.001) and 12 months (2.30 ± 1.27 mm vs 0.82 ± 0.78 mm, P < 0.001). Compared to Group C, subjects in Group O had a higher incidence of peri-implant mucositis and implantitis (11.8% vs 1.5%, P = 0.033). Impaired osseointegration of dental implants was associated with orthognathic surgery. Special considerations for peri-implant soft and hard tissue stability should be addressed to obtain ideal treatment results and prognosis for patients who have had prior orthognathic surgery.
Collapse
Affiliation(s)
- Jin-Woo Kim
- Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, Korea.,Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea
| | - Ho Lee
- Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea.,Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea
| | - Ho-Kyung Lim
- Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea.,Department of Oral and Maxillofacial Surgery, Korea University Medical Center, Guro Hospital, Seoul, Korea
| | - Ju-Won Kim
- Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea.,Department of Oral and Maxillofacial Surgery, Pyeong-chon Sacred Heart Hospital, Hallym University Medical Center, Kyonggi-do, Korea
| | - Soo-Hwan Byun
- Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea.,Department of Oral and Maxillofacial Surgery, Dongtan Sacred Heart Hospital, Hallym University Medical Center, Kyonggi-do, Korea
| | - Young-Jun Choi
- Department of Oral and Maxillofacial Surgery, Chung-Ang University College of Medicine, Seoul, Korea
| | - Ui-Lyong Lee
- Research Society of Gangnam Oral and Maxillofacial Surgeons, Seoul, Korea.,Department of Oral and Maxillofacial Surgery, Chung-Ang University Hospital, Seoul, Korea
| |
Collapse
|
21
|
Tension force-induced bone formation in orthodontic tooth movement via modulation of the GSK-3β/β-catenin signaling pathway. J Mol Histol 2017; 49:75-84. [PMID: 29224185 PMCID: PMC5750339 DOI: 10.1007/s10735-017-9748-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Accepted: 12/04/2017] [Indexed: 12/31/2022]
Abstract
Orthodontic force-induced osteogenic differentiation and bone formation at tension sites play a critical role in orthodontic tooth movement. However, the molecular mechanism underlying this phenomenon is poorly understood. In the current study, we investigated the involvement of the GSK-3β/β-catenin signaling pathway, which is critical for bone formation during tooth movement. We established a rat tooth movement model to test the hypothesis that orthodontic force may stimulate bone formation at the tension site of the moved tooth and promote the rate of tooth movement via regulation of the GSK-3β/β-catenin signaling pathway. Our results showed that continued mechanical loading increased the distance between the first and second molar in rats. In addition, the loading force increased bone formation at the tension site, and also increased phospho-Ser9-GSK-3β expression and β-catenin signaling pathway activity. Downregulation of GSK-3β activity further increased bone parameters, including bone mineral density, bone volume to tissue volume and trabecular thickness, as well as ALP- and osterix-positive cells at tension sites during tooth movement. However, ICG-001, the β-catenin selective inhibitor, reversed the positive effects of GSK-3β inhibition. In addition, pharmaceutical inhibition of GSK-3β or local treatment with β-catenin inhibitor did not influence the rate of tooth movement. Based on these results, we concluded that GSK-3β/β-catenin signaling contributes to the bone remodeling induced by orthodontic forces, and can be used as a potential therapeutic target in clinical dentistry.
Collapse
|
22
|
Tinoco HA, Gomez JP, Velasco MA, Torres J. Identification of stiffness variations in supporting substances of a human canine tooth with a bracket-beam-piezoelectric sensor and its electromechanical impedance. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.fdj.2017.03.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
23
|
The Cortical Boundary Line as a Guide for Incisor Re-positioning with Anterior Segmental Osteotomies. J Maxillofac Oral Surg 2017; 16:248-252. [PMID: 28439169 DOI: 10.1007/s12663-016-0967-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2015] [Accepted: 09/16/2016] [Indexed: 10/21/2022] Open
Abstract
Anterior alveolar anatomical constraints involving presurgical orthodontic incisor repositioning are often unrecognized and overlooked during orthodontic-surgical treatment planning. A clear discrimination of this cortical limitation is invaluable during the planning stage as it permits the consideration of alternative approaches like the anterior maxillary osteotomy for effecting the required incisor movement. A simple reference line termed the "Cortical Boundary Line" is introduced to facilitate the clinical translation of this information and through suitable case illustrations, the construction of the reference line using the conventional lateral cephalometric radiograph and its usefulness as an adjunct in aiding decisions on orthodontic incisor decompensation is highlighted.
Collapse
|
24
|
Addanki P, Gooty JR, Palaparthy R. Clinical and Radiographic Comparative Evaluation of Buccal and Palatal Corticotomy with Buccal Corticotomy in Periodontally Accelerated Osteogenic Orthodontics with Surgical Bur. Contemp Clin Dent 2017; 8:321-326. [PMID: 28839422 PMCID: PMC5551341 DOI: 10.4103/ccd.ccd_846_16] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Periodontally accelerated osteogenic orthodontics is a clinical procedure that combines selective corticotomy, particulate grafting, and application of orthodontics. It reduces treatment time, increases stability of teeth, and prevents relapse of orthodontic tooth moment. The present study was aimed to explore the clinical and radiographic comparison of bone density changes, retraction time differences in buccal and palatal corticotomy with buccal corticotomy which was done by surgical bur. MATERIALS AND METHODS A split-mouth was designed in 16 patients and divided into right (buccal and palatal corticotomy) (Group I), left (buccal corticotomy) (Group II) sides. In both groups, decortication was done with surgical bur. Clinical parameters such as gingival bleeding index and probing pocket depth were recorded at baseline, 1 month, 3 months, and 6 months. Bone density changes were measured by computed tomography at baseline and after 6 months after surgery and also used for evaluating differences in bone density changes between two groups. Retraction time differences were also measured in both groups. RESULTS In both groups, there was significant difference between bone density changes at baseline and 6 months after surgery. However, the difference between two groups was not significant. The difference in clinical parameters between two groups was not significant. The difference in retraction time differences was not significant. CONCLUSION Within limits of the study, it may be concluded that there was difference between bone density changes before and 6 months after surgery. Difference in total treatment time found to be no significant between two groups.
Collapse
Affiliation(s)
- Pavankumar Addanki
- Department of Periodontics, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India
| | - Jagadish Reddy Gooty
- Department of Periodontics, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India
| | - Rajababu Palaparthy
- Department of Periodontics, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India
| |
Collapse
|
25
|
Effects of local platelet-rich plasma injection on the rate of orthodontic tooth movement in a rat model: A histomorphometric study. Am J Orthod Dentofacial Orthop 2017; 151:92-104. [PMID: 28024792 DOI: 10.1016/j.ajodo.2016.05.016] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2015] [Revised: 05/01/2016] [Accepted: 05/01/2016] [Indexed: 02/04/2023]
Abstract
INTRODUCTION The aims of this study were to determine the effects of different concentrations of platelet-rich plasma (PRP) on alveolar bone density and orthodontic tooth movement. METHODS Seventy-six rats were divided into 2 groups: a moderate concentration PRP injection group (n = 38) and a high concentration PRP injection group (n = 38). In each group, 5 time points were studied: 3, 7, 14, 21, and 60 days. Before orthodontic mesialization of the maxillary first molars, moderate and high concentrations of PRP were injected on the right sides of the molar buccal sulcus, and the left sides served as the controls. Tooth movements were measured on 3-dimensional digital models. Alveolar bone volume density and osteoclastic activity in the first molar intraradicular areas were evaluated by histomorphometric analysis. RESULTS Alveolar bone density was decreased in the experimental groups compared with the control groups (P = 0.0001) at 3, 7, 14, and 21 days. On day 3, osteoclastic activity of the experimental groups was higher than that of the controls (P = 0.044, P = 0.0001). On day 21, the amounts of tooth movement in the high-concentration experimental group were 1.7 times greater than in the high-concentration control group and 1.4 times greater than in the moderate-concentration experimental group (P = 0.001). On day 60, alveolar bone density increased to the original levels in all groups. CONCLUSIONS Injection of both moderate and high concentrations of PRP may accelerate orthodontic tooth movement by decreasing alveolar bone density on paradental tissues by enhancing osteoclastic activity in a transient way.
Collapse
|
26
|
Haghnegahdar A, Zarif Najafi H, Sabet M, Saki M. Assessment of the changes in alveolar bone quality after fixed orthodontic therapy: A trabecular structure analysis. J Dent Res Dent Clin Dent Prospects 2017; 10:201-206. [PMID: 28096944 PMCID: PMC5237665 DOI: 10.15171/joddd.2016.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2015] [Accepted: 10/15/2016] [Indexed: 11/21/2022] Open
Abstract
Background. Tooth displacement changes the periodontium. The aim of orthodontic treatment is desired tooth movement with minimum side effects on the alveolar bone quality. The aim of the present study was to assess changes of alveolar trabeculation in children, young adults and adults and the two genders. Methods. In this cross-sectional study, 63 patients who had been treated in Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran, were chosen with convenient sampling method. They were divided into three groups based on their age. Their digitized panoramic radiographs (PRs) were evaluated at six interdental sites from the mesial aspect of the mandibular second molars to the distal aspect of the mandibular first premolars using a visual index. The trabeculation pattern was assigned as either dense (score 3), dense-sparse (score 2) or sparse (score 1). Data were imported to SPSS. Mean of the scores before treatment (score B) and mean of them after treatment (score A) were compared for each group with paired t-test. Changes between score B and sore A of the groups were compared using one-way ANOVA and post hoc tests. Results. Mean score A was significantly higher than mean score B in children (P = 0.001). In contrast, mean score A was significantly lower than mean score B in young adults (P = 0.003). Conclusion. Orthodontists should be cautious when treating young adults and adults regarding the probable, yet possibly temporary, negative effects of orthodontic therapy on the alveolar bone quality.
Collapse
Affiliation(s)
- Abdolaziz Haghnegahdar
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hooman Zarif Najafi
- Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Sabet
- Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Saki
- Student Research Committee, Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
27
|
Liu Y, Zhang T, Zhang C, Jin S, Yang R, Wang X, Jiang N, Gan Y, Kou X, Zhou Y. Aspirin Blocks Orthodontic Relapse via Inhibition of CD4+ T Lymphocytes. J Dent Res 2017; 96:586-594. [PMID: 28060561 DOI: 10.1177/0022034516685527] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Immunologic response plays an important role in orthodontic tooth movement (OTM) and relapse. Nonsteroidal anti-inflammatory drugs, such as aspirin, affect immune cells and clinical orthodontic treatment. However, the mechanisms by which nonsteroidal anti-inflammatory drugs regulate immune cells to affect orthodontic relapse are unclear. In this study, male Sprague-Dawley rats were grouped as relapse and relapse + aspirin for 10 d after 14 d of OTM. Silicone impressions of the rats’ maxillary dentitions were obtained to record the distance of OTM at the indicated time point. CD4+ T lymphocytes in spleen were examined by flow cytometry. Serum levels of type 1 T-helper (Th1) cell–associated cytokines tumor necrosis factor α (TNF-α), and interferon γ (IFN-γ) were determined through enzyme-linked immunosorbent assay. The effects of aspirin on CD4+ T and Th1 cells were also analyzed in vitro. Aspirin treatment significantly reduced the relapse rate. More interestingly, injection of CD25 neutralizing antibody basiliximab or TNF-α inhibitor etanercept can significantly reduce the relapse rate as well. Correspondingly, aspirin treatment significantly accelerated the decrease of orthodontic force–induced secretion of TNF-α and IFN-γ in serum and the expression of TNF-α and IFN-γ in periodontal ligament during relapse. Furthermore, aspirin treatment in vitro significantly repressed the differentiation of CD4+ T and Th1 cells. Overall, results indicated that aspirin treatment can block orthodontic relapse by regulating Th1 cells.
Collapse
Affiliation(s)
- Y. Liu
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - T. Zhang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - C. Zhang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - S.S. Jin
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - R.L. Yang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - X.D. Wang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - N. Jiang
- Center Laboratory, School and Hospital of Stomatology, Peking University, Beijing, China
| | - Y.H. Gan
- Center Laboratory, School and Hospital of Stomatology, Peking University, Beijing, China
- Center for Temporomandibular Disorders and Orofacial Pain, Peking University School and Hospital of Stomatology, Beijing, China
| | - X.X. Kou
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| | - Y.H. Zhou
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Center for Craniofacial Stem Cell Research and Regeneration, Peking University School and Hospital of Stomatology, Beijing, China
| |
Collapse
|
28
|
Abstract
The tooth-periodontal ligament-alveolar bone complex acts symbiotically to dissipate the mechanical loads incurred during mastication and/or orthodontic tooth movement. The periodontal ligament functions both in the tension and compression. At the molecular and celleular levels, the loads in the periodontal ligament trigger mechanobiological events in the alveolar bone, which leads to bone modeling and remodeling. The current review focuses on the bone response to mechanical loading of the periodontal ligament on the tension and pressure sides. Understanding the bone response has major implications for dentistry, including a better understanding of the different types of orthodontic tooth movement.
Collapse
Affiliation(s)
- Eliane Hermes Dutra
- Division of Orthodontics, University of Connecticut Health Center, 263 Farmington Avenue, Room No L7056, MC1725, Farmington, CT, 06030, USA
| | - Ravindra Nanda
- Division of Orthodontics, University of Connecticut Health Center, 263 Farmington Avenue, Room No L7056, MC1725, Farmington, CT, 06030, USA
| | - Sumit Yadav
- Division of Orthodontics, University of Connecticut Health Center, 263 Farmington Avenue, Room No L7056, MC1725, Farmington, CT, 06030, USA.
| |
Collapse
|
29
|
Influence of Invisalign treatment with interproximal enamel reduction (IER) on bone volume for adult crowding: a retrospective three-dimensional cone beam computed tomography study. BMC Oral Health 2016; 16:83. [PMID: 27586057 PMCID: PMC5009673 DOI: 10.1186/s12903-016-0281-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Accepted: 08/17/2016] [Indexed: 12/02/2022] Open
Abstract
Background The aim of this study was to use three-dimensional datasets to identify associations between treatment for adult crowding using Invisalign and interproximal enamel reduction (IER) and changes in the bone volume. Methods A total of 60 digital cone beam computed tomography (CBCT) scans from 30 patients (28 women, two men; 30 CBCTs pretreatment, 30 posttreatment) were examined retrospectively in order to record bone volume three-dimensionally before and after treatment. The patients’ average age was 36.03 ± 9.7 years. The data were collected and analyzed using the computer programs Mimics 15.0 and OsiriX. Differences in bone between T0 and T1 were analyzed with IBM SPSS 21.0 using the Wilcoxon test for paired samples. Results Analysis of the orovestibular bone volume showed highly significant changes (bone change P <0.001) only in the mandible where more expansion of the dental arch was carried out using proclination or protrusion. The bone lamella was thinner buccally and thicker lingually. In general, bone increases in the oral direction were slightly greater than bone losses in the vestibular direction. No significant changes were detected in the maxilla (bone change P = 0.13). Significant vertical bone loss in the bone height was detected in both the maxilla and the mandible. The largest bone loss was observed in the vestibular direction in the mandible, at a high level of significance (P <0.001). Conclusions Particularly in the mandible, therapeutic reduction of the vertical and sagittal bone volume shows that caution should be used in the treatment of tertiary crowding with proclination and expansion. The cortical walls appear to represent the limits for orthodontic tooth movement, at least in adult female patients.
Collapse
|
30
|
Qin J, Hua Y. Effects of hydrogen sulfide on the expression of alkaline phosphatase, osteocalcin and collagen type I in human periodontal ligament cells induced by tension force stimulation. Mol Med Rep 2016; 14:3871-7. [DOI: 10.3892/mmr.2016.5680] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2015] [Accepted: 08/02/2016] [Indexed: 11/05/2022] Open
|
31
|
Guo J, Wang Q, Wai D, Zhang QZ, Shi SH, Le AD, Shi ST, Yen SLK. Visible red and infrared light alters gene expression in human marrow stromal fibroblast cells. Orthod Craniofac Res 2016; 18 Suppl 1:50-61. [PMID: 25865533 DOI: 10.1111/ocr.12081] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2014] [Indexed: 12/29/2022]
Abstract
OBJECTIVES This study tested whether or not gene expression in human marrow stromal fibroblast (MSF) cells depends on light wavelength and energy density. MATERIALS AND METHODS Primary cultures of isolated human bone marrow stem cells (hBMSC) were exposed to visible red (VR, 633 nm) and infrared (IR, 830 nm) radiation wavelengths from a light emitting diode (LED) over a range of energy densities (0.5, 1.0, 1.5, and 2.0 Joules/cm2) Cultured cells were assayed for cell proliferation, osteogenic potential, adipogenesis, mRNA and protein content. mRNA was analyzed by microarray and compared among different wavelengths and energy densities. Mesenchymal and epithelial cell responses were compared to determine whether responses were cell type specific. Protein array analysis was used to further analyze key pathways identified by microarrays. RESULT Different wavelengths and energy densities produced unique sets of genes identified by microarray analysis. Pathway analysis pointed to TGF-beta 1 in the visible red and Akt 1 in the infrared wavelengths as key pathways to study. TGF-beta protein arrays suggested switching from canonical to non-canonical TGF-beta pathways with increases to longer IR wavelengths. Microarrays suggest RANKL and MMP 10 followed IR energy density dose-response curves. Epithelial and mesenchymal cells respond differently to stimulation by light suggesting cell type-specific response is possible. CONCLUSIONS These studies demonstrate differential gene expression with different wavelengths, energy densities and cell types. These differences in gene expression have the potential to be exploited for therapeutic purposes and can help explain contradictory results in the literature when wavelengths, energy densities and cell types differ.
Collapse
Affiliation(s)
- J Guo
- Center for Craniofacial Molecular Biology, Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA; Department of Orthodontics, School of Stomatology, Shandong University, Jinan, China
| | | | | | | | | | | | | | | |
Collapse
|
32
|
Abstract
Few studies involving human participants have been conducted to investigate the effect of orthodontic treatment on alveolar bone density around the teeth. Our previous study revealed that patients who received 6 months of active orthodontic treatment exhibited an ∼24% decrease in alveolar bone density around the teeth. However, after an extensive retention period following orthodontic treatment, whether the bone density around the teeth can recover to its original state from before the treatment remains unclear, thus warranting further investigation.The purpose of this study was to assess the bone density changes around the teeth before, during, and after orthodontic treatment.Dental cone-beam computed tomography (CBCT) was used to measure the changes in bone density around 6 teeth in the anterior maxilla (maxilla central incisors, lateral incisors, and canines) of 8 patients before and after orthodontic treatment. Each patient underwent 3 dental CBCT scans: before treatment (T0); at the end of 7 months of active orthodontic treatment (T1); after several months (20-22 months) of retention (T2). The Friedman test was applied to evaluate the changes in the alveolar bone density around the teeth according to the 3 dental CBCT scans.From T0 to T1, a significant reduction in bone density was observed around the teeth (23.36 ± 10.33%); by contrast, a significant increase was observed from T1 to T2 (31.81 ± 23.80%). From the perspective of the overall orthodontic treatment, comparing the T0 and T2 scans revealed that the bone density around the teeth was relatively constant (a reduction of only 0.75 ± 19.85%). The results of the statistical test also confirmed that the difference in bone density between T0 and T2 was nonsignificant.During orthodontic tooth movement, the alveolar bone density around the teeth was reduced. However, after a period of bone recovery, the reduced bone density recovered to its previous state from before the orthodontic treatment. However, the bone density around ∼10% of the teeth in this region could not recover to 80% of its state from before the orthodontic treatment.
Collapse
Affiliation(s)
- Jian-Hong Yu
- From the School of Dentistry (J-HY, H-LH, C-FL, J-TH), College of Medicine China Medical University, Taichung; Department of Bioinformatics and Medical Engineering (H-LH, J-TH), Asia University, Taichung; Department of Biomedical Imaging and Radiological Sciences (JW), National Yang-Ming University, Taipei; Institute of Environmental Health (Y-FL), China Medical University; and Department of Biomedical Engineering (M-TT), Hungkuang University, Taichung, Taiwan, ROC
| | | | | | | | | | | | | |
Collapse
|
33
|
Viecilli RF, Burstone CJ. Ideal orthodontic alignment load relationships based on periodontal ligament stress. Orthod Craniofac Res 2015; 18 Suppl 1:180-6. [PMID: 25865547 DOI: 10.1111/ocr.12079] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/11/2014] [Indexed: 11/30/2022]
Affiliation(s)
- R. F. Viecilli
- Loma Linda University School of Dentistry; Loma Linda CA USA
| | - C. J. Burstone
- University of Connecticut School of Dentistry; Farmington CT USA
| |
Collapse
|
34
|
Jiang F, Liu SSY, Xia Z, Li S, Chen J, Kula KS, Eckert G. Hounsfield unit change in root and alveolar bone during canine retraction. Am J Orthod Dentofacial Orthop 2015; 147:445-53. [PMID: 25836004 DOI: 10.1016/j.ajodo.2014.11.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Revised: 11/01/2014] [Accepted: 11/01/2014] [Indexed: 10/23/2022]
Abstract
INTRODUCTION The objective of this study was to determine the Hounsfield unit (HU) changes in the alveolar bone and root surfaces during controlled canine retractions. METHODS Eighteen maxillary canine retraction patients were selected for this split-mouth design clinical trial. The canines in each patient were randomly assigned to receive either translation or controlled tipping treatment. Pretreatment and posttreatment cone-beam computed tomography scans of each patient were used to determine tooth movement direction and HU changes. The alveolar bone and root surface were divided into 108 divisions, respectively. The HUs in each division were measured. Mixed-model analysis of variance was applied to test the HU change distribution at the P <0.05 significance level. RESULTS The HU changes varied with the directions relative to the canine movement. The HU reductions occurred at the root surfaces. Larger reductions occurred in the divisions that were perpendicular to the moving direction. However, HUs decreased in the alveolar bone in the moving direction. The highest HU reduction was at the coronal level. CONCLUSIONS HU reduction occurs on the root surface in the direction perpendicular to tooth movement and in the alveolar bone in the direction of tooth movement when a canine is retracted.
Collapse
Affiliation(s)
- Feifei Jiang
- Postgraduate student, Department of Mechanical Engineering, Indiana University-Purdue University, Indianapolis, Ind
| | - Sean S-Y Liu
- Assistant professor, Department of Orthodontics and Oral Facial Genetics, Indiana University, Indianapolis, Ind
| | - Zeyang Xia
- Associate professor, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences and Chinese University of Hong Kong, Hong Kong, China
| | - Shuning Li
- Visiting assistant professor, Department of Mechanical Engineering, Indiana University-Purdue University, Indianapolis, Ind
| | - Jie Chen
- Professor and chair, Department of Mechanical Engineering, Indiana University-Purdue University, Indianapolis, Ind; professor, Department of Orthodontics and Oral Facial Genetics, Indiana University, Indianapolis, Ind.
| | - Katherine S Kula
- Professor and chair, Department of Orthodontics and Oral Facial Genetics, Indiana University, Indianapolis, Ind
| | - George Eckert
- Biostatistician supervisor, Department of Biostatistics, Indiana University, Indianapolis, Ind
| |
Collapse
|
35
|
Accelerated orthodontic tooth movement: Molecular mechanisms. Am J Orthod Dentofacial Orthop 2014; 146:620-32. [DOI: 10.1016/j.ajodo.2014.07.007] [Citation(s) in RCA: 114] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2014] [Revised: 07/01/2014] [Accepted: 07/01/2014] [Indexed: 12/22/2022]
|
36
|
Jiang C, Li Z, Quan H, Xiao L, Zhao J, Jiang C, Wang Y, Liu J, Gou Y, An S, Huang Y, Yu W, Zhang Y, He W, Yi Y, Chen Y, Wang J. Osteoimmunology in orthodontic tooth movement. Oral Dis 2014; 21:694-704. [PMID: 25040955 DOI: 10.1111/odi.12273] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2014] [Revised: 06/18/2014] [Accepted: 06/26/2014] [Indexed: 02/05/2023]
Abstract
The skeletal and immune systems share a multitude of regulatory molecules, including cytokines, receptors, signaling molecules, and signaling transducers, thereby mutually influencing each other. In recent years, several novel insights have been attained that have enhanced our current understanding of the detailed mechanisms of osteoimmunology. In orthodontic tooth movement, immune responses mediated by periodontal tissue under mechanical force induce the generation of inflammatory responses with consequent alveolar bone resorption, and many regulators are involved in this process. In this review, we take a closer look at the cellular/molecular mechanisms and signaling involved in osteoimmunology and at relevant research progress in the context of the field of orthodontic tooth movement.
Collapse
Affiliation(s)
- C Jiang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Z Li
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - H Quan
- Qingdao First Sanatorium of Jinan Military Distract of PLA, Qingdao, Shandong, China
| | - L Xiao
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - J Zhao
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - C Jiang
- Department of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
| | - Y Wang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - J Liu
- Laboratory of Stem Cell Biology, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Y Gou
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - S An
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Y Huang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - W Yu
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Y Zhang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - W He
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Y Yi
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Y Chen
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - J Wang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| |
Collapse
|
37
|
Cuoghi OA, Aiello CA, Consolaro A, Tondelli PM, Mendonça MRD. Resorption of roots of different dimension induced by different types of forces. Braz Oral Res 2014; 28:S1806-83242014000100231. [PMID: 24918365 DOI: 10.1590/1807-3107bor-2014.vol28.0013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Accepted: 03/28/2014] [Indexed: 12/26/2022] Open
Abstract
Root resorption is a variable to be considered in induced tooth movement (ITM). It is related to root morphology and alveolar bone crest, and also to the types of forces exerted by mechanotherapy. This histometric study evaluated the predominance of root resorption among roots of different dimensions, following ITM with different types of forces and at different time intervals. The study was conducted on 54 rats divided into three groups, according to the type of force: continuous (CF), continuous interrupted (CIF) and intermittent (IF), at periods of 5, 7 and 9 days. The percentage of resorption between mesiobuccal roots of larger dimension and intermediate roots of smaller dimension was assessed. The evaluations were performed on the AxioVision software, and the non-parametric analysis of variance for repeated measures in independent groups was further applied, consisting of a scheme of two factors, and complemented by the Dunn test at a significance level of 5%. The intermediate roots presented a higher percentage of resorption, which was gradual at the periods evaluated for the three types of forces, but mainly for CF. Comparing the intermediate roots with the mesiobuccal roots, there was a statistically significant difference (p<0.05) in the CF group at day 7 and day 9, and in the FI group, at day 9. The intragroup analysis evidenced a statistically significant difference (p<0.05) between the 5th and the 9th day for the intermediate root in the CF group. The intergroup analysis did not reveal any statistically significant difference (p>0.05) in individually analyzed roots.
Collapse
Affiliation(s)
- Osmar Aparecido Cuoghi
- Department of Pediatric and Community Dentistry, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, SP, Brazil
| | - Carlos Alberto Aiello
- Department of Orthodontics, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, Bauru, SP, Brazil
| | - Alberto Consolaro
- Department of Stomatology, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
| | - Pedro Marcelo Tondelli
- Department of Oral Medicine and Pediatric Dentistry, Centro de Ciências da Saúde, Universidade Estadual de Londrina, Londrina, PR, Brazil
| | - Marcos Rogério de Mendonça
- Department of Pediatric and Community Dentistry, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, SP, Brazil
| |
Collapse
|
38
|
Ru N, Liu SSY, Zhuang L, Li S, Bai Y. In vivo microcomputed tomography evaluation of rat alveolar bone and root resorption during orthodontic tooth movement. Angle Orthod 2013; 83:402-409. [PMID: 23030553 PMCID: PMC8763084 DOI: 10.2319/031312-219.1] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2012] [Accepted: 08/01/2012] [Indexed: 11/16/2023] Open
Abstract
OBJECTIVE To observe the real-time microarchitecture changes of the alveolar bone and root resorption during orthodontic treatment. MATERIALS AND METHODS A 10 g force was delivered to move the maxillary left first molars mesially in twenty 10-week-old rats for 14 days. The first molar and adjacent alveolar bone were scanned using in vivo microcomputed tomography at the following time points: days 0, 3, 7, and 14. Microarchitecture parameters, including bone volume fraction, structure model index, trabecular thickness, trabecular number, and trabecular separation of alveolar bone, were measured on the compression and tension side. The total root volume was measured, and the resorption crater volume at each time point was calculated. Univariate repeated measures analysis of variance with Bonferroni corrections were performed to compare the differences in each parameter between time points with significance level at P < .05. RESULTS From day 3 to day 7, bone volume fraction, structure model index, trabecular thickness, and trabecular separation decreased significantly on the compression side, but the same parameters increased significantly on the tension side from day 7 to day 14. Root resorption volume of the mesial root increased significantly on day 7 of orthodontic loading. CONCLUSIONS Real-time root and bone resorption during orthodontic movement can be observed in 3 dimensions using in vivo micro-CT. Alveolar bone resorption and root resorption were observed mostly in the apical third on day 7 on the compression side; bone formation was observed on day 14 on the tension side during orthodontic tooth movement.
Collapse
Affiliation(s)
- Nan Ru
- PhD candidate, Department of Orthodontics, Capital Medical University School of Stomatology, Beijing, China
| | - Sean Shih-Yao Liu
- Assistant Professor of Orthodontics and Director, Mineralized Tissues and Histology Research Lab, and Director, Orthodontic Fellowship Program, Department of Orthodontics and Oral Facial Genetics, Indiana University School of Dentistry, IUPUI, Indianapolis, Ind
| | - Li Zhuang
- Lecturer, Department of Orthodontics, Capital Medical University School of Dentistry, Beijing, China
| | - Song Li
- Professor, Department of Orthodontics, Capital Medical University School of Dentistry, Beijing, China
| | - Yuxing Bai
- Professor, Department of Orthodontics, Capital Medical University School of Dentistry, Beijing, China
| |
Collapse
|
39
|
Ahn HW, Moon SC, Baek SH. Morphometric evaluation of changes in the alveolar bone and roots of the maxillary anterior teeth before and after en masse retraction using cone-beam computed tomography. Angle Orthod 2013; 83:212-221. [PMID: 23066654 PMCID: PMC8793658 DOI: 10.2319/041812-325.1] [Citation(s) in RCA: 81] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2012] [Accepted: 06/01/2012] [Indexed: 07/28/2023] Open
Abstract
OBJECTIVE To evaluate the morphometric changes in the alveolar bone and roots of the maxillary anterior teeth (MXAT) after en masse retraction with maximum anchorage (EMR-MA). MATERIALS AND METHODS The samples consisted of 37 female adult patients who had Class I dentoalveolar protrusion (CI-DAP) and were treated by extraction of the first premolars and EMR-MA. Using three-dimensional cone-beam computed tomography taken before treatment and after space closure, the maxillary central incisors (MXCI, N = 66), lateral incisors (MXLI, N = 69), and canines (MXC, N = 69) were superimposed using individual reference planes. After alveolar bone area (ABA), vertical bone level (VBL), root length (RL), root area (RA), and prevalence of dehiscence (PD) were measured at the cervical, middle, and apical levels, statistical analyses were performed. RESULTS On the palatal side, ABA significantly decreased in all levels of MXAT (P < .001; middle of MXC, P < .01). MXCI and MXLI exhibited a greater decrease in the ratio of change in palatal ABA than did MXC (cervical, P < .01; middle and apical, P < .05; total, P < .001). Palatal/labial ABA ratios decreased in MXCI (cervical, middle, total, P < .001; apical, P < .05) and MXLI (cervical, P < .001; apical, P < .05). They showed greater amounts and ratios of change in VBL on the palatal side compared to the labial side (all P < .001). The palatal side showed more PD in the cervical area than did the labial side (MXCI and MXLI, P < .001; MXC, P < .01). Significant root resorption occurred in MXAT (RL and RA, all P < .001). CONCLUSIONS During EMR-MA in cases with CI-DAP, ABA and VBL on the palatal side and RL and RA of MXCI and MXLI were significantly decreased.
Collapse
Affiliation(s)
- Hyo-Won Ahn
- Graduate PhD student, Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, South Korea
| | - Sung Chul Moon
- Private Practice and Clinical Professor, Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, South Korea
| | - Seung-Hak Baek
- Professor and Chair, Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea
| |
Collapse
|
40
|
Marquezan M, Bolognese AM, Araújo MTDS. Evaluation of two protocols for low-level laser application in patients submitted to orthodontic treatment. Dental Press J Orthod 2013; 18:33.e1-9. [PMID: 23876967 DOI: 10.1590/s2176-94512013000100009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023] Open
Abstract
INTRODUCTION: Different low-level laser (LLL) irradiation protocols have been tested to accelerate orthodontic tooth movement (OTM). Nevertheless, divergent results have been obtained. It was suggested that the stimulatory action of low level laser irradiation occurs during the proliferation and differentiation stages of bone cellular precursors, but not during later stages. OBJECTIVE: The purpose of this study was to determine the effect of two protocols of LLL irradiation on experimental tooth movement: One with daily irradiations and another with irradiations during the early stages. METHODS: Thirty-six rats were divided into control groups (CG1, CG2, CG3) and irradiated groups (IrG1, IrG2, IrG3) according to the presence of: experimental tooth movement, laser irradiation, type of laser irradiation protocol and date of euthanasia (3th or 8th day of experiment). At the end of experimental periods, a quantitative evaluation of the amount of OTM was made and the reactions of the periodontium were analyzed by describing cellular and tissue reactions and by counting blood vessels. RESULTS: The amount of OTM revealed no significant differences between groups in the same experimental period (p < 0.05). Qualitative analysis revealed the strongest resorption activity in irradiated groups after seven days, especially when using the daily irradiation protocol. There was a higher number of blood vessels in irradiated animals than in animals without orthodontic devices and without laser irradiation (p < 0.05). CONCLUSION: Moreover, angiogenesis was verified in some of the irradiated groups. The irradiation protocols tested were not able to accelerate OTM and root resorption was observed while they were applied.
Collapse
|
41
|
Effects of orthodontic treatment on human alveolar bone density distribution. Clin Oral Investig 2012; 17:2033-40. [DOI: 10.1007/s00784-012-0906-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Accepted: 12/04/2012] [Indexed: 10/27/2022]
|
42
|
Ortega AJ“AJ, Campbell PM, Hinton R, Naidu A, Buschang PH. Local application of zoledronate for maximum anchorage during space closure. Am J Orthod Dentofacial Orthop 2012. [DOI: 10.1016/j.ajodo.2012.07.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
43
|
Wang C, Han J, Li Q, Wang L, Fan Y. Simulation of bone remodelling in orthodontic treatment. Comput Methods Biomech Biomed Engin 2012; 17:1042-50. [DOI: 10.1080/10255842.2012.736969] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
44
|
Yu JY, Lee W, Park JH, Bayome M, Kim Y, Kook YA. Histologic effects of intentional-socket-assisted orthodontic movement in rabbits. Korean J Orthod 2012; 42:207-17. [PMID: 23112952 PMCID: PMC3481987 DOI: 10.4041/kjod.2012.42.4.207] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2012] [Revised: 06/20/2012] [Accepted: 06/26/2012] [Indexed: 01/24/2023] Open
Abstract
Objective This study aimed to evaluate the effect of an intentionally created socket on bone remodeling with orthodontic tooth movement in rabbits. Methods Eighteen male rabbits weighing 3.8 - 4.25 kg were used. An 8-mm deep and 2-mm wide socket was drilled in the bone 1 mm mesial to the right mandibular first premolar. The left first premolar was extracted to serve as an extraction socket. A traction force of 100 cN was applied to the right first premolar and left second premolar. Sections were obtained at the middle third of the moving tooth for both the drilled and extraction sockets and evaluated with hematoxylin and eosin staining and immunohistochemical analyses. The amount of tooth movement and tartrate-resistant acid phosphatase (TRAP)-positive cell count were compared between the 2 groups using the Mann-Whitney U test. Results At week 2, the distance of tooth movement was significantly higher in the intentional socket group (p < 0.05) than in the extraction socket group. The number of TRAP-positive cells decreased in week 2 but increased in week 3 (p < 0.05). However, there were no significant differences between the groups. Furthermore, results of transforming growth factor (TGF)-β staining revealed no significant differences. Conclusions The intentional socket group showed greater distance of tooth movement than did the extraction socket group at week 2. Osteoclast counts and results of immunohistochemical analyses suggested elevated bone remodeling in both the groups. Thus, osteotomy may be an effective modality for enhancing tooth movement in orthodontic treatment.
Collapse
Affiliation(s)
- Ji-Yeon Yu
- Graduate School of Medicine, The Catholic University of Korea, Seoul, Korea
| | | | | | | | | | | |
Collapse
|
45
|
Iglesias-Linares A, Yañez-Vico RM, Moreno-Fernandez AM, Mendoza-Mendoza A, Solano-Reina E. Corticotomy-Assisted Orthodontic Enhancement by Bone Morphogenetic Protein-2 Administration. J Oral Maxillofac Surg 2012; 70:e124-32. [DOI: 10.1016/j.joms.2011.10.020] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2011] [Revised: 10/02/2011] [Accepted: 10/07/2011] [Indexed: 10/14/2022]
|
46
|
Kang HJ, Jeong SW, Jo BH, Kim YD, Kim SS. Observation of trabecular changes of the mandible after orthognathic surgery using fractal analysis. J Korean Assoc Oral Maxillofac Surg 2012. [DOI: 10.5125/jkaoms.2012.38.2.96] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Hyeon-Ju Kang
- Department of Orthodontics, School of Dentistry, Pusan National University, Gyeongnam, Yangsan, Korea
| | - Song-Wha Jeong
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University, Gyeongnam, Yangsan, Korea
| | - Bong-Hye Jo
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University, Gyeongnam, Yangsan, Korea
| | - Yong-Deok Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Gyeongnam, Yangsan, Korea
| | - Seong Sik Kim
- Department of Orthodontics, School of Dentistry, Pusan National University, Gyeongnam, Yangsan, Korea
| |
Collapse
|
47
|
Bone density changes around teeth during orthodontic treatment. Clin Oral Investig 2011; 15:511-9. [PMID: 20393863 DOI: 10.1007/s00784-010-0410-1] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2009] [Accepted: 03/22/2010] [Indexed: 01/16/2023]
Abstract
The objective of this study was to evaluate bone density changes around the teeth during orthodontic treatment by using cone beam computed tomography (CBCT). CBCT was used to measure the bone densities around six teeth (both maxilla central incisors, lateral incisors, and canines) before and after 7 months of orthodontic treatment in eight patients. In addition, each root was divided into three portions (cervical, intermediate, and apical) to determine whether the bone density change varied with tooth level. The mean reduction in bone density around the measured teeth was 24% after orthodontic treatment. The bone density reduction around teeth was largest for the upper-right and upper-left central incisor (29% and 26%, respectively) and ranged from 20% to 23% for the other four teeth. The mean bone density reduction did not differ significantly between the cervical, portion, and apical portions of the teeth (26%, 22%, and 24%, respectively). CBCT is useful for evaluating bone density changes around teeth during orthodontic treatment. The bone density around the teeth reduced significantly after the application of orthodontic forces for 7 months.
Collapse
|
48
|
Franzen TJ, Brudvik P, Vandevska-Radunovic V. Periodontal tissue reaction during orthodontic relapse in rat molars. Eur J Orthod 2011; 35:152-9. [DOI: 10.1093/ejo/cjr127] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
49
|
Chang HW, Huang HL, Yu JH, Hsu JT, Li YF, Wu YF. Effects of orthodontic tooth movement on alveolar bone density. Clin Oral Investig 2011; 16:679-88. [PMID: 21519883 DOI: 10.1007/s00784-011-0552-9] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2010] [Accepted: 04/11/2011] [Indexed: 01/28/2023]
Abstract
The object of this study was to evaluate the relationship between changes in the alveolar bone density around the teeth and the direction of tooth movement by using cone-beam computed tomography (CBCT). CBCT was used to measure the bone densities around six maxilla anterior teeth before and after 7 months of orthodontic treatment in eight patients. Each root was divided into three levels (cervical, intermediate, and apical) to determine whether the bone density change varied with the tooth level. Moreover, each level was divided into four regions (palatal, distal, mesial, and buccal sides). Three-dimensional computer models of the maxilla before and after orthodontic treatment were created to detect the direction of tooth movement. The percentage for all 144 samples [8 (patients) × 6 (teeth) × 3 (levels)] in which the side (palatal, distal, mesial, or buccal sides) of maximum bone density reduction (before and after orthodontic treatment) coincided with the direction of tooth movement was calculated; this was referred to as the "coincidence percentage". The bone density around the teeth reduced by 24.3 ± 9.5%. The average coincidence percentage for the eight patients was 59.0%. The coincidence percentages for the eight patients were 62.5%, 62.5%, and 52.1% at the cervical, intermediate, and apical levels, respectively. The obtained results demonstrate that the direction of tooth movement is associated with the side of maximum bone density reduction, and that CBCT is a useful approach for evaluating bone density changes around teeth induced by orthodontic treatment.
Collapse
Affiliation(s)
- Hsing-Wen Chang
- School of Dentistry, College of Medicine, China Medical University and Hospital, 91 Hsueh-Shih Road, Taichung 404, Taiwan, Republic of China
| | | | | | | | | | | |
Collapse
|
50
|
Feng Z, Shen Y, Wang L, Cheng L, Wang J, Li Q, Shi W, Sun X. An oligodeoxynucleotide with promising modulation activity for the proliferation and activation of osteoblast. Int J Mol Sci 2011; 12:2543-55. [PMID: 21731457 PMCID: PMC3127133 DOI: 10.3390/ijms12042543] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2011] [Revised: 04/06/2011] [Accepted: 04/07/2011] [Indexed: 12/22/2022] Open
Abstract
The paper explored the regulatory role of oligodeoxynucleotides (ODNs) with specific sequences in the proliferation and activation of osteoblast, using human osteoblast-like cell line MG 63 as the model. Through the administration of ODNs to MG 63 cells at a concentration of 1.0 μg/mL, ODN MT01 with positive effects on proliferation and activation of osteoblast was selected from 11 different ODNs by methyl thiazolyl tetrazolium (MTT) assay and alkaline phosphatase (ALP) activity measurement. To get a deeper insight into the molecular mechanism, effects of ODN MT01 treatment on the expression level of Sp7, runx-2, collagen-I, osteoprotegerin (OPG) and RANK ligand (RANKL) were determined using quantitative real time PCR and Western blotting. Remarkably, the mRNA and protein expression levels of Sp7, runx-2, collagen-I and OPG were improved after ODN MT01 treatment. Meanwhile, the protein expression level of RANKL was dramatically decreased. These results suggested that ODN MT01 had a significant impact in facilitating osteogenic proliferation and activation, and provided a direct evidence for the notion that single strand ODN could regulate the balance of bone formation and resorption, and thus was of great potential in the rebuilding of alveolar bone.
Collapse
Affiliation(s)
- Zhiyuan Feng
- Department of Orthodontics, School of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, China; E-Mails: (Z.F.); (J.W.)
| | - Yuqin Shen
- Department of Periodontal, School of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, China; E-Mail:
| | - Liying Wang
- Department of Molecular Biology, College of Basic Medicine, Jilin University, Changchun 130021, China; E-Mail:
| | - Lin Cheng
- Department of Oral Cavity, The Second Affiliated Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan 030001, China; E-Mail:
| | - Jing Wang
- Department of Orthodontics, School of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, China; E-Mails: (Z.F.); (J.W.)
| | - Quanshun Li
- Key Laboratory for Molecular Enzymology and Engineering of Ministry of Education, Jilin University, 2699 Qianjin Road, Changchun 130021, China; E-Mail:
| | - Wei Shi
- Key Laboratory for Molecular Enzymology and Engineering of Ministry of Education, Jilin University, 2699 Qianjin Road, Changchun 130021, China; E-Mail:
| | - Xinhua Sun
- Department of Orthodontics, School of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, China; E-Mails: (Z.F.); (J.W.)
| |
Collapse
|