1
|
Komaki S, Ozaki H, Takahashi SS, Wada-Takahashi S, Fushima K. Gingival blood flow before, during, and after clenching, measured by laser Doppler blood flowmeter: A pilot study. Am J Orthod Dentofacial Orthop 2021; 161:46-52. [PMID: 34509331 DOI: 10.1016/j.ajodo.2020.06.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 06/01/2020] [Accepted: 06/01/2020] [Indexed: 11/01/2022]
Abstract
INTRODUCTION This study aimed to investigate the effects of the strong occlusal force on the hemodynamics of gingival microcirculation. METHODS Eleven adult volunteers with healthy periodontium and normal occlusion participated in this study. Using a noncontact laser Doppler flowmeter placed at the attached gingiva and the interdental papilla of the maxillary first premolar, changes in gingival blood flow (GBF) were examined during and after clenching. RESULTS When the strong occlusal pressure was applied on the maxillary first premolar by clenching, GBF in the attached gingiva on the buccal side decreased significantly compared with the resting GBF, with medians of 2.3 mL/min/100 g and 5.4 mL/min/100 g, respectively (P <0.05). After the release of the maximum clenching, GBF recovered immediately and transiently increased to a median of 2.4 mL/min/100 g, showing a significant difference to the resting GBF (P <0.05). In contrast, in the interdental papilla, no significant change in GBF was found by clenching. CONCLUSIONS Ischemia of the buccal attached gingiva associated with strong clenching may be due to compression of the vascular network of the periodontal membrane. Through reactive hyperemia resulting from the release of clenching, it is possible not only that blood flow will be restored to the tissue but that the tissue itself may be damaged by the reperfusion. During active orthodontic treatment, it is suggested that occlusal management to prevent occlusal trauma is important to avoid detrimental effects on periodontal tissues.
Collapse
Affiliation(s)
- Sayaka Komaki
- Division of Orthodontics, Department of Highly Advanced Stomatology, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan
| | - Hiroya Ozaki
- Division of Orthodontics, Department of Highly Advanced Stomatology, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan
| | - Shun-Suke Takahashi
- Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan
| | - Satoko Wada-Takahashi
- Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan
| | - Kenji Fushima
- Division of Orthodontics, Department of Highly Advanced Stomatology, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan.
| |
Collapse
|
2
|
Kuraji R, Wu YH, Hashimoto S, Mishiro S, Maeda Y, Miyashita Y, Ito H, Miwa Y, Sunohara M, Kapila Y, Numabe Y. Temporal and dynamic changes in gingival blood flow during progression of ligature-induced periodontitis. Oral Dis 2020; 26:1292-1301. [PMID: 32153097 DOI: 10.1111/odi.13328] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Revised: 02/13/2020] [Accepted: 03/04/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVES To evaluate temporal changes in gingival blood flow (GBF) during progression of periodontitis in rats using a laser Doppler flowmeter (LDF) approach and to characterize morphological and biochemical features in the periodontium associated with GBF. MATERIALS AND METHODS Forty-two Wistar rats were divided into a ligature-induced periodontitis group and a control group. To induce periodontitis, ligatures were tied around maxillary first molars bilaterally. GBF was measured in palatal gingiva at pretreatment and following ligature placement after 30 min, 1, 3, 7, 14, 21, and 28 days using LDF with a non-contact probe. Bone loss and gene expression in gingival tissues were assessed using micro-computed tomography (μCT) and quantitative polymerase chain reaction (PCR), respectively. Immunostaining for vascular endothelial growth factor (VEGF) in the maxilla was also histologically evaluated. RESULTS GBF in the ligature group increased significantly compared with the control group 30 min after ligation. However, on days 3 and 7, GBF decreased in the ligature group. Also, after day 10, there was no difference in GBF between groups. The levels of alveolar bone loss, gene expression (interleukin-6, cluster of differentiation-31, VEGF-A, and lymphatic vessel endothelial hyaluronan receptor-1), and immunostained VEGF-positive vessels correlated well with changes in GBF. CONCLUSION PROGRESSION OF PERIODONTITIS: In rats was associated with a triphasic pattern of GBF, consisting of a short initial increase, followed by a rapid decrease, and then a gradual plateau phase.
Collapse
Affiliation(s)
- Ryutaro Kuraji
- Department of Life Science Dentistry, The Nippon Dental University, Tokyo, Japan
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
- Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA, USA
| | - Ya-Hsin Wu
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
- Department of periodontology, China medical University Hospital, Taichung City, Taiwan
| | | | - Saki Mishiro
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| | - Yuuki Maeda
- Department of General Dentistry, The Nippon Dental University Hospital, Tokyo, Japan
| | - Yukihiro Miyashita
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| | - Hiroshi Ito
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| | - Yoko Miwa
- Department of Anatomy, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| | - Masataka Sunohara
- Department of Anatomy, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| | - Yvonne Kapila
- Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA, USA
| | - Yukihiro Numabe
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
| |
Collapse
|
3
|
Kouadio AA, Jordana F, Koffi NJ, Le Bars P, Soueidan A. The use of laser Doppler flowmetry to evaluate oral soft tissue blood flow in humans: A review. Arch Oral Biol 2017; 86:58-71. [PMID: 29182953 DOI: 10.1016/j.archoralbio.2017.11.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Revised: 11/17/2017] [Accepted: 11/19/2017] [Indexed: 02/07/2023]
Abstract
The objective of this work is to define the conditions for improving the use of laser Doppler flowmetry (LDF) and to determine the limits for the use of this technique. This article systematically reviews the literature on the evaluation of oral soft tissue blood microcirculation by LDF. We analysed the available literature through October 2016 using the database resources Medline/PubMed, the Cochrane Oral Health Group Specialist Trials Register and the ISI Web of Knowledge. Several points emerged from this literature review The use of LDF involves specific constraints; however, the influence of different factors (temperature, tobacco, pressure etc.) must be adequately controlled when using LDF. LDF measurements of soft tissue within the oral cavity vary depending on the anatomical site. In dentistry, LDF can be used to track healing progress in periodontal surgery and to diagnose vascular flow changes in the connective tissue of mucosae covered by a removable prosthesis at an early stage prior to the onset of clinical inflammation signs.
Collapse
Affiliation(s)
- Ayepa Alain Kouadio
- Department of Prosthetic, UIC Odontology, Nantes Dental school 1, Place Alexis-Ricordeau, 44042 Nantes Cedex 1, France; UFR d'Odonto-stomatologie, Université Félix Houphouët Boigny, 22 BP 612 Abidjan 22, Cote d'Ivoire.
| | - Fabienne Jordana
- Department of Prosthetic, UIC Odontology, Nantes Dental school 1, Place Alexis-Ricordeau, 44042 Nantes Cedex 1, France.
| | - N'goran Justin Koffi
- UFR d'Odonto-stomatologie, Université Félix Houphouët Boigny, 22 BP 612 Abidjan 22, Cote d'Ivoire.
| | - Pierre Le Bars
- Department of Prosthetic, UIC Odontology, Nantes Dental school 1, Place Alexis-Ricordeau, 44042 Nantes Cedex 1, France.
| | - Assem Soueidan
- Department of Periodontology, UIC Odontology, Nantes Dental School 1, Place Alexis-Ricordeau, 44042 Nantes Cedex 1, France.
| |
Collapse
|
4
|
Okada C, Ueda T, Sakurai K. Blood flow in denture-supporting maxillary mucosa in response to simulated mastication by loading. J Prosthodont Res 2010; 54:159-63. [PMID: 20392684 DOI: 10.1016/j.jpor.2010.03.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2009] [Revised: 02/15/2010] [Accepted: 03/10/2010] [Indexed: 10/19/2022]
Abstract
PURPOSE The purpose of this study was to determine the effect of number of chewing strokes on change in blood flow in denture-supporting maxillary mucosa. METHODS Subjects consisted of 11 healthy dentate men. Mastication was simulated by intermittent loading (10 N, 1/0.75 Hz) on a lateral area of the hard palate using a 2-cm(2) test plate. Loading duration was set at 1, 4, 8 or 12 min (80, 320, 640 or 960 chewing strokes). A non-contact laser Doppler blood flow meter was used to determine change in blood flow and time taken for recovery to 110% of the pre-loading value. Mean blood flow at pre-loading and at each duration of intermittent loading were compared using a repeated measures ANOVA (α=0.05) and the Dunnett test. Recovery times for each loading duration were compared using a one-way ANOVA (α=0.05) and the Bonferroni-test. RESULTS Three subjects showed no increase in mean blood flow with loading. Eight subjects consistently showed an increase in mean blood flow during intermittent loading relative to at pre-loading. Duration of loading yielded no significant difference in mean blood flow. Significant differences were observed in recovery time between at after 8 min loading and at after the other 3 loading (1, 4, and 12 min loading) durations. CONCLUSION Number of simulated chewing strokes showed no influence on mean blood flow during intermittent loading in denture-supporting mucosa. It did, however, affect recovery time taken for blood flow to return to its pre-loading level.
Collapse
Affiliation(s)
- China Okada
- Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba city, Chiba 261-8502, Japan.
| | | | | |
Collapse
|
5
|
Otis LL, Piao D, Gibson CW, Zhu Q. Quantifying labial blood flow using optical Doppler tomography. ACTA ACUST UNITED AC 2004; 98:189-94. [PMID: 15316546 DOI: 10.1016/j.tripleo.2004.03.030] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Changes in the oral microvasculature occur in a variety of diseases. Optical Doppler tomography (ODT) combines laser Doppler flowmetry with optical coherence tomography (OCT) to produce high-resolution tomographic images of biological tissues that also detect the velocity and direction of blood flow. The objective of this study was to determine the feasibility of ODT to image labial blood flow. A prototype ODT imaging system was constructed that characterized and measured labial blood flow in healthy subjects. MATERIALS AND METHODS A prototype ODT instrument was constructed using a diode light source with a central wavelength of 1300 nanometers, a 40-nanometer spectral width and 2.4 microwatts output power. To verify the accuracy of the system, the flow rates of a phantom material (Intralipid) pumped through a capillary tube at various speeds was measured. To evaluate the clinical feasibility of the ODT prototye, the mucosal aspect of the upper and lower lips at the midline was imaged in 9 healthy volunteers. The sample arm of the instrument consisted of a fiberoptic probe with a 2-mm in diameter polished glass lens attached to the end. The probe was placed approximately 3 mm from the mucosal surface of the lip and oriented perpendicular to the surface. A motorized translation stage moved the fiber in a superior to inferior direction while the subject's head was stabilized by placing the chin into a chin rest. Imaging time for a 12-mm x 2.5-mm scan was approximately 64 seconds. RESULTS The phantom experiments revealed that accuracy of this novel ODT prototype to measure flow was within 5%. In vivo labial blood flow velocity ranged from 11.8 to 43.1 mm/second in the upper lip and 8.2 to 53.2 mm/second in the lower lip. There were no statistically significant differences between flow rates in the upper and lower lips. OCT images and Doppler velocity signals were successfully integrated producing in vivo images of labial blood in all of the subjects (15 images). The resulting cross-sectional images revealed microscopic details of labial structures and, to the best of our knowledge, are the first ODT images of the labial microvasculature. CONCLUSIONS The results of this in vivo study prove the feasibility of ODT to quantify labial blood flow and produce high spatial resolution images specifically localizing vessels anatomically. ODT provides both flow speed and flow direction information. ODT is noninvasive and offers the advantages of high volumetric flow sensitivity.
Collapse
Affiliation(s)
- Linda L Otis
- Department of Oral Medicine, The University of Pennsylvania School of Dental Medicine, Philadelphia 19104-6030, USA.
| | | | | | | |
Collapse
|