Ong C K, Walsh L J, Harbrow D, Taverne A A, Symons A L
School of Dentistry, University of Queensland, Brisbane, Australia.
Angle Orthod. 2000 Apr;70(2):118-25. doi: 10.1043/0003-3219(2000)070<0118:OTMITP>2.0.CO;2.
Adverse effects of corticosteroids on bone metabolism raise concerns as to whether steroid treatment may influence orthodontic movement. This study examined the effect of prednisolone on orthodontic movement using an established rat model. The corticosteroid treated group (N = 6) was administered prednisolone (1 mg/kg) daily, for a 12-day induction period; the control group (N = 6) received equivalent volumes of saline. On day 12, an orthodontic appliance was placed which exerted 30 g of mesial force to the maxillary first molar. Animals were sacrificed on day 24 and tooth movement was measured. Sagittal sections of the molars were stained with haematoxylin and eosin, and for tartrate-resistant acid phosphatase (TRAP) activity. While there were no significant differences in the magnitude of tooth movement between the 2 groups, steroid-treated rats displayed significantly less root resorption on the compression side and fewer TRAP-positive cells within the PDL space on the same side. This suggests steroid treatment suppressed clastic activity.
皮质类固醇对骨代谢的不良影响引发了人们对类固醇治疗是否会影响正畸移动的担忧。本研究使用已建立的大鼠模型,研究泼尼松龙对正畸移动的影响。皮质类固醇治疗组(N = 6)在12天的诱导期内每日给予泼尼松龙(1 mg/kg);对照组(N = 6)接受等量的生理盐水。在第12天,放置正畸矫治器,对上颌第一磨牙施加30 g的近中力。在第24天处死动物并测量牙齿移动情况。磨牙矢状切片用苏木精和伊红染色,并检测抗酒石酸酸性磷酸酶(TRAP)活性。虽然两组之间的牙齿移动幅度没有显著差异,但接受类固醇治疗的大鼠在受压侧的牙根吸收明显较少,且同一侧牙周膜间隙内的TRAP阳性细胞也较少。这表明类固醇治疗抑制了破骨细胞活性。