Department of Orthodontics, Dicle University, Diyarbakır, Turkey.
Eur J Orthod. 2012 Jun;34(3):357-61. doi: 10.1093/ejo/cjr019. Epub 2011 Apr 7.
The aim of this study was to identify the levels of interleukin (IL)-2, IL-6, and IL-8 around miniscrews used for anchorage during canine distalization. Sixteen patients (eight males and eight females; mean age, 16.6 ± 2.4 years) who were treated with bilateral upper first premolar extractions were included in the study. Thirty-two maxillary miniscrew implants were placed bilaterally in the alveolar bone between the maxillary second premolars and first molars as anchorage units for maxillary canine distalization. Three groups were constructed. The treatment, miniscrew, and control groups consisted of upper canines, miniscrew implants, and upper second premolars, respectively. Peri-miniscrew implant crevicular fluid and gingival crevicular fluid (GCF) were obtained at baseline (T1) and at 1 (T2), 24 (T3), and 48 (T4) hours, 7 (T5) and 21 (T6) days, and 3 months (T7) after force application. Paired sample t-tests were used to determine within-group changes and Dunnett's t and Tukey's honestly significant difference tests for between-group multiple comparisons. During the 3 month period, IL-2 levels significantly increased (P < 0.01) but only in the treatment group after 24 hours. IL-6 levels were unchanged at all times points in the three groups. IL-8 levels increased significantly at 1 (P < 0.05), 24 (P < 0.01), and 48 (P < 0.01) hours in the treatment group and at 24 (P < 0.05) and 48 (P < 0.01) hours in the miniscrew group. It appears that miniscrews can be used for anchorage in orthodontics when correct physiological forces are applied.
本研究旨在确定在犬牙远移过程中使用的微型种植体周围白细胞介素(IL)-2、IL-6 和 IL-8 的水平。纳入了 16 名(8 名男性和 8 名女性;平均年龄 16.6±2.4 岁)接受双侧上颌第一前磨牙拔牙的患者。32 个上颌微型种植体被放置在双侧上颌第二前磨牙和第一磨牙之间的牙槽骨中,作为上颌尖牙远移的锚固单位。构建了三个组。治疗组、微型种植体组和对照组分别包括上颌尖牙、微型种植体和上颌第二前磨牙。在基线(T1)以及施加力后 1(T2)、24(T3)、48(T4)小时、7(T5)和 21(T6)天以及 3 个月(T7)时,从微型种植体周围植入物和牙龈沟液(GCF)中获得了牙周微型种植体周围植入物液和龈沟液。采用配对样本 t 检验确定组内变化,采用 Dunnett's t 和 Tukey's Honestly Significant Difference 检验进行组间多重比较。在 3 个月期间,仅在治疗组中,IL-2 水平在 24 小时后显著增加(P<0.01)。三组的 IL-6 水平在所有时间点均无变化。治疗组在 1(P<0.05)、24(P<0.01)和 48(P<0.01)小时,微型种植体组在 24(P<0.05)和 48(P<0.01)小时,IL-8 水平显著增加。似乎在正确应用生理力时,微型种植体可用作正畸的锚固体。