Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Am J Orthod Dentofacial Orthop. 2012 May;141(5):563-73. doi: 10.1016/j.ajodo.2011.11.016.
The effect of zoledronic acid, a potent and novel bisphosphonate, on tooth movement and orthodontically induced root resorption in osteoporotic animals systemically treated with zoledronic acid as similarly used in postmenopausal patients has not been elucidated. Therefore, this study was undertaken.
Fifteen 10-week-old female Wistar rats were divided into 3 groups: ovariectomy, ovariectomy + zoledronic acid, and control. Only the ovariectomy and ovariectomy + zoledronic acid groups underwent ovariectomies. Two weeks after the ovariectomy, zoledronic acid was administered only to the ovariectomy + zoledronic acid group. Four weeks after the ovariectomy, 25-g nickel-titanium closed-coil springs were applied to observe tooth movement and orthodontically induced root resorption.
There were significant differences in the amounts of tooth movement and orthodontically induced root resorption between the ovariectomy and the control groups, and also between the ovariectomy and the ovariectomy + zoledronic acid groups. There was no statistically significant difference in tooth movement and orthodontically induced root resorption between the ovariectomy + zoledronic acid and the control groups. Zoledronic acid inhibited significantly more tooth movement and significantly reduced the severity of orthodontically induced root resorption in the ovariectomized rats. The ovariectomy + zoledronic acid group showed almost the same results as did the control group in both tooth movement and orthodontically induced root resorption.
Zoledronic acid inhibits excessive orthodontic tooth movement and also reduces the risk of severe orthodontically induced root resorption in ovariectomized rats.
唑来膦酸是一种强效新型双膦酸盐,在骨质疏松动物中全身性应用唑来膦酸可影响牙齿移动和正畸诱导的牙根吸收,这种作用与绝经后患者的应用情况类似,但目前尚未阐明。因此,本研究进行了此项研究。
将 15 只 10 周龄雌性 Wistar 大鼠随机分为 3 组:卵巢切除术组、卵巢切除术+唑来膦酸组和对照组。仅卵巢切除术组和卵巢切除术+唑来膦酸组接受卵巢切除术。卵巢切除术后 2 周,仅向卵巢切除术+唑来膦酸组给予唑来膦酸。卵巢切除术后 4 周,向大鼠上颌切牙施加 25g 镍钛闭合线圈弹簧以观察牙齿移动和正畸诱导的牙根吸收。
与对照组相比,卵巢切除术组和卵巢切除术+唑来膦酸组的牙齿移动量和正畸诱导的牙根吸收量均有显著差异,卵巢切除术+唑来膦酸组与对照组之间也有显著差异。卵巢切除术+唑来膦酸组和对照组之间牙齿移动量和正畸诱导的牙根吸收量无统计学差异。唑来膦酸可显著抑制卵巢切除大鼠的牙齿移动,并显著降低正畸诱导的牙根吸收的严重程度。卵巢切除术+唑来膦酸组在牙齿移动和正畸诱导的牙根吸收方面与对照组几乎具有相同的结果。
唑来膦酸可抑制过度的正畸牙齿移动,并降低卵巢切除大鼠发生严重正畸诱导的牙根吸收的风险。