Yu Ji-Yeon, Lee Won, Park Jae Hyun, Bayome Mohamed, Kim Yong, Kook Yoon-Ah
Graduate School of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean J Orthod. 2012 Aug;42(4):207-17. doi: 10.4041/kjod.2012.42.4.207. Epub 2012 Aug 28.
This study aimed to evaluate the effect of an intentionally created socket on bone remodeling with orthodontic tooth movement in rabbits.
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.
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.
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.
本研究旨在评估在兔正畸牙齿移动过程中,有意制造的牙槽窝对骨重塑的影响。
选用18只体重3.8 - 4.25千克的雄性兔子。在右侧下颌第一前磨牙近中1毫米处的骨内钻一个深8毫米、宽2毫米的牙槽窝。拔除左侧第一前磨牙作为拔牙创牙槽窝。对右侧第一前磨牙和左侧第二前磨牙施加100厘牛顿的牵引力。获取移动牙齿中三分之一处的切片,用于观察钻孔牙槽窝和拔牙创牙槽窝,并进行苏木精-伊红染色和免疫组织化学分析。使用曼-惠特尼U检验比较两组之间的牙齿移动量和抗酒石酸酸性磷酸酶(TRAP)阳性细胞计数。
在第2周时,有意制造牙槽窝组的牙齿移动距离显著高于拔牙创牙槽窝组(p < 0.05)。TRAP阳性细胞数量在第2周减少,但在第3周增加(p < 0.05)。然而,两组之间没有显著差异。此外,转化生长因子(TGF)-β染色结果显示无显著差异。
在第2周时,有意制造牙槽窝组的牙齿移动距离比拔牙创牙槽窝组更大。破骨细胞计数和免疫组织化学分析结果表明两组的骨重塑均增强。因此,截骨术可能是正畸治疗中增强牙齿移动的一种有效方式。