Kalajzic Zana, Peluso Elizabeth Blake, Utreja Achint, Dyment Nathaniel, Nihara Jun, Xu Manshan, Chen Jing, Uribe Flavio, Wadhwa Sunil
a Postdoctoral Fellow, Department of Craniofacial Sciences, University of Connecticut Health Center, Farmington, Conn.
Angle Orthod. 2014 Mar;84(2):297-303. doi: 10.2319/032213-234.1. Epub 2013 Aug 12.
To investigate the effect of externally applied cyclical (vibratory) forces on the rate of tooth movement, the structural integrity of the periodontal ligament, and alveolar bone remodeling.
Twenty-six female Sprague-Dawley rats (7 weeks old) were divided into four groups: CTRL (unloaded), VBO (molars receiving a vibratory stimulus only), TMO (molars receiving an orthodontic spring only), and TMO+VB (molars receiving an orthodontic spring and the additional vibratory stimulus). In TMO and TMO+VB groups, the rat first molars were moved mesially for 2 weeks using Nickel-Titanium coil spring delivering 25 g of force. In VBO and TMO+VB groups, cyclical forces at 0.4 N and 30 Hz were applied occlusally twice a week for 10 minutes. Microfocus X-ray computed tomography analysis and tooth movement measurements were performed on the dissected rat maxillae. Tartrate-resistant acid phosphatase staining and collagen fiber assessment were performed on histological sections.
Cyclical forces significantly inhibited the amount of tooth movement. Histological analysis showed marked disorganization of the collagen fibril structure of the periodontal ligament during tooth movement. Tooth movement caused a significant increase in osteoclast parameters on the compression side of alveolar bone and a significant decrease in bone volume fraction in the molar region compared to controls.
Tooth movement was significantly inhibited by application of cyclical forces.
研究外部施加的周期性(振动)力对牙齿移动速率、牙周膜结构完整性及牙槽骨重塑的影响。
将26只7周龄雌性Sprague-Dawley大鼠分为四组:对照组(未加载)、VBO组(仅磨牙接受振动刺激)、TMO组(仅磨牙接受正畸弹簧)和TMO+VB组(磨牙接受正畸弹簧及额外的振动刺激)。在TMO组和TMO+VB组中,使用施加25 g力的镍钛螺旋弹簧将大鼠第一磨牙近中移动2周。在VBO组和TMO+VB组中,每周两次在咬合面施加0.4 N、30 Hz的周期性力,持续10分钟。对解剖后的大鼠上颌骨进行微焦点X射线计算机断层扫描分析和牙齿移动测量。对组织学切片进行抗酒石酸酸性磷酸酶染色和胶原纤维评估。
周期性力显著抑制牙齿移动量。组织学分析显示,牙齿移动过程中牙周膜胶原纤维结构明显紊乱。与对照组相比,牙齿移动导致牙槽骨压缩侧破骨细胞参数显著增加,磨牙区骨体积分数显著降低。
施加周期性力可显著抑制牙齿移动。