Yadav Sumit, Assefnia Amir, Gupta Himank, Vishwanath Meenakshi, Kalajzic Zana, Allareddy Veerasathpurush, Nanda Ravindra
*Division of Orthodontics, University of Connecticut Health Center, Farmington, CT,
*Division of Orthodontics, University of Connecticut Health Center, Farmington, CT.
Eur J Orthod. 2016 Feb;38(1):44-50. doi: 10.1093/ejo/cjv006. Epub 2015 Mar 4.
OBJECTIVE: To investigate the effect of low-frequency mechanical vibration (LFMV) on the prevention of relapse after active orthodontic tooth movement, bone volume fraction (BVF), tissue density, and the integrity of periodontal ligament. MATERIALS AND METHODS: Thirty male CD1, 12-week-old mice were used for the study. Mice were randomly divided into three groups: 1. control group, 2. relapse group, and 3. relapse + 30 Hz vibration group. In the control group, first molar was moved mesially for 7 days using nickel-titanium coil spring delivering 10g of force, whereas in relapse and relapse + 30 Hz groups, first molar was moved mesially for 7 days and then orthodontic force was removed and molar was allowed to relapse for 7 days. In relapse + 30 Hz group, LFMVs were applied at 30 Hz. Micro-focus computed tomography (micro-CT) was used for tooth movement measurements (relapse), BVF, and tissue density. Additionally, immunostaining for sclerostin, tartrate-resistant acid phosphatase staining, and picro-sirius red staining were performed on histological sections. RESULTS: LFMV at 30 Hz showed a tendency to decrease relapse but was not statistically significant. Micro-CT analysis showed a trend towards increase in BVF and tissue density with application of LFMV. Sclerostin expression was decreased with 30 Hz vibration. Additionally, the picro-sirius staining showed that LFMV at 30 Hz helped in maintaining the thickness and integrity of collagen fibres in periodontal ligament. LIMITATIONS: This is an animal study and extrapolation of the current findings to the clinical situation must be done with caution, as there is no osteonal remodelling (secondary remodelling) in mice when compared to humans. CONCLUSION: There was no statistically significant difference in the amount of relapse between the relapse-only and relapse + 30 Hz groups. However, there was a trend of decrease in relapse with 30 Hz mechanical vibration.
目的:研究低频机械振动(LFMV)对正畸牙齿主动移动后复发的预防作用、骨体积分数(BVF)、组织密度及牙周膜完整性的影响。 材料与方法:选用30只12周龄雄性CD1小鼠进行研究。小鼠随机分为三组:1. 对照组;2. 复发组;3. 复发+30Hz振动组。对照组使用镍钛螺旋弹簧施加10g力将第一磨牙近中移动7天,而在复发组和复发+30Hz组中,第一磨牙近中移动7天后去除正畸力,让磨牙复发7天。在复发+30Hz组中,以30Hz施加LFMV。采用微焦点计算机断层扫描(micro-CT)测量牙齿移动情况(复发情况)、BVF和组织密度。此外,对组织切片进行硬化蛋白免疫染色、抗酒石酸酸性磷酸酶染色和苦味酸天狼星红染色。 结果:30Hz的LFMV有降低复发的趋势,但无统计学意义。Micro-CT分析显示,施加LFMV后BVF和组织密度有增加趋势。30Hz振动可降低硬化蛋白表达。此外,苦味酸天狼星红染色显示,30Hz的LFMV有助于维持牙周膜中胶原纤维的厚度和完整性。 局限性:本研究为动物实验,由于与人类相比小鼠不存在骨单位重塑(继发性重塑),因此将当前研究结果外推至临床情况时必须谨慎。 结论:仅复发组与复发+30Hz组之间的复发量无统计学显著差异。然而,30Hz机械振动有降低复发的趋势。
Am J Orthod Dentofacial Orthop. 2015-9
Angle Orthod. 2016-9
Am J Orthod Dentofacial Orthop. 2014-7
Eur J Orthod. 2020-9-11
Am J Orthod Dentofacial Orthop. 2008-4
Clin Exp Dent Res. 2023-8
Children (Basel). 2023-4-3
Clin Exp Dent Res. 2021-6
Int J Oral Sci. 2018-2-26
Hua Xi Kou Qiang Yi Xue Za Zhi. 2016-6