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正畸力作用下牙周受损牙齿龈沟液中基质金属蛋白酶的水平

Levels of gingival crevicular fluid matrix metalloproteinases in periodontally compromised teeth under orthodontic forces.

作者信息

Almeida Rhita C, Capelli Jonas, Teles Ricardo P

机构信息

a   Professor, Department of Orthodontics, Rio de Janeiro State University, Rio de Janeiro, Brazil.

b   Professor, Department of Periodontology, The Forsyth Institute, Cambridge, Mass.

出版信息

Angle Orthod. 2015 Nov;85(6):1009-14. doi: 10.2319/101714-744.1. Epub 2015 Mar 9.

Abstract

OBJECTIVE

To examine levels of matrix metalloproteinases (MMPs)-1, -2, -3, -7, -8, -12, and -13 in the gingival crevicular fluid (GCF) of periodontally compromised teeth at different time points during orthodontic movement.

MATERIALS AND METHODS

Ten controlled periodontitis subjects were submitted to orthodontic treatment. One dental arch was subjected to orthodontic movement, and teeth in the opposite arch were used as controls. GCF samples were collected from the lingual sites of two movement and two control incisors 1 week before orthodontic activation (-7 d), immediately after orthodontic activation, and after 1 hour, 24 hours, and 7, 14, and 21 days. Multiplexed bead immunoassay was used to measure MMPs in GCF. Data were analyzed using Friedman and Wilcoxon statistical tests.

RESULTS

The only significant change found over time was in the levels of MMP-1 in the movement group (P < .05). When the two groups were compared after activation, the only statistically significant difference found was in levels of MMP-12 24 hours after activation (P < .05).

CONCLUSIONS

Our findings suggested that the orthodontic movement of periodontally compromised teeth without active pockets did not result in significant changes in the GCF levels of MMPs.

摘要

目的

检测正畸移动过程中不同时间点牙周受损牙齿龈沟液(GCF)中基质金属蛋白酶(MMP)-1、-2、-3、-7、-8、-12和-13的水平。

材料与方法

10名控制性牙周炎患者接受正畸治疗。一个牙弓进行正畸移动,对侧牙弓的牙齿作为对照。在正畸激活前1周(-7天)、正畸激活后即刻、1小时、24小时以及7、14和21天,从两颗移动牙齿和两颗对照切牙的舌侧部位采集GCF样本。采用多重微珠免疫测定法测量GCF中的MMP。使用Friedman和Wilcoxon统计检验分析数据。

结果

随时间推移唯一发现的显著变化是移动组中MMP-1的水平(P < .05)。激活后两组比较时,唯一发现的具有统计学意义的差异是激活后24小时MMP-12的水平(P < .05)。

结论

我们的研究结果表明,无活动性牙周袋的牙周受损牙齿的正畸移动并未导致GCF中MMP水平的显著变化。

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