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机械振动对正畸诱导牙根吸收的影响。

The effect of mechanical vibration on orthodontically induced root resorption.

作者信息

Yadav Sumit, Dobie Thomas, Assefnia Amir, Kalajzic Zana, Nanda Ravindra

机构信息

a  Assistant Professor, Division of Orthodontics, University of Connecticut Health Center, Farmington, Conn.

b  Visiting Assistant Professor, Division of Orthodontics, University of Connecticut Health Center, Farmington, Conn.

出版信息

Angle Orthod. 2016 Sep;86(5):740-5. doi: 10.2319/090615-599.1. Epub 2016 Jan 7.

DOI:10.2319/090615-599.1
PMID:26741305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8600841/
Abstract

OBJECTIVE

To investigate the effect of low-frequency mechanical vibration (LFMV) on orthodontically induced root resorption.

MATERIALS AND METHODS

Forty male CD1, 12-week-old mice were used for the study. The mice were randomly divided into five groups: group 1 (baseline)-no spring and no mechanical vibration, group 2-orthodontic spring but no vibration, group 3-orthodontic spring and 5 Hz of vibration applied to the maxillary first molar, group 4-orthodontic spring and 10 Hz of vibration applied to maxillary first molar, and group 5-orthodontic spring and 20 Hz of vibration applied to maxillary first molar. In the different experimental groups, the first molar was moved mesially for 2 weeks using a nickel-titanium coil spring delivering 10 g of force. LFMVs were applied at 5 Hz, 10 Hz, and 20 Hz. Microfocus X-ray computed tomography imaging was used to analyze root resorption. Additionally, to understand the mechanism, we applied LFMV to MC3T3 cells, and gene expression analyses were done for receptor activator of nuclear factor kappa-B ligand (RANKL) and osteoprotegerin (OPG).

RESULTS

Orthodontic tooth movement leads to decreased root volume (increased root resorption craters). Our in vivo experiments showed a trend toward increase in root volume with different frequencies of mechanical vibration. In vitro gene expression analyses showed that with 20 Hz of mechanical vibration, there was a significant decrease in RANKL and a significant increase in OPG expression.

CONCLUSION

There was a trend toward decreased root resorption with different LFMVs (5 Hz, 10 Hz, and 20 Hz); however, it was not more statistically significant than the orthodontic-spring-only group.

摘要

目的

研究低频机械振动(LFMV)对正畸诱导牙根吸收的影响。

材料与方法

选用40只12周龄雄性CD1小鼠进行研究。将小鼠随机分为五组:第1组(基线组)——无弹簧且无机械振动;第2组——有正畸弹簧但无振动;第3组——有正畸弹簧并对上颌第一磨牙施加5Hz的振动;第4组——有正畸弹簧并对上颌第一磨牙施加10Hz的振动;第5组——有正畸弹簧并对上颌第一磨牙施加20Hz的振动。在不同实验组中,使用施加10g力的镍钛螺旋弹簧将第一磨牙向近中移动2周。分别以5Hz、10Hz和20Hz施加LFMV。采用微焦点X射线计算机断层扫描成像分析牙根吸收情况。此外,为了解其机制,我们将LFMV应用于MC3T3细胞,并对核因子κB受体激活剂配体(RANKL)和骨保护素(OPG)进行基因表达分析。

结果

正畸牙齿移动导致牙根体积减小(牙根吸收凹陷增加)。我们的体内实验显示,不同频率的机械振动有使牙根体积增加的趋势。体外基因表达分析表明,在20Hz机械振动下,RANKL表达显著降低,OPG表达显著增加。

结论

不同频率(5Hz、10Hz和20Hz)的LFMV有使牙根吸收减少的趋势;然而,与仅使用正畸弹簧的组相比,其差异在统计学上无显著意义。