Peron Ana Paula Lazzari Marques, Johann Aline Cristina Batista Rodrigues, Papalexiou Vula, Tanaka Orlando Motohiro, Guariza-Filho Odilon, Ignácio Sergio Aparecido, Camargo Elisa Souza
Angle Orthod. 2017 Jan;87(1):118-124. doi: 10.2319/102915-731.1. Epub 2016 Jun 9.
To compare the histological responses in corticotomy- and corticision-assisted tooth movement.
Ninety Wistar rats were divided into three groups: C (control-tooth movement only), CT (tooth movement + corticotomy), and CI (tooth movement + corticision). Surgeries were performed on the vestibular and lingual cortical bone of the maxillary first molar. Tooth movement was carried out with nickel-titanium closed coil springs having a force of 30 g. The rats were sacrificed at 3, 14, and 28 days. To evaluate the number of osteoclasts and amount of root resorption, a tartrate-resistant acid phosphatase stain was used. Hematoxylin and eosin staining was performed for areas of hyalinization, and the organic bone matrix was stained with picrosirius.
The CT group showed a greater number of osteoclasts than did the C group on day 3 (P < .05). At the same time point, the CT and CI groups showed a delayed onset of organic bone matrix remodeling and a lower incidence of root resorption than did the C group (P < .05). There were also fewer hyalinization areas in the CI group than in the C group on day 3 (P < .05).
Corticotomy effectively increased bone resorption during the early stages of tooth movement, but this increase was not observed for corticision. The surgical procedures did not accelerate organic bone matrix remodeling. Corticotomies and corticisions decreased the risk of root resorption only during the early stages of movement. Corticision reduced the level of hyalinization, while corticotomy did not.
比较皮质切开术和皮质松解术辅助牙齿移动的组织学反应。
将90只Wistar大鼠分为三组:C组(仅牙齿移动)、CT组(牙齿移动+皮质切开术)和CI组(牙齿移动+皮质松解术)。在上颌第一磨牙的前庭和舌侧皮质骨上进行手术。使用力为30g的镍钛闭合线圈弹簧进行牙齿移动。在第3、14和28天处死大鼠。为评估破骨细胞数量和牙根吸收量,使用抗酒石酸酸性磷酸酶染色。对透明化区域进行苏木精和伊红染色,并用天狼星红对有机骨基质进行染色。
在第3天,CT组的破骨细胞数量比C组多(P<.05)。在同一时间点,CT组和CI组的有机骨基质重塑开始延迟,牙根吸收发生率低于C组(P<.05)。在第3天,CI组的透明化区域也比C组少(P<.05)。
皮质切开术在牙齿移动早期有效增加了骨吸收,但皮质松解术未观察到这种增加。手术操作并未加速有机骨基质重塑。皮质切开术和皮质松解术仅在移动早期降低了牙根吸收的风险。皮质松解术降低了透明化程度,而皮质切开术则没有。