Division of Orthodontics and Dentofacial Orthopedics, Department of Translational Medicine, Tohoku University Graduate School of Dentistry, Sendai, Japan.
PLoS One. 2019 Jun 19;14(6):e0214260. doi: 10.1371/journal.pone.0214260. eCollection 2019.
Orthodontic relapse after orthodontic treatment is a major clinical issue in the dental field. However, the biological mechanism of orthodontic relapse is still unclear. This study aimed to establish a mouse model of orthodontic retention to examine how retention affects the rate and the amount of orthodontic relapse. We also sought to examine the role of osteoclastogenesis in relapse using an antibody to block the activity of M-CSF, an essential factor of osteoclast formation. Mice were treated with a nickel-titanium closed-coil spring that was fixed between the upper incisors and the upper-left first molar to move the first molar in a mesial direction over 12 days. Mice were randomly divided into three groups: group 1, no retention (G1); group 2, retention for 2 weeks (G2); and group 3, retention for 4 weeks (G3). In G2 and G3, a light-cured resin was placed in the space between the first and second molars as a model of retention. Orthodontic relapse was assessed by measuring changes in the dimensions of the gap created between the first and second molars. To assess the activity and role of osteoclasts, mice in G3 were injected with anti-c-Fms antibody or PBS, and assessed for changes in relapse distance and rate. Overall, we found that a longer retention period was associated with a slower rate of relapse and a shorter overall amount of relapse. In addition, inhibiting osteoclast formation using the anti-c-Fms antibody also reduced orthodontic relapse. These results suggest that M-CSF and/or its receptor could be potential therapeutic targets in the prevention and treatment of orthodontic relapse.
正畸治疗后的复发是口腔医学领域的一个主要临床问题。然而,正畸复发的生物学机制仍不清楚。本研究旨在建立一个正畸保持的小鼠模型,以研究保持如何影响正畸复发的速度和程度。我们还试图使用阻断 M-CSF 活性的抗体来研究破骨细胞形成在复发中的作用,M-CSF 是破骨细胞形成的一个重要因素。通过在上颌切牙和左上第一磨牙之间固定镍钛闭圈弹簧,将第一磨牙向近中移动 12 天,来治疗小鼠。将小鼠随机分为三组:第 1 组,无保持(G1);第 2 组,保持 2 周(G2);第 3 组,保持 4 周(G3)。在 G2 和 G3 中,用光固化树脂放置在第一和第二磨牙之间,作为保持的模型。通过测量第一和第二磨牙之间产生的间隙的尺寸变化来评估正畸复发。为了评估破骨细胞的活性和作用,在 G3 中给小鼠注射抗 c-Fms 抗体或 PBS,并评估复发距离和复发率的变化。总的来说,我们发现保持时间越长,复发速度越慢,总的复发量越短。此外,使用抗 c-Fms 抗体抑制破骨细胞形成也减少了正畸复发。这些结果表明,M-CSF 和/或其受体可能是预防和治疗正畸复发的潜在治疗靶点。
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