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局部给予辛伐他汀对兔正畸牙齿移动的影响。

Effect of local administration of simvastatin on orthodontic tooth movement in rabbits.

机构信息

Department of Orthodontics, Faculty of Dentistry, Pharos University, Alexandria, Egypt.

Department of Orthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

出版信息

Am J Orthod Dentofacial Orthop. 2019 Jul;156(1):75-86. doi: 10.1016/j.ajodo.2018.07.027.

Abstract

INTRODUCTION

Maintaining tooth anchorage during orthodontic treatment has challenged orthodontists and threatening the success of some orthodontic therapy. The objective of this study was to evaluate the effect of local administration of simvastatin on orthodontic tooth movement.

METHODS

Nickel-titanium coil springs were used to induce orthodontic tooth movement in 10 white New Zealand rabbits for 21 days. A split-mouth design was implemented where one mandibular quadrant received local administration of simvastatin and the corresponding mandibular quadrant received control vehicle solution on a weekly basis. Magnitudes of tooth movement were measured on 3-dimensional models of the experimental teeth. Animals were killed at the end of the experimental period to allow histomorphometric analysis of alveolar bone modeling.

RESULTS

The total magnitude of tooth movement in the quadrant receiving simvastatin was significantly less than that in the quadrant receiving control vehicle solution. Local administration of simvastatin resulted in a significant percentage of inhibition of tooth movement of 39.8 ± 22.6%. Histomorphometric analysis revealed a significant reduction in the numbers of osteoclasts and areas of active bone-resorptive lacunae hindering bone resorption processes in the quadrant receiving simvastatin.

CONCLUSIONS

Local administration of simvastatin can reduce the rate and magnitude of orthodontic tooth movement. Moreover, local administration of simvastatin diminishes bone resorption processes associated with orthodontic tooth movement reducing the number of osteoclasts and the subsequent area of active bone resorption.

摘要

简介

在正畸治疗过程中保持牙齿固位一直是正畸医生面临的挑战,这威胁到了一些正畸治疗的效果。本研究的目的是评估局部给予辛伐他汀对正畸牙移动的影响。

方法

镍钛螺旋弹簧用于诱导 10 只新西兰白兔的正畸牙移动,持续 21 天。采用半口设计,每周在下颌一个象限局部给予辛伐他汀,相应的下颌象限给予对照药物溶液。通过实验牙的三维模型测量牙齿移动的幅度。在实验结束时处死动物,允许对牙槽骨改建进行组织形态计量学分析。

结果

接受辛伐他汀局部治疗的象限中牙齿整体移动幅度明显小于接受对照药物溶液治疗的象限。辛伐他汀局部治疗导致牙齿移动的抑制率为 39.8±22.6%。组织形态计量学分析显示,接受辛伐他汀治疗的象限中破骨细胞数量和活跃的骨吸收陷窝面积显著减少,从而抑制了骨吸收过程。

结论

局部给予辛伐他汀可降低正畸牙移动的速度和幅度。此外,局部给予辛伐他汀可减少与正畸牙移动相关的骨吸收过程,减少破骨细胞数量和随后的活跃骨吸收面积。

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