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[不同正畸治疗对错牙合畸形患者痰液趋化因子CX3CL1、RANKL/OPG水平的影响]

[Effects of different orthodontic treatments on sputum chemokines CX3CL1, RANKL/OPG levels in patients with malocclusion].

作者信息

Lin Jia-Xu, Zhang Ru-Hong, Zhang Jian-Na, Wu Xiao-Ping

机构信息

Department of Stomatology, Shantou Central Hospital. Shantou 515000, Guangdong Province, China. E-mail:

出版信息

Shanghai Kou Qiang Yi Xue. 2021 Feb;30(1):85-88.

Abstract

PURPOSE

To investigate the effects of different orthodontic treatments on gingival crevicular fluid chemokine CX3CL1, nuclear factor κB receptor activating factor ligand/osteoprotegerin(RANKL/OPG) levels in patients with malocclusion.

METHODS

Ninety-six patients with malocclusion who were scheduled to undergo orthodontic treatment were randomly divided into four groups. All patients were treated with square wire appliance, and 0, 50, 150, 250 g of far-distal orthodontic force were given respectively. The levels of CX3CL1 and RANKL/OPG in gingival crevicular fluid were detected in four groups after 1, 2, 3, and 4 weeks of treatment. SPSS 25.0 software package was used for statistical analysis of the date.

RESULTS

The levels of CX3CL1, RANKL and RANKL/OPG in the gingival crevicular fluid of the four groups were continuously increased after treatment for 1-3 weeks, and decreased after 4 weeks of treatment (P<0.05). The OPG in the gingival crevicular fluid was at a low level after 1-3 weeks of treatment. There was an increase after 4 weeks of treatment (P<0.05). The levels of CX3CL1, RANKL, OPG and RANKL/OPG in gingival crevicular fluid increased gradually in group A, B, C and D (P<0.05), and the differences between the groups were statistically significant (P<0.05).

CONCLUSIONS

The levels of CX3CL1 and RANKL/OPG in gingival crevicular fluid are closely related to orthodontic force and treatment time, and can be used as an index to evaluate orthodontic treatment of alveolar bone remodeling.

摘要

目的

探讨不同正畸治疗对错牙合畸形患者龈沟液趋化因子CX3CL1、核因子κB受体活化因子配体/骨保护素(RANKL/OPG)水平的影响。

方法

将96例计划接受正畸治疗的错牙合畸形患者随机分为四组。所有患者均采用方丝弓矫治器治疗,分别施加0、50、150、250g的远中向正畸力。治疗1、2、3、4周后检测四组龈沟液中CX3CL1和RANKL/OPG的水平。采用SPSS 25.0软件包对数据进行统计学分析。

结果

四组龈沟液中CX3CL1、RANKL及RANKL/OPG水平在治疗13周后持续升高,治疗4周后下降(P<0.05)。龈沟液中OPG在治疗13周时处于低水平,治疗4周后升高(P<0.05)。A、B、C、D组龈沟液中CX3CL1、RANKL、OPG及RANKL/OPG水平逐渐升高(P<0.05),组间差异有统计学意义(P<0.05)。

结论

龈沟液中CX3CL1和RANKL/OPG水平与正畸力及治疗时间密切相关,可作为评估正畸治疗牙槽骨改建的指标。

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