Lin Jia-Xu, Zhang Ru-Hong, Zhang Jian-Na, Wu Xiao-Ping
Department of Stomatology, Shantou Central Hospital. Shantou 515000, Guangdong Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2021 Feb;30(1):85-88.
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.
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.
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).
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.
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。
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。
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)。
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。