An Yang, Zhao Jianmei, Xu Hang, An Li, Wang Jun, Wu Yang, Liu Qingmei
Department of Stomatology, Shanxi Bethune Ηospital, Taiyuan, Shanxi, China.
Shanxi Medical University School and Hospital of Stomatology, Taiyuan, Shanxi, China.
J Dent Sci. 2022 Jan;17(1):407-414. doi: 10.1016/j.jds.2021.08.006. Epub 2021 Sep 1.
BACKGROUND/PURPOSE: Humic acid (HA) could promote light conversion reaction, and lasers accelerate orthodontic tooth movement. We investigated the effect of HA, as a photosensitizer, combined with low-energy laser on orthodontic tooth movement in rats.
An orthodontic tooth movement model was established, and the upper left first molar was moved mesially by a nickel-titanium tension spring with a 50-g force. HA was injected into the rats' abdominal cavity (80 mg/kg once daily). The periodontal tissue of the upper left upper first molar on the pressure side was irradiated (50 s once every 2 days) using a semiconductor laser (wavelength, 650 nm; power, 50 mV). Distance moved by the upper left first molar was measured at different time points, and the tissue of the first molar was sectioned and scanned by micro-computed tomography to evaluate the alveolar bone density. Tartrate-resistant acidic phosphatase staining was used to observe the osteoclast number, alveolar bone, and periodontal tissue.
HA alone did not significantly affect orthodontic tooth movement, alveolar structure density, or periodontal tissue remodeling (P > 0.05). HA combined with a low-energy laser accelerated orthodontic tooth movement. The number of bone absorption lacunae and osteoclasts on the alveolar bone's pressure side increased significantly (P < 0.05), while the density decreased significantly (P < 0.05); however, no root absorption was observed.
HA can improve the conversion rate of low-energy lasers, enhance the low-energy laser effect, and promote orthodontic tooth movement and periodontal tissue reconstruction on the pressure side in rats, without causing root resorption.
背景/目的:腐殖酸(HA)可促进光转换反应,而激光可加速正畸牙齿移动。我们研究了作为光敏剂的HA与低能量激光联合应用对大鼠正畸牙齿移动的影响。
建立正畸牙齿移动模型,用50g力的镍钛拉簧将左上第一磨牙向近中移动。将HA注入大鼠腹腔(80mg/kg,每日1次)。使用半导体激光(波长650nm,功率50mV)对左上第一磨牙压力侧的牙周组织进行照射(每2天照射50s)。在不同时间点测量左上第一磨牙移动的距离,并将第一磨牙的组织切片,用微型计算机断层扫描进行扫描,以评估牙槽骨密度。采用抗酒石酸酸性磷酸酶染色观察破骨细胞数量、牙槽骨和牙周组织。
单独使用HA对正畸牙齿移动、牙槽结构密度或牙周组织重塑无显著影响(P>0.05)。HA与低能量激光联合应用可加速正畸牙齿移动。牙槽骨压力侧的骨吸收陷窝数量和破骨细胞数量显著增加(P<0.05),而密度显著降低(P<0.05);然而,未观察到牙根吸收。
HA可提高低能量激光的转换率,增强低能量激光效应,促进大鼠压力侧正畸牙齿移动和牙周组织重建,且不会引起牙根吸收。