Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, blok A, bus 7001, 3000, Leuven, Belgium.
Oral and Maxillofacial Surgery, University Hospitals Leuven and OMFS-IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium.
Sci Rep. 2022 Aug 11;12(1):13672. doi: 10.1038/s41598-022-17412-8.
This study used a novel 3D analysis to longitudinally evaluate orthodontic tooth movement (OTM) and bone morphometry. Twelve-week-old male Wistar rats were subjected to OTM by applying a constant orthodontic force (OF) of 25cN between one of the upper first molars and a mini-screw. In vivo micro-CTs were taken before and after 10, 17, 24 and 31 days of force application, and superimposed by a novel and rigid voxel-based registration method. Then the tooth and alveolar bone segment at different time points became comparable in the same coordinate system, which facilitated the analysis of their dynamic changes in 3D. By comparison between time points and between OF and no OF sides, this study showed that the OTM rate was not constant through time, but conformed to a 'V' shape changing pattern. Besides, OF induced displacement of both loaded and unloaded teeth, and the latter mirrored the former in a delayed manner. In addition, bone morphometric changes synchronized with OTM rate changes, implying that a higher OTM rate was concomitant with more alveolar bone loss. The pressure and tension areas might not be in two opposite sides, but actually adjacent and connected. These findings might provide instructive evidence for both clinical, translational and basic research in orthodontics.
本研究采用了一种新颖的 3D 分析方法,对正畸牙齿移动(OTM)和骨形态计量学进行了纵向评估。12 周龄雄性 Wistar 大鼠通过在上颌第一磨牙和微型螺钉之间施加 25cN 的持续正畸力(OF)来进行 OTM。在施加力后 10、17、24 和 31 天进行体内 micro-CT 扫描,并通过一种新颖的刚性体素基于配准方法进行叠加。然后,不同时间点的牙齿和牙槽骨段在同一坐标系中变得具有可比性,从而便于分析它们的 3D 动态变化。通过与时间点以及 OF 和无 OF 侧之间的比较,本研究表明,OTM 率不是随时间恒定的,而是符合“V”形变化模式。此外,OF 引起加载和未加载牙齿的位移,后者以延迟的方式反映了前者。此外,骨形态计量学变化与 OTM 率变化同步,这意味着更高的 OTM 率伴随着更多的牙槽骨丧失。压力区和张力区可能不在相对的两侧,而是实际上相邻且相连。这些发现可能为正畸的临床、转化和基础研究提供有指导意义的证据。