Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam Movement Sciences, University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.
Curr Osteoporos Rep. 2023 Dec;21(6):731-742. doi: 10.1007/s11914-023-00826-2. Epub 2023 Oct 4.
PURPOSE OF REVIEW: Orthodontic tooth movement is characterized by periodontal tissue responses to mechanical loading, leading to clinically relevant functional adaptation of jaw bone. Since osteocytes are significant in mechanotransduction and orchestrate osteoclast and osteoblast activity, they likely play a central role in orthodontic tooth movement. In this review, we attempt to shed light on the impact and role of osteocyte mechanotransduction during orthodontic tooth movement. RECENT FINDINGS: Mechanically loaded osteocytes produce signaling molecules, e.g., bone morphogenetic proteins, Wnts, prostaglandins, osteopontin, nitric oxide, sclerostin, and RANKL, which modulate the recruitment, differentiation, and activity of osteoblasts and osteoclasts. The major signaling pathways activated by mechanical loading in osteocytes are the wingless-related integration site (Wnt)/β-catenin and RANKL pathways, which are key regulators of bone metabolism. Moreover, osteocytes are capable of orchestrating bone adaptation during orthodontic tooth movement. A better understanding of the role of osteocyte mechanotransduction is crucial to advance orthodontic treatment. The optimal force level on the periodontal tissues for orthodontic tooth movement producing an adequate biological response, is debated. This review emphasizes that both mechanoresponses and inflammation are essential for achieving tooth movement clinically. To fully comprehend the role of osteocyte mechanotransduction in orthodontic tooth movement, more knowledge is needed of the biological pathways involved. This will contribute to optimization of orthodontic treatment and enhance patient outcomes.
目的综述:正畸牙齿移动的特征是牙周组织对机械加载的反应,导致颌骨的临床相关功能适应。由于骨细胞在机械转导中具有重要作用,并协调破骨细胞和成骨细胞的活性,因此它们可能在正畸牙齿移动中发挥核心作用。在这篇综述中,我们试图阐明骨细胞机械转导在正畸牙齿移动中的作用和影响。
最近的发现:机械加载的骨细胞产生信号分子,例如骨形态发生蛋白、Wnt、前列腺素、骨桥蛋白、一氧化氮、硬骨素和 RANKL,这些信号分子调节破骨细胞和成骨细胞的募集、分化和活性。骨细胞中机械加载激活的主要信号通路是 Wnt/β-连环蛋白和 RANKL 通路,它们是骨代谢的关键调节剂。此外,骨细胞能够协调正畸牙齿移动过程中的骨适应。更好地理解骨细胞机械转导的作用对于推进正畸治疗至关重要。对于产生足够生物学反应的正畸牙齿移动,牙周组织的最佳力水平存在争议。这篇综述强调,机械反应和炎症对于实现临床牙齿移动都是必不可少的。为了充分理解骨细胞机械转导在正畸牙齿移动中的作用,需要更多地了解所涉及的生物学途径。这将有助于优化正畸治疗并提高患者的治疗效果。
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