Grieve W G, Johnson G K, Moore R N, Reinhardt R A, DuBois L M
Department of Periodontics, University of Iowa, Iowa City.
Am J Orthod Dentofacial Orthop. 1994 Apr;105(4):369-74. doi: 10.1016/s0889-5406(94)70131-8.
The purpose of this study was to examine gingival crevicular fluid (GCF) levels of two potent bone resorbing mediators, prostaglandin E (PGE) and interleukin-1 beta (IL-1 beta), during human orthodontic tooth movement. The study included 10 patients, each having one treatment tooth undergoing orthodontic movement and a contralateral control tooth. The GCF was sampled at control sites and treatment (compression) sites before activation and a 1, 24, 48, and 168 hours. Prevention of plaque-induced inflammation allowed this study to focus on the dynamics of mechanically stimulated PGE and IL-1 beta GCF levels. The PGE and IL-1 beta levels were determined with radioimmunoassay. At 1 and 24 hours, mean GCF IL-1 beta levels were significantly elevated at treatment teeth (8.9 +/- 2.0 and 19.2 +/- 6.0 pg, respectively) compared with control teeth (2.0 +/- 1.1 pg, p = 0.0049, and 2.9 +/- 1.0 pg, p = 0.0209, respectively). The GCF levels of PGE for the treatment teeth were significantly higher at 24 and 48 hours (108.9 +/- 11.9 and 97.9 +/- 7.3 pg) than the control teeth (61.8 +/- 7.2 pg, p = 0.0071, and 70.8 +/- 7.4 pg, p = 0.0021, respectively). The GCF levels of PGE and IL-1 beta remained at baseline levels throughout the study for the control teeth, whereas significant elevations from baseline in GCF IL-1 beta (24 hours) and PGE levels (24 and 48 hours) were observed over time in the treatment teeth (p < or = 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是检测在人类正畸牙齿移动过程中,两种强效骨吸收介质——前列腺素E(PGE)和白细胞介素-1β(IL-1β)在龈沟液(GCF)中的水平。该研究纳入了10名患者,每名患者有一颗正在进行正畸移动的治疗牙和一颗对侧对照牙。在激活前以及激活后1、24、48和168小时,在对照部位和治疗(受压)部位采集龈沟液。预防菌斑诱导的炎症使得本研究能够专注于机械刺激下PGE和IL-1β龈沟液水平的动态变化。采用放射免疫分析法测定PGE和IL-1β水平。在1小时和24小时时,与对照牙(分别为2.0±1.1 pg,p = 0.0049;2.9±1.0 pg,p = 0.0209)相比,治疗牙的平均龈沟液IL-1β水平显著升高(分别为8.9±2.0 pg和19.2±6.0 pg)。治疗牙的PGE龈沟液水平在24小时和48小时时(分别为108.9±11.9 pg和97.9±7.3 pg)显著高于对照牙(分别为61.8±7.2 pg,p = 0.0071;70.8±7.4 pg,p = 0.0021)。在整个研究过程中,对照牙的PGE和IL-1β龈沟液水平保持在基线水平,而治疗牙的龈沟液IL-1β水平(24小时)和PGE水平(24小时和48小时)随时间推移显著高于基线水平(p≤0.05)。(摘要截选至250词)