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Deandra FA, Sulijaya B, Sudjatmika DA, Harsas NA. Selection of bone graft material and proper timing of periodontal surgery for orthodontic patients: A systematic review. Heliyon 2024; 10:e24201. [PMID: 38268591 PMCID: PMC10806355 DOI: 10.1016/j.heliyon.2024.e24201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 12/19/2023] [Accepted: 01/04/2024] [Indexed: 01/26/2024] Open
Abstract
Introduction Bone loss progression due to periodontitis can lead to pathologic tooth migration, ultimately compromising the overall structure and function of the oral cavity. In pathologic tooth migration, a periodontal-orthodontic interdisciplinary approach is necessary. The combination of a bone graft and orthodontic treatment has shown promising results for periodontal regeneration. The treatment sequence and selection of a bone graft define the success of the therapy. Objective This study aims to discuss the protocol of the interdisciplinary approach to regenerative periodontal surgery in cases of intrabony defects requiring orthodontic treatment. Material & methods Literature searches were conducted on four online databases (PubMed, Wiley, ScienceDirect, and Google Scholar). The keywords used were (intrabony defect OR vertical bone defect) AND (bone graft OR periodontal regeneration) AND (orthodontic). Out of 1656 studies that were retrieved initially, 14 full-text articles were checked for eligibility assessment. Finally, a total of seven studies met all of the requirements for inclusion in this study. This study includes two randomized controlled trials (RCTs), which are considered the highest level of evidence, however it is important to note that the overall evidence base is heterogeneous, inclusive of various study designs. Discussion Periodontal tissue damage must be addressed before considering orthodontic therapy, including cases with intrabony defects. On the basis of the seven studies, orthodontic therapy can be initiated as early as four weeks after surgery or as late as one year after periodontal surgery. Different types of bone graft materials, such as autografts, allografts, xenografts, and alloplasts, are used in the included studies. Three out of seven studies used autogenous graft combined with xenograft or enamel matrix derivative as the graft material as it is osteoconductive, osteogenic, and osteoinductive. Regular periodontal tissue maintenance therapy should be performed every 2-6 months, before, during, and after orthodontic treatment. Conclusion Making a proper diagnosis and treatment sequence is key to the success of a periodontal-orthodontic treatment. In addition, identifying the appropriate timing between periodontal surgery and orthodontic movement, selecting the most suitable bone graft material, and ensuring regular maintenance of periodontal tissue are important considerations.
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Affiliation(s)
- Fathia Agzarine Deandra
- Postgraduate Program in Periodontology, Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Benso Sulijaya
- Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | | | - Nadhia Anindhita Harsas
- Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Elseidy M, Mostafa YA, Mehanni SS, El-Sharaby FA. Evaluation of the Effects of One versus 4 Weeks Activation Intervals on the Rate of Orthodontic Tooth Movement: An Experimental Study. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objectives: To evaluate the effects of one versus four weeks reactivation of the elastomeric chain on the rate of orthodontic tooth movement (OTM) and supporting structures.
Methods: The 3rd maxillary premolars of 8 male mongrel dogs were extracted. Custom made appliance was constructed so that the 2nd premolars were allowed to slide bodily. An elastomeric chain with calibrated force of 150g was attached to the hooks of soldered tubes on the 2nd premolar’s crowns. The sample was divided into two groups based on the interval of reactivation of the elastomeric chains used for tooth movement where in group I activation was scheduled every one week versus four weeks in group II. Measurements of the amount and rate of OTM were performed every week for 12 weeks using digital caliper. The animals were then sacrificed and specimens were prepared for decalcified histological examination using Hematoxylin and Eosin stains under light microscope.
Results: No remarkable difference in the rate of OTM between the two groups was reported. The total amount of tooth movement in group I was 1.44mm ± 0.5 compared to 1.46mm ± 0.6 in group II. Histological examination revealed a more favorable tissue reaction associated with 4 weeks reactivation as regards the new formed bone, root resorption and periodontal ligament structure.
Conclusion: Altering the reactivation interval of the elastomeric chains from four to one week doesn’t have a significant impact on the rate of OTM. However, four weeks reactivation interval showed a more favorable tissue reaction associated with orthodontic tooth movement.
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Jiang S, Liu T, Wu G, Li W, Feng X, Pathak JL, Shi J. BMP2-Functionalized Biomimetic Calcium Phosphate Graft Promotes Alveolar Defect Healing During Orthodontic Tooth Movement in Beagle Dogs. Front Bioeng Biotechnol 2020; 8:517. [PMID: 32548104 PMCID: PMC7272671 DOI: 10.3389/fbioe.2020.00517] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 05/01/2020] [Indexed: 11/13/2022] Open
Abstract
Background: Grafting of biomaterial in alveolar defect facilitates bone healing and orthodontic treatment. BMP2-functionalized biomimetic calcium phosphate (BioCaP) graft had shown excellent bone defect healing potential in many preclinical studies. In this study, we aimed to investigate the influence of BioCaP graft on surgical alveolar bone defect healing during orthodontic tooth movement (OTM) in beagle dogs. Methods: Nine Beagle dogs were randomly assigned to three groups: control, deproteinized bovine bone (DBB), and BioCaP. The maxillary second premolars were protracted into the defects of the extracted maxillary first premolar for 8 weeks. The rate of OTM, alveolar remodeling and bone defect healing were evaluated by histology, histomorphometry, and cone beam computed tomography (CBCT) imaging. Periodontal probing depth was analyzed. Gingival cervicular fluid was collected at week 4 and 8, and the IL-1β level was measured by ELISA. Results: The histological sections of the bone defect showed more newly formed bone in the BioCaP group. The percentage of new bone formation in the BioCaP group was 1.61-, and 1.25-fold higher compared to the control and DBB group, respectively. After 8 weeks of OTM, the resorption rate of BioCaP was 1.42-fold higher compared to DBB. The root resorption index in the DBB group was 1.87-, and 1.39-fold higher compared to the control and BioCaP group, respectively. CBCT images showed 1.92-, and 1.36-fold higher bone mineral density in the BioCaP group compared to the control and DBB group, respectively. There was no significant difference in OTM among the three groups. The distance between the enamel cementum and the crest of the alveolar ridge in the control group was 1.45-, and 1.69-fold higher compared to DBB and BioCaP group, respectively. Periodontal probing depth at week 8 was reduced in the BioCaP group compared to the control. IL-1β concentration in the gingival cervicular fluid was significantly lower in the BioCaP group compared to the control group at week 4 and 8. Conclusion: BioCaP graft robustly promoted bone regeneration and alveolar bone defect healing without affecting OTM. BioCaP graft caused less alveolar bone recession and root resorption of traction tooth with favorable periodontal attachment level indicating that BioCaP as a bioactive and functional bone filling material for alveolar bone defects during orthodontic treatment.
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Affiliation(s)
- Shijie Jiang
- Department of Orthodontics, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China.,Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou, China
| | - Tie Liu
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou, China.,Department of Oral Implantology, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Gang Wu
- Department of Oral Implantology and Prosthetic Dentistry, Academic Centre of Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam and University of Amsterdam, Amsterdam, Netherlands
| | - Wen Li
- Department of Orthodontics, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China.,Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou, China
| | - Xiaoxia Feng
- Department of Orthodontics, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China.,Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou, China
| | - Janak L Pathak
- Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou, China
| | - Jiejun Shi
- Department of Orthodontics, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China.,Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou, China
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Bartzela TN, Mang de la Rosa MR, Wolf K, Schmidt A, Opitz C. Apical root resorption after orthodontic treatment in patients with unilateral cleft lip and palate. Clin Oral Investig 2019; 24:1807-1819. [PMID: 31410675 DOI: 10.1007/s00784-019-03044-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 08/05/2019] [Indexed: 01/19/2023]
Abstract
OBJECTIVES The aims of this retrospective longitudinal study were to present the incidence of external apical root resorption (EARR) in the maxillary anterior teeth of patients with complete unilateral cleft lip and palate (CUCLP) and to evaluate the influence of orthodontic treatment variables on the development of EARR. MATERIAL AND METHODS Forty-one patients with CUCLP participated in the study. Orthopantomograms (OPGs), taken before (T2) treatment with multiband orthodontic appliances (MBA), and periapical radiographs (PAs) of the maxillary anterior teeth taken at the end (T3) of orthodontic treatment (OT) were assessed for EARR. RESULTS The incidence of EARR at T3 (97.6%) was considerably higher than at T2 (51.2%). Central incisors and canines on the cleft side showed a significantly higher score (p < 0.01, p < 0.05 respectively) of EARR in comparison to the same group of teeth on the non-cleft side. Preexisting EARR and abnormal root morphology were identified as predisposing factors for EARR. CONCLUSIONS Patients with CUCLP treated with MBA have higher incidence of EARR on the maxillary anterior teeth of the cleft side. Severe EARR is rather rare but more often seen on central incisors of the cleft side. CLINICAL RELEVANCE As most of the patients with cleft lip and palate undergo a challenging and long-term OT with MBA, it is of importance to identify the predisposing factors related to the special anatomical features of the bone and teeth located in the cleft area, as well as the special OT needs of these patients.
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Affiliation(s)
- Theodosia N Bartzela
- Charité - Universitätsmedizin Berlin, CC03 Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Berlin, Germany.
| | - Maria R Mang de la Rosa
- Charité - Universitätsmedizin Berlin, CC03 Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Berlin, Germany
| | | | | | - Charlotte Opitz
- Charité - Universitätsmedizin Berlin, CC03 Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Berlin, Germany
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Lietz G, Gebeile-Chauty S. [Symphyseal bone distraction (part 1): benefit / risk ratio. A systematic literature review]. Orthod Fr 2018; 89:259-277. [PMID: 30255842 DOI: 10.1051/orthodfr/2018026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 04/05/2018] [Indexed: 11/14/2022]
Abstract
INTRODUCTION The purpose of this systematic literature review is to evaluate the benefit / risk ratio of mandibular symphyseal distraction osteogenesis. MATERIALS AND METHODS Searches were made on Pubmed/Medline and Cochrane for randomized clinical trials and case series involving mandibular symphyseal distraction over the past 20 years with a patient sample greater than or equal to 10. RESULTS Of the 92 articles, 25 met the inclusion criteria. A controlled trial was selected, but no randomized trial. The other studies were all case series, 16 retrospective and 8 prospective. Distractors with bone or hybrid anchorage appear to lead to more periodontal and infectious complications due to the buccal position of the jack. Most complications are benign. However, the most difficult event to deal with is distraction device fracture. Symphyseal midline distraction increases the transverse dimension efficiently, reliably and sustainably, and appears to have no demonstrated deleterious effects on the ATMs for the three types of distractors. DISCUSSION Tooth-borne devices are recommended in most cases given their benefit / risk ratio. Furthermore, they do not require a second surgical procedure to remove them. CONCLUSION Mandibular symphyseal distraction osteogenesis is a reliable therapy whose exact limits and reproducibility remain to be defined by future prospective studies.
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Affiliation(s)
- Gabriel Lietz
- Faculté d'Odontologie, rue Guillaume Paradin, 69372 Lyon cedex 08, France
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Lietz G, Gebeile-Chauty S. [Symphyseal bone distraction (part 2): which protocol in 2018? A systematic literature review]. Orthod Fr 2018; 89:279-288. [PMID: 30255843 DOI: 10.1051/orthodfr/2018027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 04/05/2018] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The aim of this systematic literature review is to propose a clinical protocol in 2018 by comparing therapeutic efficacy and undesirable effects of the technique. MATERIALS AND METHODS Searches were made on Pubmed/Medline and Cochrane for randomized clinical trials and case series involving mandibular symphyseal distraction over the past 20 years with a patient sample greater than or equal to 10. RESULTS Of the 92 articles, 25 met the inclusion criteria. A controlled trial was selected, but no randomized trial. The other studies were all case series, 16 retrospective and 8 prospective. Dental crowding over 7 mm, with or without compensation, is an indication for mid-symphyseal distraction. Pre-surgical orthodontic treatment ensures root divergence between the mandibular incisors. Tooth-borne devices are recommended in first intention. Surgical intervention (ambulatory) under local anesthesia and intravenous sedation is considered. The latency period before activation of the jack is 6 days. Activations are performed by the orthodontist and subsequently by the patient at a rate of 1 mm per day, with four activations daily. Orthodontic movements are resumed two weeks after activations are discontinued. The distractor is removed within two to three months after installation. CONCLUSION Although the main features of the mid-symphyseal distraction protocol were drawn up essentially in the light of expert opinion, they still need to be refined by controlled trials.
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Affiliation(s)
- Gabriel Lietz
- Faculté d'Odontologie,rue Guillaume Paradin 69372 Lyon cedex 08, France
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Choi EK, Lee JH, Baek SH, Kim SJ. Gene expression profile altered by orthodontic tooth movement during healing of surgical alveolar defect. Am J Orthod Dentofacial Orthop 2017; 151:1107-1115. [DOI: 10.1016/j.ajodo.2016.10.039] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2016] [Revised: 10/01/2016] [Accepted: 10/01/2016] [Indexed: 11/26/2022]
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Yöndem C, Acar YB, Şener BC, Erverdi AN. Treatment outcomes of archwise distraction osteogenesis in mandibular dentoalveolar retrognathia cases. Int J Oral Maxillofac Surg 2017; 46:1007-1016. [PMID: 28416096 DOI: 10.1016/j.ijom.2017.03.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Revised: 01/23/2017] [Accepted: 03/22/2017] [Indexed: 11/15/2022]
Abstract
The aim of this study was to describe the treatment of class II malocclusion by sagittal advancement of the alveolar bone in the symphyseal area using an intraoral archwise distractor device and to determine the effects of this method on the dentoalveolar complex. Fifteen patients (10 female, five male) aged 16-20 years with a class II division 2 malocclusion, characterized by mandibular dentoalveolar retrusion and a prominent chin, underwent archwise alveolar distraction in the anterior mandible. Lateral cephalometric radiographs were obtained before distraction (T0), after 6 weeks of consolidation (T1), and after debonding (T2). Linear and angular skeletal, dental, and soft tissue measurements were performed. Forty-seven parameters were measured for each of the 15 subjects on pre- and postoperative lateral cephalometric radiographs (T0, T1, and T2). The distraction protocol was successful in all patients. Skeletally, the mandible showed a clockwise rotation. B-point moved forward significantly (P<0.05). Overjet decreased significantly (P<0.001). The total profile angle was unaffected, and the improvement in the submental fold was highly significant (P<0.001). The intraoral archwise distraction force that is applied through brackets and archwires is sufficiently effective for alveolar advancement. This procedure is simple and effective in the treatment of specific adult patients with a class II division 2 malocclusion, characterized by a prominent chin and severe mandibular dentoalveolar retrusion.
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Affiliation(s)
- C Yöndem
- Private Practice, Istanbul, Turkey
| | - Y B Acar
- Department of Orthodontics, School of Dentistry, Marmara University, Istanbul, Turkey.
| | - B C Şener
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Marmara University, Istanbul, Turkey
| | - A N Erverdi
- Department of Orthodontics, School of Dentistry, Marmara University, Istanbul, Turkey
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Lucchese A, Gherlone E, Portelli M, Bertossi D. Tooth Orthodontic Movement after Maxillofacial Surgery. EUR J INFLAMM 2017. [DOI: 10.1177/1721727x1201000208] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- A. Lucchese
- Department of Medical-Surgical Sciences of Communication and Behaviour, School of Dentistry, University of Ferrara, Ferrara, Italy
| | - E. Gherlone
- Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy
| | - M. Portelli
- Department of Dentistry, University of Messina, Messina, Italy
| | - D. Bertossi
- Department of Surgery, Maxillo Facial Surgery, Policlinico Gb Rossi, University of Verona, Verona, Italy
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Gökalp H. Alternate rapid maxillary expansion-constriction and tooth-borne symphyseal distraction osteogenesis : A case report demonstrating treatment of a patient with severe crowding. J Orofac Orthop 2016; 77:203-13. [PMID: 27145939 DOI: 10.1007/s00056-016-0025-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2013] [Accepted: 01/30/2015] [Indexed: 10/21/2022]
Abstract
Surgically assisted rapid mandibular expansion is a contemporary treatment alternative to enable genuine skeletal mandibular widening. Mandibular widening via a tooth-borne distractor is a practical and noninvasive clinical approach. Recently, to expand and protract the maxilla, the alternate rapid maxillary expansion-and-constriction procedure was suggested. In this case report, we describe a female patient (12 years 7 months old) having severe maxillary and mandibular crowding who underwent repeated alternate rapid maxillary expansion and constriction in combination with tooth-borne symphyseal distraction osteogenesis.
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Affiliation(s)
- Hatice Gökalp
- Department of Orthodontics, School of Dentistry, University of Ankara, Besevler, 06500, Ankara, Turkey.
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Kim KA, Choi EK, Ohe JY, Ahn HW, Kim SJ. Effect of low-level laser therapy on orthodontic tooth movement into bone-grafted alveolar defects. Am J Orthod Dentofacial Orthop 2015; 148:608-17. [DOI: 10.1016/j.ajodo.2015.04.034] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 04/01/2015] [Accepted: 04/01/2015] [Indexed: 01/18/2023]
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Swapp A, Campbell PM, Spears R, Buschang PH. Flapless cortical bone damage has no effect on medullary bone mesial to teeth being moved. Am J Orthod Dentofacial Orthop 2015; 147:547-58. [DOI: 10.1016/j.ajodo.2014.12.022] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2013] [Revised: 12/01/2014] [Accepted: 12/01/2014] [Indexed: 11/29/2022]
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Elsalanty ME, Malavia V, Zakhary I, Mulone T, Kontogiorgos ED, Dechow PC, Opperman LA. Dentate transport discs can be used to reconstruct large segmental mandibular defects. J Oral Maxillofac Surg 2015; 73:745-58. [PMID: 25661502 DOI: 10.1016/j.joms.2014.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Revised: 12/02/2014] [Accepted: 12/02/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE This study tested the use of a dentate transport segment for the reconstruction of a large U-shaped defect in the anterior segment of the canine mandible using a novel curved reconstruction plate. The quality and quantity of bone regenerate formed by dentate versus edentulous transport segments were compared. MATERIALS AND METHODS In 5 adult foxhound dogs, a defect of 70 to 75 mm was created in the canine mandible by excising the mandible anterior to the right and left fourth premolars. Reconstruction was performed by trifocal distraction osteogenesis using a bone transport reconstruction plate (BTRP-02), with 2 transport units being activated simultaneously, one on either side of the defect, 1 dentate and 1 edentulous. Bilateral distraction proceeded at a rate of 1 mm/day until the segments docked against each other in the midline. After 39 to 44 days of consolidation, the animals were euthanized. The quantity and quality of bone regeneration on the 2 sides were compared using micro-computed tomography. RESULTS The defect reconstruction was successful. The amount and quality of bone formed by the transport segments were similar on the 2 sides. There were no major differences in the bone volume fraction and density of the regenerate bone formed by the 2 transport segments. The bone volume fraction and density of the regenerate bone were considerably lower than those of the host bone in the distal segments, likely owing to the short consolidation period. CONCLUSIONS Bone transport remains a viable option in reconstructing anterior segmental defects in the mandible. The use of dentate or edentulous transport segments for reconstruction provides options for the surgeon in often highly compromised patients requiring these surgeries.
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Affiliation(s)
- Mohammed E Elsalanty
- Associate Professor, Department of Oral Biology and Oral and Maxillofacial Surgery, College of Dental Medicine, Georgia Regents University, Augusta, GA.
| | - Veera Malavia
- Formerly, Graduate Student, Center for Craniofacial Research and Diagnosis (CCRD), Department of Biomedical Sciences, Texas A&M University Baylor College of Dentistry, Dallas, TX; currently, Nova Southeastern University College of Dental Medicine, Fort Lauderdale-Davie, FL
| | - Ibrahim Zakhary
- Formerly, Senior Research Associate, Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA; currently, Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry, Detroit, MI
| | | | - Elias D Kontogiorgos
- Associate Professor, Center for Craniofacial Research and Diagnosis (CCRD), Department of Restorative Sciences, Texas A&M University Baylor College of Dentistry, Dallas, TX
| | - Paul C Dechow
- Professor, Center for Craniofacial Research and Diagnosis (CCRD), Department of Biomedical Sciences; Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas, TX
| | - Lynne A Opperman
- Professor, Center for Craniofacial Research and Diagnosis (CCRD), Department of Biomedical Sciences; Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas, TX
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Bone-Anchored Maxillary Expansion and Bilateral Interoral Mandibular Distraction Osteogenesis in Adult With Severe Obstructive Sleep Apnea Syndrome. J Craniofac Surg 2013; 24:949-52. [DOI: 10.1097/scs.0b013e318286883b] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Huang DY, Zhang JB, Li X, Chen SL. Treatment of alveolar cleft with distraction osteogenesis using anchorage with a tooth-microimplant joint in a dog model. Br J Oral Maxillofac Surg 2012; 50:e104-8. [PMID: 22209447 DOI: 10.1016/j.bjoms.2011.11.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2011] [Accepted: 11/15/2011] [Indexed: 11/26/2022]
Abstract
Our aim was to investigate the efficacy of correction of an alveolar cleft with distraction osteogenesis using anchorage with a tooth-microimplant joint in a canine model, which was established in 12 adult mongrel dogs that were subsequently randomised into two groups (n=6 in each). The first group comprised dogs that had osteogenesis using anchorage with a tooth (tooth group), while in the second, anchorage with tooth-microimplant joint (microimplant group) was used. All animals were killed one month after completion of distraction. Samples were collected for gross observation and histological examination. There was a significant difference in the degree of movement of the anchorage teeth in the transport discs between the 2 groups (p<0.01). There was less prominent inclination and shift of the natural teeth in the transport disc and less bony resorption around the root in the microimplant group than in the tooth group. These changes were less remarkable in the microimplant group. Treatment of alveolar cleft by distraction osteogenesis using anchorage with a tooth-microimplant joint is practical, and yields better results.
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Affiliation(s)
- Dai-Ying Huang
- Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China
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Tooth movement into distraction regenerate: When should we start? Am J Orthod Dentofacial Orthop 2011; 139:482-94. [DOI: 10.1016/j.ajodo.2009.05.041] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2009] [Revised: 05/01/2009] [Accepted: 05/01/2009] [Indexed: 11/18/2022]
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Ogihara S, Wang HL. Periodontal Regeneration With or Without Limited Orthodontics for the Treatment of 2- or 3-Wall Infrabony Defects. J Periodontol 2010; 81:1734-42. [DOI: 10.1902/jop.2010.100127] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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18
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A new approach to accelerate orthodontic tooth movement in women: Orthodontic force application after ovulation. Med Hypotheses 2010; 75:405-7. [DOI: 10.1016/j.mehy.2010.04.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2010] [Accepted: 04/01/2010] [Indexed: 11/21/2022]
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Takahashi I, Terao F, Suzuki M, Kawamura H, Takano-Yamamoto T. Mandibular body lengthening by distraction osteogenesis for correction of skeletal class II problems with an impacted premolar. J Oral Maxillofac Surg 2010; 68:2893-902. [PMID: 20828909 DOI: 10.1016/j.joms.2010.05.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2008] [Revised: 03/22/2010] [Accepted: 05/20/2010] [Indexed: 11/25/2022]
Affiliation(s)
- Ichiro Takahashi
- Division of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Tohoku University, Sendai, Japan
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Cohen G, Campbell PM, Rossouw PE, Buschang PH. Effects of increased surgical trauma on rates of tooth movement and apical root resorption in foxhound dogs. Orthod Craniofac Res 2010; 13:179-90. [DOI: 10.1111/j.1601-6343.2010.01494.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Inokuchi T, Kawamoto T, Aoki K, Aoki A, Nagahama K, Baba Y, Suzuki S, Shibayama M, Mano Y, Ohya K, Moriyama K. The Effects of Hyperbaric Oxygen on Tooth Movement into the Regenerated Area after Distraction Osteogenesis. Cleft Palate Craniofac J 2010; 47:382-92. [DOI: 10.1597/09-016.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective To analyze the effect of hyperbaric oxygen on newly formed bone in distracted areas surrounding the root of a moving tooth by histological and radiological analysis. It was hypothesized that the application of hyperbaric oxygen to a tooth moving into the distracted area would accelerate ossification and vascularization of newly formed bone in the distracted space. Design Ten dogs were used. After creating a 10-mm-long bone defect, a bony segment was prepared and translocated into the defect area at a rate of 1 mm/d for 10 days. Following the distraction period, tooth movement was started and the dogs were divided into two groups. The HBO group received hyperbaric oxygen; whereas, the control group did not. At 150 days after tooth movement, the distracted area around the moving tooth was evaluated radiologically and histologically. Differences between groups were confirmed by a Mann-Whitney U test. Results Trabecular bone density and cortical and subcortical bone areas measured by peripheral quantitative computed tomography in the HBO group were significantly higher than those in the control group. Histological observations revealed regenerated bone and blood vessels formation in the tension site of the moving tooth in the HBO group. The regenerated bone structure measured by bone histomorphometry was larger and more active in bone formation in the HBO group than in the control group. Conclusions Applying hyperbaric oxygen to tooth movement into a distracted area appears to accelerate ossification and vascularization of regenerated bone in the that area.
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Affiliation(s)
- Takato Inokuchi
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global Center of Excellence (COE) Program of Japan Society for the Promotion of Science (JSPS), International Research Center for Molecular Science in Tooth and Bone Diseases
| | - Tatsuo Kawamoto
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global Center of Excellence (COE) Program of Japan Society for the Promotion of Science (JSPS), International Research Center for Molecular Science in Tooth and Bone Diseases
| | - Kazuhiro Aoki
- Department of Hard Tissue Engineering (Pharmacology), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
| | - Asato Aoki
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global COE Program of JSPS, International Research Center for Molecular Science in Tooth and Bone Diseases
| | - Kouhei Nagahama
- Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital, Tokyo, Japan
| | - Yoshiyuki Baba
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global COE Program of JSPS, International Research Center for Molecular Science in Tooth and Bone Diseases
| | - Syouichi Suzuki
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global COE Program of JSPS, International Research Center for Molecular Science in Tooth and Bone Diseases
| | - Masaharu Shibayama
- Department of Human Relations, Komazawa Women's University, Tokyo, Japan
| | - Yoshihiro Mano
- Department of Occupational Health Education, Hyperbaric Medical Center, Graduate School of Allied Health Sciences Tokyo Medical and Dental University, Tokyo, Japan
| | - Keiichi Ohya
- Department of Hard Tissue Engineering (Pharmacology), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
| | - Keiji Moriyama
- Department of Maxillofacial Reconstruction and Function (Maxillofacial Orthognathics), Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Global COE Program of JSPS, International Research Center for Molecular Science in Tooth and Bone Diseases
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Combined maxillary and mandibular midline and mandibular ramus distraction osteogenesis for treatment of a Class II patient with implants as orthodontic anchorage. Am J Orthod Dentofacial Orthop 2010; 137:412-23. [DOI: 10.1016/j.ajodo.2007.08.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2007] [Revised: 08/01/2007] [Accepted: 08/01/2007] [Indexed: 11/18/2022]
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Six year follow-up of a patient treated with mandibular symphyseal distraction osteogenesis. J Craniomaxillofac Surg 2010; 38:26-31. [DOI: 10.1016/j.jcms.2009.06.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2008] [Revised: 06/02/2009] [Accepted: 06/11/2009] [Indexed: 11/19/2022] Open
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Liou EJ, Chen PK. Intraoral Distraction of Segmental Osteotomies and Miniscrews in Management of Alveolar Cleft. Semin Orthod 2009. [DOI: 10.1053/j.sodo.2009.07.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Lv T, Kang N, Wang C, Han X, Chen Y, Bai D. Biologic response of rapid tooth movement with periodontal ligament distraction. Am J Orthod Dentofacial Orthop 2009; 136:401-11. [PMID: 19732675 DOI: 10.1016/j.ajodo.2007.09.017] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2007] [Revised: 09/01/2007] [Accepted: 09/01/2007] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Length of treatment is a complaint of many orthodontic patients. The purpose of this study was to evaluate the security and feasibility of rapid tooth movement with periodontal ligament distraction. METHODS Eight male beagles, aged 13 to 16 months, were used in this study. Extraction of the mandibular second premolar and alveolar surgery to reduce the osteal resistance on the mesial side of the extraction socket were performed on the experimental side. Then a device was placed to distract the first premolars distally on the experimental side; on the control side, the first premolars were distalized with nickel-titanium coil springs. The beagles were killed in the first, second, fourth, and eighth weeks after orthodontic force application. RESULTS The first premolar on the experimental side moved more rapidly than that on the control side (P <0.05). Histologic data indicated that more new bone was deposited on tension area of the experimental side than on the control side. Active and extensive bone resorption in the compressive area and bone deposition in the tension area were observed on the experimental side. CONCLUSIONS These results suggest that the periodontal ligament can be rapidly distracted without complications. The rapid orthodontic tooth movement by distracting the periodontal ligament cannot be emulated by current conventional orthodontic concepts and methods.
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Affiliation(s)
- Tao Lv
- Department of Orthodontics, College of Stomatology, Shandong University, Jinan, China
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Midsymphyseal distraction osteogenesis: A new alternative for the treatment of dental crowding. Am J Orthod Dentofacial Orthop 2009; 135:530-5. [DOI: 10.1016/j.ajodo.2007.04.046] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2006] [Revised: 04/28/2007] [Accepted: 04/30/2007] [Indexed: 11/17/2022]
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Woods PW, Buschang PH, Owens SE, Rossouw PE, Opperman LA. The effect of force, timing, and location on bone-to-implant contact of miniscrew implants. Eur J Orthod 2008; 31:232-40. [DOI: 10.1093/ejo/cjn091] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Abstract
Facing a dental crowding, the orthodontist has several therapeutic options. If maxillary expansion is often used, mandibular orthodontic expansion is proscribed because of its tendency of inefficiency and relapse. Mandibular symphyseal distraction osteogenesis allows to remove this proscription. This therapeutic protocol consists in a pre-surgery orthodontic preparation phase followed by surgery (symphyseal osteotomy and placement of the distraction device), a latency period (five to seven days), then an activation period (most of the time 1 mm/day in two steps) followed by a consolidation period (three months) during which the orthodontic treatment can be resumed. Skeletal and alveolar expansion corrects dental crowding. This surgical technique is versatile, minimally invasive, and stable with time. Major indications are hypoplastic symphysis, anterior crowding, relapse of orthodontic treatments and some syndromes. This method can also be an answer to aesthetic concerns or an alternative for treatment of dental crowding. Face à un encombrement dentaire, l'orthodontiste dispose de plusieurs options thérapeutiques. Si au maxillaire, l'expansion est fréquemment utilisée, l'expansion mandibulaire orthodontique est proscrite, car inefficace et récidivante. La distraction symphysaire permet de lever cet interdit. Ce protocole thérapeutique comprend : une préparation orthodontique pré-chirurgicale, une chirurgie (ostéotomie symphysaire et pose du distracteur), une période de latence (cinq à sept jours), puis une période d'activation (le plus souvent 1 mm/j en deux fois) suivie d'une période de consolidation (trois mois) pendant laquelle le traitement orthodontique peut être repris. L'expansion basale et alvéolaire corrige l'encombrement dentaire. Cette technique est polyvalente, peu invasive et stable dans le temps. Ses indications majeures sont l'hyposymphysie, l'encombrement incisif, la récidive de traitements orthodontiques et certains grands syndromes. Cette méthode peut aussi être proposée pour répondre à des préoccupations esthétiques ou comme alternative aux traitements classiques de l'encombrement dentaire.
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Affiliation(s)
- Bastien Lesne
- 1 Bd du Guillon, Résidence Le Mille Pas, 38500 Voiron, France
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Experimental evaluation of tooth movement in the beagle dog with the mini-screw implant for orthodontic anchorage. Am J Orthod Dentofacial Orthop 2007; 132:639-46. [DOI: 10.1016/j.ajodo.2005.07.034] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2005] [Revised: 07/15/2005] [Accepted: 07/27/2005] [Indexed: 11/23/2022]
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Bayram M, Ozer M, Alkan A. Mandibular Symphyseal Distraction Osteogenesis Using a Bone-Supported Distractor. Angle Orthod 2007; 77:745-52. [PMID: 17605491 DOI: 10.2319/070506-274] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2006] [Accepted: 09/01/2006] [Indexed: 11/23/2022] Open
Abstract
Abstract
Increases in mandibular width by symphyseal distraction osteogenesis have recently been shown to be an acceptable and stable treatment option for transverse deficiencies. This case report presents the application of symphyseal distraction osteogenesis for increasing mandibular width using a bone-supported distractor as part of the orthodontic treatment of a 14-year-old male with a tapered shaped mandible and severe mandibular anterior crowding.
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Affiliation(s)
- Mehmet Bayram
- Karadeniz Teknik Universitesi, Diş Hekimliği Fakültesi, Ortodonti AD, Trabzon,Turkey.
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Ren A, Lv T, Kang N, Zhao B, Chen Y, Bai D. Rapid orthodontic tooth movement aided by alveolar surgery in beagles. Am J Orthod Dentofacial Orthop 2007; 131:160.e1-10. [PMID: 17276852 DOI: 10.1016/j.ajodo.2006.05.029] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2005] [Revised: 05/20/2006] [Accepted: 05/23/2006] [Indexed: 11/26/2022]
Abstract
INTRODUCTION It has been reported that oral surgery can accelerate orthodontic tooth movement. The purpose of this study was to evaluate the effects of alveolar surgery that undermines interseptal bone in orthodontic tooth movement. METHODS Ten male beagles, aged 12 to 15 months, were used in this study. Extraction of the mandibular second premolar and alveolar surgery to reduce the osteal resistance on the mesial side of the extraction socket were performed on the experimental side; on the control side, only the second premolar was extracted. The first premolars were distalized against the third premolars with orthodontic nickel-titanium coil springs on the both sides. The beagles were killed in the first, second, third, fourth, and eighth weeks after orthodontic force application. RESULTS The first premolar on the experimental side moved more rapidly than that on the control side (P <.01). Tissue slices were obtained for histological evaluation. No obvious root resorption and no irreversible injury to the pulp were observed on either side. Active and extensive bone resorption in the compressive area and bone deposition in the tension area were observed on the experimental sides. CONCLUSIONS Self-fluorescence checks showed that more new bone was deposited in the tension area of the experimental side than on the control side (P <.05). These results suggest that alveolar surgery might be an effective and safe way to aid orthodontic tooth movement.
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Affiliation(s)
- Aishu Ren
- Department of Orthodontics, West China College of Stomatology, Sichuan University, Chengdu, China
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Wang LC, Takahashi I, Sasano Y, Sugawara J, Mitani H. Osteoclastogenic activity during mandibular distraction osteogenesis. J Dent Res 2005; 84:1010-5. [PMID: 16246932 DOI: 10.1177/154405910508401108] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Mandibular distraction osteogenesis is a well-developed clinical modality for the treatment of craniofacial deformities and dental arch discrepancies, in combination with orthodontic treatment. However, in our previous study, orthodontic tooth movement into the distraction gap caused severe root resorption. The present study aimed to clarify the osteoclastogenic activity of cells in the distraction gap. We hypothesized that the gene expression of osteoclastogenic- and osteoclast-supporting molecules in osteoblasts and stromal cells would increase at distraction sites during the consolidation period. An animal model experiment involving rabbits was designed for mandibular distraction osteogenesis and subjected to in situ hybridization analysis. The number of osteoclasts was larger in the distraction gap during the early consolidation period than in normal controls, due to an increase of gene expression for osteoclastogenic cytokines in osteoblasts. It was concluded that osteoclastogenic and osteoclastic activities are stimulated at distraction sites during the early consolidation period.
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Affiliation(s)
- L C Wang
- Division of Orthodontics and Dentofacial Orthopedics, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 950-8575, Japan
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