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Wu M, Wang X, Shuai J, Deng L, Lu H, Zhou Y, Wu M. Identification of key miRNAs in unilateral mastication-induced disruption of cartilage homeostasis. Oral Dis 2024; 30:551-561. [PMID: 36648372 DOI: 10.1111/odi.14504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 11/12/2022] [Accepted: 01/09/2023] [Indexed: 01/18/2023]
Abstract
OBJECTIVE The present study identified potentially pivotal miRNAs contributing to chondrogenic differentiation in temporomandibular joint suffering abnormal stress. MATERIALS AND METHODS Sprague-Dawley rats were randomly divided into control and experimental unilateral mastication (EUM) group. Bone micro-structure parameters was detected by micro-CT, and FGF-1 and MMP-1 expression was examined by immunohistochemistry. Differentially expressed miRNAs of bilateral condyle cartilage were screened via miRNA microarray at 4- and 8-week EUM, then further verified using quantitative reverse-transcription PCR. Over-expression of five differentially expressed miRNAs in chondrocytes was triggered by transfecting miRNA mimics. The expression of MMP-13, Col-II, OPN, and Runx2 was verified by western blotting. RESULTS Expressions of FGF-1 and MMP-1 in right condyles gradually increased from 2 to 6 weeks after EUM. A total of 20 differentially expressed miRNAs were regulated by EUM, which related to cell proliferation, invasion, and osteoblast differentiation pathways. The over-expression of miR-148a-3p and miR-1-3p led to down-regulation of Col-II, while MMP-13 and Runx2 were up-regulated by induction of hypotrophic differentiation or IL-1β stimulation. These findings suggested that miR-148a-3p and miR-1-3p promote chondrogenic differentiation. CONCLUSIONS Several pivotal miRNAs were found to be related to chondrogenic differentiation, which provides novel insight into pathogenic mechanisms of cartilage homeostasis.
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Affiliation(s)
- Mengjie Wu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China
| | - Xuebin Wang
- College of Life Sciences, Zhejiang University, Hangzhou, China
| | - Jing Shuai
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China
| | - Liquan Deng
- School of Stomatology, Zhejiang Chinese Medical University, Hangzhou, China
| | - Haiping Lu
- School of Stomatology, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yiqun Zhou
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China
| | - Mengrui Wu
- College of Life Sciences, Zhejiang University, Hangzhou, China
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Yang C, Teng H, Shao B, Liu Z. Biomechanical study of temporomandibular joints of patients with temporomandibular disorders under incisal clenching: A finite element analysis. J Biomech 2024; 166:112065. [PMID: 38555778 DOI: 10.1016/j.jbiomech.2024.112065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 03/01/2024] [Accepted: 03/25/2024] [Indexed: 04/02/2024]
Abstract
Temporomandibular disorders (TMD) encompass a collection of pathologies. Within the multitude of etiological factors contributing to TMD, mechanical factors hold significant importance. The aim of this investigation was to assess the magnitude and distribution of stresses encountered by the temporomandibular joints (TMJs) during incisal clenching among TMD patients while also elucidating the mechanical pathogenesis underlying TMD. Ten asymptomatic subjects and ten TMD patients were recruited. The Control, Bilateral, and Unilateral groups were set. The contact stress, maximum principal stress, and minimum principal stresses of TMJ structures among the groups were compared. In addition, comparisons of the contact stress distribution among the groups were adopted. In the Control and Bilateral groups, the magnitudes of stresses (contact stress, maximum and minimum principal stresses) between the right and left sides showed no significant difference (P > 0.05). For unilateral TMD patients,the minimum principal stress on the condyle in the Uni-N group (the normal side) was significantly greater than thatin the Uni-T group (the TMD side)(P = 0.016, mean difference 9.99 MPa [95 %CI: 3.11 to 16.87]). Furthermore, stresses on the condyle and fossa of the patients were significantly greater than those of asymptomatic subjects (P < 0.05). The contact stress distributions were concentrated in the Control group while irregular in the TMD groups. In conclusion, asymmetrical contact stress distributions were observed in unilateral TMD, with excessive stresses on the healthy side. The protection of the healthy TMJ during treatment is recommended for patients with unilateral TMD.
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Affiliation(s)
- Chunxin Yang
- Key Laboratory of Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu 610065, China; Yibin Institute of Industrial Technology/Sichuan University, Yibin Park, Yibin 644600, China
| | - Haidong Teng
- Key Laboratory of Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu 610065, China; Yibin Institute of Industrial Technology/Sichuan University, Yibin Park, Yibin 644600, China
| | - Bingmei Shao
- Key Laboratory of Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu 610065, China; Yibin Institute of Industrial Technology/Sichuan University, Yibin Park, Yibin 644600, China
| | - Zhan Liu
- Key Laboratory of Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu 610065, China; Yibin Institute of Industrial Technology/Sichuan University, Yibin Park, Yibin 644600, China.
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Wang M, Wang J, Jin X, Liu D, Bian H, Zhao Y, Li Y. Impact of occlusal contact pattern on dental stability and oromandibular system after orthodontic tooth movement in rats. Sci Rep 2023; 13:22276. [PMID: 38097596 PMCID: PMC10721791 DOI: 10.1038/s41598-023-46668-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 11/03/2023] [Indexed: 12/17/2023] Open
Abstract
How to ensure dental stability in new positions and reduce the likelihood of relapse is a major clinical concern in the orthodontic field. Occlusal contacts between arches may affect the transmission of masticatory forces, thereby influencing the biological response of the periodontal and the oromandibular system. Occlusion factors that may influence the stability after orthodontic tooth movement (OTM) remain largely unknown. Hence, this research was conducted in order to investigate the influence of different occlusal contact patterns on tooth stability and oromandibular system including the masseter muscle and the temporomandibular joint following OTM. By modifying the occlusal surfaces, in vivo animal study models with distinct occlusal patterns corresponding to clinical circumstances were established. The relapse distance of teeth and the level of inflammatory factors in the gingival cervical fluid were analyzed. We also closely observed the histological remodeling of periodontal tissue, masseter tissue, and joint tissue after one week of relapse. Moreover, genes expression in the alveolar bone was analyzed to illustrate the potential biological mechanisms of relapse under the influence of different occlusal contact patterns following OTM. Different occlusal contact patterns after OTM in rats were established. The intercuspation contact between cusp and fossa group exhibited the lowest level of relapse movement, inflammatory factors and osteoclast activity (P < 0.05). On the other hand, groups with interferences or inadequate contacts exhibited more relapse movement, and tend to promote inflammation of periodontal tissue and activate bone resorption (P < 0.05). Adequate occlusal contacts without interference may enhance tooth stability and reduce the likelihood of relapse. After active orthodontic treatment, necessary occlusal adjustment should be made to achieve the desired intercuspation contact relationship and ensure adequate contact between the arches. The elimination of occlusal interferences is crucial to achieving optimal stability and promoting overall healthy condition of the oromandibular system.
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Affiliation(s)
- Menglin Wang
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China
- Department of Stomatology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100043, China
| | - Jing Wang
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Xiang Jin
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Dedi Liu
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Huan Bian
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China.
| | - Yantao Zhao
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China.
- Department of Orthopedics, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, 100048, China.
- Beijing Engineering Research Center of Orthopedics Implants, Beijing, 100048, China.
- State Key Laboratory of Military Stomatology, Xi'an, 710032, China.
| | - Yanfeng Li
- Department of Stomatology, The Fourth Medical Center, Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China.
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Huang D, Liu L, Zhai X, Wang Y, Hu Y, Xu X, Li H, Jiang H. Association between chewing side preference and MRI characteristics in patients with anterior disc displacement of the temporomandibular joint. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101484. [PMID: 37094731 DOI: 10.1016/j.jormas.2023.101484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 04/20/2023] [Accepted: 04/22/2023] [Indexed: 04/26/2023]
Abstract
OBJECTIVE To compare the magnetic resonance imaging (MRI) characteristics in the anterior disc displacement (ADD) patients with and without chewing side preference (CSP). METHODS The MRI characteristics of the bilateral temporomandibular joint (TMJ) in 111 patients with ADD were retrospectively analysed. Based on the presence of CSP, all subjects were divided into the non-CSP group (NC group, N = 40) and CSP group (C group, N = 71). Based on the preferred chewing side in the C group, the patients were divided into ipsilateral and contralateral sides. The morphology, length, disc-condyle angle, and coordinate position of the disc and condyle of the bilateral TMJ were compared. RESULTS MRI examination showed a significant difference between ipsilateral and contralateral joint displacement in patients with CSP (P<0.05). In CSP patients, the disc length of the same side in the ipsilateral side was significantly shorter than the contralateral side (P<0.05). A significant difference in the Y-axis coordinates of the ipsilateral and contralateral discs was also found in patients with CSP (P<0.05). The disc displacement grade, morphology of the articular disc, ipsilateral disc length, and ipsilateral disc-condyle Y-axis distance were positively correlated with CSP (P<0.05). CONCLUSION CSP is related to the shape of the articular disc and disc-condyle position in patients with ADD. CSP may aggravate the development of ADD.
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Affiliation(s)
- Dongzong Huang
- Medical School of Chinese PLA, Beijing 100853, China; Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Lin Liu
- Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Xiaoting Zhai
- Medical School of Chinese PLA, Beijing 100853, China; Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Yan Wang
- Department of Radiology, the First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Yifan Hu
- Medical School of Chinese PLA, Beijing 100853, China; Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Xinyu Xu
- Medical School of Chinese PLA, Beijing 100853, China; Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Hongbo Li
- Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
| | - Hua Jiang
- Department of Stomatology, the first Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
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Zhai X, Huang D, Hu Y, Li X, Wang J, Ma J, Li H, Hu M, Liu H, Jiang H. Cone-beam computed tomographic characteristics in degenerative temporomandibular joint disease patients with chewing side preference. Clin Oral Investig 2023; 27:2267-2276. [PMID: 37017756 DOI: 10.1007/s00784-023-04961-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 03/17/2023] [Indexed: 04/06/2023]
Abstract
OBJECTIVES This study is aimed at assessing the Cone-beam computed tomographic (CBCT) characteristics of temporomandibular joints (TMJ) in degenerative temporomandibular joint disease (DJD) patients with chewing side preference (CSP). MATERIALS AND METHODS CBCT images of 98 patients with DJD (67 with CSP and 31 without CSP) and 22 asymptomatic participants without DJD were measured retrospectively to compare the osteoarthritic changes and the morphology of TMJ. Quantitative analysis of the TMJ radiographic images was performed to present a comparison between the three inter-group groups and between the two sides of the joints. RESULTS The frequencies of the articular flattening and surface erosion occur more often in the preferred side joints of DJD patients with CSP than the contralateral side. In addition, the horizontal angle of condyle, the depth of glenoid fossa (DGF), and the inclination of articular eminence (IAE) were larger in DJD patients with CSP than that in asymptomatic participants (p<0.05). Also, the condylar anteroposterior dimension of preferred side joints was significantly less than that of non-preferred side (p=0.026), while the width of condyles (p=0.041) and IAE (p=0.045) was greater. CONCLUSIONS DJD patients with CSP appear to have a higher prevalence of osteoarthritic changes, with the morphological changes such as flat condyle, deep glenoid fossa, and steep articular eminence, which might be considered the characteristic imaging features. CLINICAL RELEVANCE This study found that CSP is a predisposing factor for the development of DJD, and attention should be paid to the existence of CSP in DJD patients during the clinical practice.
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Affiliation(s)
- Xiaoting Zhai
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Dongzong Huang
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Yifan Hu
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Xiaoxing Li
- Medical School of Chinese PLA, Beijing, China
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Jiazhu Wang
- Department of Radiology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Junli Ma
- Department of Stomatology, General Hospital of Southern Theater of PLA, Guangzhou, China
| | - Hongbo Li
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Min Hu
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Hongchen Liu
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Hua Jiang
- Department of Stomatology, First Medical Center of Chinese PLA General Hospital, Beijing, China.
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De Carli E, Lagou A, Kiliaridis S, Denes BJ. Mandibular condyle changes in rats with unilateral masticatory function. Orthod Craniofac Res 2023; 26:37-45. [PMID: 35347850 PMCID: PMC10084257 DOI: 10.1111/ocr.12575] [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: 02/06/2022] [Revised: 03/20/2022] [Accepted: 03/24/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVE Certain malocclusions or unilateral tooth loss can lead to asymmetric functional load of the two mandibular sides during mastication and induce skeletal asymmetries to the condylar process of growing individuals. However, in adults, asymmetric function may have a different impact. The aim of the present study was to investigate three-dimensionally the effects of unilateral masticatory function on the condylar process morphology in growing and adult rats and the adaptive processes to differential condylar loading. MATERIALS AND METHODS Fifty-six growing and adult Wistar rats aged 4 and 26 weeks respectively were obtained. The maxillary right molars of the experimental animals were extracted and all animals were followed for 12 weeks. Three-dimensional images were obtained by an in-vivo microcomputed tomography (micro-CT) examination. The following measurements were studied: condylar process height, condylar base width, and condylar cross-sectional surface. RESULTS While no differences were found with regards to condylar process height and base width, the cross-section of the condyle on the extraction side did not increase during growth in the young rats. No such differences were found in adults. Young rats had statistically significantly shorter condylar height, base width and cross-sectional surface than the adult rats and showed significant growth of these structures during the experimental period. CONCLUSION Condylar height and base width growth are not hindered by reduced occlusal function, contrary to the average cross-sectional surface, which implies that the condyle form of growing individuals becomes thinner while maintaining its length, in the absence of occlusal stimuli. The condyle of adult rats with extractions is less affected by occlusion changes.
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Affiliation(s)
- Enrico De Carli
- Department of Orthodontics, Clinique Universitaire de Médecine Dentaire, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Aikaterini Lagou
- Department of Orthodontics, Clinique Universitaire de Médecine Dentaire, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Stavros Kiliaridis
- Department of Orthodontics, Clinique Universitaire de Médecine Dentaire, Faculty of Medicine, University of Geneva, Geneva, Switzerland.,Department of Orthodontics and Dentofacial Orthopedics, Dental School/Medical Faculty, University of Bern, Bern, Switzerland
| | - Balazs J Denes
- Department of Orthodontics, Clinique Universitaire de Médecine Dentaire, Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Chen CP, Zhang J, Zhang B, Hassan MG, Hane K, Chen CC, Navarro Palacios AA, Kapila S, Jheon AH, Goodwin AF. Unilateral loss of maxillary molars in young mice leads to bilateral condylar adaptation and degenerative disease. JBMR Plus 2022; 6:e10638. [PMID: 35866152 PMCID: PMC9289985 DOI: 10.1002/jbm4.10638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 04/25/2022] [Accepted: 05/03/2022] [Indexed: 11/22/2022] Open
Abstract
The adaptive response of the mandible and temporomandibular joint (TMJ) to altered occlusion in juvenile patients is presently unclear. To address this question, we established a mouse model in which all molars were extracted from the maxillary right quadrant in prepubertal, 3‐week‐old mice and analyzed morphological, tissue, cellular, and molecular changes in the mandible and condyle 3 weeks later. Unilateral loss of maxillary molars led to significant, robust, bilateral changes, primarily in condylar morphology, including anteroposterior narrowing of the condylar head and neck and increased convexity at the condylar surface, as determined by geometric morphometric analysis. Furthermore, both condyles in experimental mice exhibited a degenerative phenotype, which included decreased bone volume and increased mineral density near the condylar head surface compared to control mice. Changes in condylar morphology and mineralized tissue composition were associated with alterations in the cellular architecture of the mandibular condylar cartilage, including increased expression of markers for mature (Col2a1) and hypertrophic (Col10a1) chondrocytes, suggesting a shift toward differentiating chondrocytes. Our results show significant bilateral condylar morphological changes, alterations in tissue composition, cellular organization, and molecular expression, as well as degenerative disease, in response to the unilateral loss of teeth. Our study provides a relatively simple, tractable mouse tooth extraction system that will be of utility in uncovering the cellular and molecular mechanisms of condylar and mandibular adaptation in response to altered occlusion. © 2022 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
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Affiliation(s)
- Christopher Phillip Chen
- Division of Craniofacial Anomalies, Department of Orofacial Sciences University of California San Francisco (UCSF) CA USA
- Program in Craniofacial Biology, UCSF CA USA
| | - Jiehua Zhang
- Program in Craniofacial Biology, UCSF CA USA
- Department of Stomatology Renmin Hospital of Wuhan University Wuhan Hubei China
- Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration Wuhan China
| | - Bin Zhang
- Program in Craniofacial Biology, UCSF CA USA
- Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology Sun Yat‐sen University Guangzhou Guangdong China
- Guangdong Provincial Key Laboratory of Stomatology Sun Yat‐sen University Guangzhou Guangdong China
| | - Mohamed G. Hassan
- Program in Craniofacial Biology, UCSF CA USA
- Department of Orthodontics, Faculty of Dentistry Assiut University Assiut Egypt
- Division of Bone and Mineral Diseases, Department of Medicine, School of Medicine Washington University in St. Louis MO USA
| | - Kyle Hane
- Program in Craniofacial Biology, UCSF CA USA
| | - Caroline C. Chen
- Division of Craniofacial Anomalies, Department of Orofacial Sciences University of California San Francisco (UCSF) CA USA
- Program in Craniofacial Biology, UCSF CA USA
| | | | - Sunil Kapila
- Division of Orthodontics, Department of Orofacial Sciences UCSF CA USA
| | - Andrew H. Jheon
- Program in Craniofacial Biology, UCSF CA USA
- Division of Orthodontics, Department of Orofacial Sciences UCSF CA USA
| | - Alice F. Goodwin
- Division of Craniofacial Anomalies, Department of Orofacial Sciences University of California San Francisco (UCSF) CA USA
- Program in Craniofacial Biology, UCSF CA USA
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Ma J, Wang J, Huang D, Wang Z, Hu M, Liu H, Jiang H. A comparative study of condyle position in temporomandibular disorders patients with chewing side preference using cone-beam computed tomography. J Oral Rehabil 2021; 49:265-271. [PMID: 34902183 DOI: 10.1111/joor.13293] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 11/25/2021] [Accepted: 12/08/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Chewing side preference (CSP) could cause structural and morphological changes of temporomandibular joint (TMJ) and has been suggested as one etiology of temporomandibular disorders (TMDs), but the condylar position in TMD patients with CSP is unknown. OBJECTIVE To compare the condylar position in the TMD patients with and without CSP. METHODS Ninety TMD patients with unilateral symptom (69 with CSP and 21 without CSP) and 20 asymptomatic participants received cone-beam computed tomography. The condylar position was determined based on the measurements of sagittal joint spaces. Intergroup and intragroup comparisons of the condylar position were performed. RESULTS The condyles in asymptomatic participants located nearly randomly in anterior, centric, and posterior positions. Patients without CSP had significantly more posterior condyles than asymptomatic participants (57.1% vs 30.0%, P<0.05). In patients with CSP, 50.7% of the condyles on the preferred chewing side and 42.0% on the unpreferred side located posteriorly, reaching no significant level compared with the asymptomatic participants and patients without CSP (P>0.05). The symptomatic joints and asymptomatic joints in patients with CSP and without CSP showed no significant differences in condylar position. While patients without CSP had significantly more posterior condyles in symptomatic joints than asymptomatic participants (P<0.05), patients with CSP showed a trend towards more posterior condyles in symptomatic joints compared with the asymptomatic participants (53.6% vs 30.0%, P=0.054). CONCLUSION Condylar position is not a strong indicator to differentiate CSP-related TMDs from none-CSP-related TMDs. Posterior condyle could not be viewed as one indicator of TMD.
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Affiliation(s)
- Junli Ma
- Department of Stomatology, General Hospital of Southern Theater of PLA, Guangzhou, China
| | - Jiazhu Wang
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
| | - Dongzong Huang
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
| | - Zhaowu Wang
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
| | - Min Hu
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
| | - Hongchen Liu
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
| | - Hua Jiang
- Department of Stomatology, Chinese PLA General Hospital, Beijing, China
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9
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Liu Z, Hou Y, Zhang P, Lu H, Wang W, Ma W. Changes of the condylar cartilage and subchondral bone in the temporomandibular joints of rats under unilateral mastication and expression of Insulin-like Growth Factor-1. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2021; 123:405-416. [PMID: 34601167 DOI: 10.1016/j.jormas.2021.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 09/27/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES This study aimed to define changes in the rat condylar cartilage and subchondral bone using the unilateral mastication model. MATERIALS AND METHODS In this study, forty 4-week-old Wistar rats were randomly divided into experimental (n = 20) and control group (n = 20). In the experimental group, unilateral dental splints were placed on the occlusal surface of left maxillary molars. The rats were sacrificed at 1, 2, 3, and 4 weeks after placement of the splint. Micro-CT scanning and histological staining were performed to observe the changes in the mandibular condylar cartilage and subchondral bone. Levels of insulin-like growth factor-1 (IGF-1) were determined via immunohistochemistry to analyse the occurrence of osteogenic changes. RESULTS Micro-CT scanning findings demonstrated the occurrence of asymmetric growth of condyle in the experimental group. The condylar cartilage and subchondral bone exhibited degradation on the chewing side of the experimental group and showed decreased bone mineral density, thinner cartilage thickness, and increased degree of degeneration and osteoclast activity. Compared with the control group, the expression of IGF-1 was remarkably higher on the non-chewing side. CONCLUSION Long-term unilateral mastication can lead to the occurrence of degenerative changes in the condylar cartilage and subchondral bone during growth and development. IGF-1 may play a role in promoting the process of osteogenesis.
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Affiliation(s)
- Ziyang Liu
- Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China
| | - Yali Hou
- Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Department of Oral Pathology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China
| | - Pengfei Zhang
- Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China.
| | - Haiyan Lu
- Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China
| | - Wen Wang
- Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China.
| | - Wensheng Ma
- Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Key Laboratory of Stomatology, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China; Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, 050017, PR China.
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10
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Ma J, Wang J, Huang D, Wang Z, Hu M, Liu H, Jiang H. Cone-beam computed tomographic assessment of the inclination of the articular eminence in patients with temporomandibular disorders and chewing side preference. BMC Oral Health 2021; 21:396. [PMID: 34389008 PMCID: PMC8364061 DOI: 10.1186/s12903-021-01760-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 08/04/2021] [Indexed: 11/25/2022] Open
Abstract
Background Chewing side preference (CSP) has been proposed as one etiology of temporomandibular disorders (TMDs) as it can induce the structural changes of the temporomandibular joint. But its association with the inclination of the articular eminence (IAE) is unknown. This study aimed to compare IAE between patients with CSP and without CSP. Methods Cone-beam computed tomography images of 90 patients with TMD (mean age of 45.6 years, 69 with CSP, 21 without CSP) and 20 participants without TMD and CSP (mean age of 41.3 years) were measured to compare IAE and depth of the glenoid fossa (DGF) Results IAE and DGF showed a positive correlation among all the participants. Compared with the participants without TMD and CSP, the TMD patients without CSP presented a similar IAE but with a significantly higher value of DGF (p < 0.05); in contrast, the TMD patients with CSP presented a significantly greater IAE and DGF (p < 0.05). No bilateral differences in IAE and DGF were observed in all the participants. Except the male patients with CSP had a deeper fossa than did the female, no differences in IAE and DGF according to gender were observed. Conclusions TMD patients with CSP seem to have a deep glenoid fossa with steep eminence which might be considered one characteristic imaging feature.
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Affiliation(s)
- Junli Ma
- Department of Stomatology, General Hospital of Southern Theater of PLA, Guangzhou, People's Republic of China
| | - Jiazhu Wang
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China
| | - Dongzong Huang
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China
| | - Zhaowu Wang
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China
| | - Min Hu
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China
| | - Hongchen Liu
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China
| | - Hua Jiang
- Department of Stomatology, Chinese PLA General Hospital, No. 28 FuXing Road, Beijing, 100853, People's Republic of China.
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11
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Zhou P, Zhang J, Zhang M, Yang H, Liu Q, Zhang H, Liu J, Duan J, Lu Y, Wang M. Effects of occlusion modification on the remodelling of degenerative mandibular condylar processes. Oral Dis 2020; 26:597-608. [DOI: 10.1111/odi.13274] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 11/27/2019] [Accepted: 12/15/2019] [Indexed: 02/06/2023]
Affiliation(s)
- Ping Zhou
- Hunan Key Laboratory of Oral Health Research Hunan 3D Printing Engineering Research Center of Oral Care Hunan Clinical Research Center of Oral Major Diseases and Oral Health Xiangya Stomatological Hospital Xiangya School of Stomatology Central South University Changsha China
| | - Jing Zhang
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Mian Zhang
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Hongxu Yang
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Qian Liu
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Hongyun Zhang
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Jinqiang Liu
- School of Stomatology Jiamusi University Jiamusi China
| | - Jing Duan
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
| | - Yanqin Lu
- Hunan Key Laboratory of Oral Health Research Hunan 3D Printing Engineering Research Center of Oral Care Hunan Clinical Research Center of Oral Major Diseases and Oral Health Xiangya Stomatological Hospital Xiangya School of Stomatology Central South University Changsha China
| | - Mei‐Qing Wang
- Department of Oral Anatomy and Physiology and Clinic of Temporomandibular Joint Disorders and Oral and Maxillofacial Pain The Key Laboratory of Military Stomatology of State the National Clinical Research Center for Oral Diseases School of Stomatology The Fourth Military Medical University Xi’an China
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12
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Liu X, Zhou KX, Yin NN, Zhang CK, Shi MH, Zhang HY, Wang DM, Xu ZJ, Zhang JD, Li JL, Wang MQ. Malocclusion Generates Anxiety-Like Behavior Through a Putative Lateral Habenula-Mesencephalic Trigeminal Nucleus Pathway. Front Mol Neurosci 2019; 12:174. [PMID: 31427925 PMCID: PMC6689965 DOI: 10.3389/fnmol.2019.00174] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 07/01/2019] [Indexed: 01/06/2023] Open
Abstract
Malocclusion is an important risk factor for temporomandibular disorder (TMD), a series of disorders characterized by dysfunction in the orofacial region involving the temporomandibular joint (TMJ) and jaw muscles. We recently showed that experimental unilateral anterior crossbite (UAC) produced masseter hyperactivity through a circuit involving the periodontal proprioception, trigeminal mesencephalic nucleus (Vme), and trigeminal motor nucleus (Vmo). Anxiety is a common complication in patients with TMD. The lateral habenula (LHb) is involved in emotional modulation and has direct projections to the Vme. Therefore, the present research examined whether UAC facilitates excitatory input from the LHb to the Vme and, subsequently, anxiety-like behaviors in rats. The LHb activation was evaluated by the electrophysiological recording, assessment of vesicular glutamate transporter-2 (VGLUT2) mRNA expression, and measurement of anxiety-like behaviors. The effects of LHb activity on Vme were evaluated by electrophysiological recording from Vme neurons and local changes in VGLUT2 protein density. UAC produced anxiety in modeled rats and increased neuronal activity in the LHb. VGLUT2 mRNA expression was also increased in the LHb. Further, VGLUT2-positive boutons were observed in close apposite upon parvalbumin (PV)-labeled Vme neurons. VGLUT2 protein expression was also increased in the Vme. Significantly, injection of VGLUT2-targeted shRNA into the LHb reduced the expression of VGLUT2 protein in the Vme, attenuated UAC-associated anxiety-like behaviors, and attenuated electrophysiological changes in the Vme neurons. In conclusion, we show that UAC activates the LHb neurons as well as the periodontal proprioceptive pathway to provide excitatory input to the Vme and produce anxiety in rats. These findings provide a rationale for suppressing activity of the LHb to attenuate both the physical and psychological effects of TMD.
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Affiliation(s)
- Xin Liu
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology, National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, China.,Department of Stomatology, The 960th Hospital of People's Liberation Army, Jinan, China
| | - Kai-Xiang Zhou
- Department of Anatomy, Histology and Embryology and K.K. Leung Brain Research Center, The Fourth Military Medical University, Xi'an, China
| | - Nan-Nan Yin
- Department of Stomatology, The 960th Hospital of People's Liberation Army, Jinan, China
| | - Chun-Kui Zhang
- Department of Anatomy, Histology and Embryology and K.K. Leung Brain Research Center, The Fourth Military Medical University, Xi'an, China
| | - Ming-Hong Shi
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology, National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Hong-Yun Zhang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology, National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Dong-Mei Wang
- Department of Oral Medicine, School of Stomatology, Xinxiang Medical University, Xinxiang, China
| | - Zi-Jun Xu
- School of Clinical Medicine, University of South China, Hengyang, China
| | - Jing-Dong Zhang
- Department of Anesthesiology, University of Cincinnati Medical College of Medicine, Cincinnati, OH, United States
| | - Jin-Lian Li
- Department of Anatomy, Histology and Embryology and K.K. Leung Brain Research Center, The Fourth Military Medical University, Xi'an, China
| | - Mei-Qing Wang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology, National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, China
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13
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Liu Q, Yang HX, Wan XH, Zhang M, Zhang J, Lu L, Xie M, Ren HT, Yu SB, Liu XD, Wang M. Calcium-/calmodulin-dependent protein kinase II in occlusion-induced degenerative cartilage of rat mandibular condyle. J Oral Rehabil 2018; 45:442-451. [PMID: 29603329 DOI: 10.1111/joor.12629] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2018] [Indexed: 01/13/2023]
Abstract
Activated calcium-/calmodulin-dependent protein kinaseII (CaMKII) is important to promote chondrocytes from proliferative to pre-hypertrophic state, which probably plays a role in osteoarthritis (OA), a widespread degeneration disease with enhanced aberrant chondrocyte differentiation. Our aim was to detect the role of CaMKII, and its relationship with the feedback loop of Indian hedgehog (Ihh) and Parathyroid-related peptide (PTHrP) in the temporomandibular joints (TMJs) OA. KN93, the competitive inhibitor of CaMKII, was added to the culture medium in vitro and was locally injected to rats TMJs (n = 54, female) every other day for 4 weeks from the beginning of the 5th and 9th week after installing of unilateral anterior crossbite (UAC), termed as 4 wk+4 wk and 8 wk+4 wk, accordingly. The RNA expression of CaMKII α (1.49 ± 0.09), CaMKII β (3.36 ± 0.20), Ihh (1.88 ± 0.06) and PTHrP (1.87 ± 0.12) was all enhanced, especially at 24 dyn/cm2 in vitro (all P < .05), accompanied with downregulated expression of cartilage matrix, but upregulated markers of chondrocytes differentiation (all P < 0.05). Similarity was observed in the 4 wk+4 wk group in vivo. In the 8 wk+4 wk group, UAC upregulated the RNA expression of CaMKII α (1.81 ± 0.24), CaMKII β (1.36 ± 0.07) and Ihh (1.70 ± 0.21), however, down-regulated PTHrP (0.53 ± 0.04) (all P < .05), in consonance with the protein expression. All these changes were attenuated by KN93 (all P < .05). In conclusion, CaMKII took a role, via Ihh and PTHrP pathways, in promoting biomechanically induced TMJ chondrocytes differentiation, the initiation issue of UAC stimulated osteoarthritic changes in rodent TMJs. Inhibiting CaMKII is helpful to rescue the biomechanically stimulated cartilage degradation and prospective to be a target treatment of OA.
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Affiliation(s)
- Q Liu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - H-X Yang
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - X-H Wan
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - M Zhang
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - J Zhang
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - L Lu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - M Xie
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - H-T Ren
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - S-B Yu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - X-D Liu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - M Wang
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
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14
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Rodrigues VP, Freitas BV, de Oliveira ICV, Dos Santos PCF, de Melo HVF, Bosio J. Tooth loss and craniofacial factors associated with changes in mandibular condylar morphology. Cranio 2018; 37:310-316. [PMID: 29376479 DOI: 10.1080/08869634.2018.1431591] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Objective: To investigate the association between tooth loss and craniofacial factors with changes in mandibular condylar morphology. Methods: A total of 123 patients participated in this cross-sectional study. The mandibular condylar morphology was evaluated using digital panoramic radiography. The exposure variables included gender, age group, molar relationship, facial growth pattern, facial asymmetry, dental midline, posterior crossbite, presence of fixed dental prosthesis, and tooth loss. Results: Unilateral and bilateral mandibular condyle structural alterations were found in 20.3% and 28.5% of the sample, respectively. After the adjustment analysis, posterior crossbite (adjusted OR = 3.34, 95% CI = 1.23-9.06) and tooth loss (adjusted OR = 4.08, 95% CI = 1.72-9.64) were associated with the outcome. The tooth type associated with mandibular condyle structural alterations were premolars and upper molars. Conclusion: The findings suggest that posterior crossbite and tooth loss are associated with mandibular condyle structural alterations.
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Affiliation(s)
| | | | | | | | | | - Jose Bosio
- d Rutgers School of Dental Medicine , Newark , NJ , USA
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15
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Michaelis M, Lucius R, Wiltfang J, Birkenfeld F. Determination of VEGF, collagen type 1 and versican in the discus articularis of the temporomandibular joint in relation to dental status. J Craniomaxillofac Surg 2017; 46:67-74. [PMID: 29198579 DOI: 10.1016/j.jcms.2017.09.013] [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: 02/02/2017] [Revised: 07/08/2017] [Accepted: 09/14/2017] [Indexed: 10/18/2022] Open
Abstract
The aim of this study was the investigation and comparison of the presence of vascular endothelial growth factor (VEGF), collagen type 1 and the proteoglycan versican in the discus articularis in relation to dental status (full dentition [1], partial dentition [2] and edentulous [3]). The right disci articulares were removed from 17 donated bodies (6 with full dentition, 5 with partial dentition and 6 edentulous). The specimens were immunohistochemically stained for VEGF, collagen type 1 and versican. Semiquantitative analysis of the disci was conducted within the groups based on the intensity of immunoreactivity of VEGF, collagen type 1 and versican. In addition, a pairwise comparison was carried out between the three experimental groups. The results revealed significantly higher immunoreactivity for VEGF and versican in groups 2 and 3 than in group 1. Conversely, determination of immunoreactivity was significantly higher in group 1 for collagen type 1 than in the other two groups. These results indicate an elevated presence of the proteoglycan versican and the neoangiogenesis factor VEGF when the occlusal supporting zone has been lost. By contrast, detection of collagen type 1 is reduced. The loss of collagen type 1 and rise in versican and VEGF suggest increasing degeneration when the supporting zone is lost due to the loss of teeth.
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Affiliation(s)
- Malte Michaelis
- Institute of Anatomy (Head: Prof. Dr. Ralph Lucius), Christian-Albrechts-University of Kiel, Olshausenstraße 40, 24118 Kiel, Germany
| | - Ralph Lucius
- Institute of Anatomy (Head: Prof. Dr. Ralph Lucius), Christian-Albrechts-University of Kiel, Olshausenstraße 40, 24118 Kiel, Germany
| | - Jörg Wiltfang
- Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. Jörg Wiltfang), University Hospital Schleswig-Holstein, Arnold-Heller-Straße 16, 24105 Kiel, Germany
| | - Falk Birkenfeld
- Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. Jörg Wiltfang), University Hospital Schleswig-Holstein, Arnold-Heller-Straße 16, 24105 Kiel, Germany.
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16
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Ravosa MJ, Kane RJ. Dietary variation and mechanical properties of articular cartilage in the temporomandibular joint: implications for the role of plasticity in mechanobiology and pathobiology. ZOOLOGY 2017; 124:42-50. [PMID: 29032864 DOI: 10.1016/j.zool.2017.08.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2017] [Revised: 08/18/2017] [Accepted: 08/19/2017] [Indexed: 01/26/2023]
Abstract
Due to their nature as tissue composites, skeletal joints pose an additional challenge in terms of evaluating the functional significance of morphological variation in their bony and cartilaginous components in response to altered loading conditions. Arguably, this complexity requires more direct means of investigating joint plasticity and performance than typically employed to analyze macro- and micro-anatomical phenomena. To address a significant gap in our understanding of the plasticity of the mammalian temporomandibular joint (TMJ), we investigated the histology and mechanical properties of condylar articular cartilage in rabbits subjected to long-term variation in diet-induced masticatory stresses, specifically cyclical loading. Three cohorts of male weanlings were raised for six months on different diets until adulthood. Following euthanasia, the TMJ condyles on one side were dissected away, fixed, decalcified, dehydrated, embedded and sectioned. Safranin O staining was employed to identify variation in proteoglycan content, which in turn was used to predict patterns of articular cartilage stiffness in contralateral condylar specimens for each treatment group. Hematoxylin and eosin staining was used to quantify diet-induced changes in chondrocyte hypertrophy and cellularity. Mechanical tests document significant decreases in articular cartilage stiffness corresponding to patterns of extracellular matrix relative protein abundance in rabbits subjected to greater cyclical loading. This indicates that TMJs routinely subjected to higher masticatory stresses due to a challenging diet eventually develop postnatal decreases in the ability to counter compressive loads during postcanine biting and chewing. These findings provide novel information regarding TMJ performance, with broader implications about the costs and benefits of phenotypic plasticity as well as implications for how such biological processes affect connective tissue mechanobiology and pathobiology.
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Affiliation(s)
- Matthew J Ravosa
- Department of Biological Sciences, Galvin Life Science Center, University of Notre Dame, Notre Dame, IN 46556, USA; Department of Aerospace and Mechanical Engineering, University of Notre Dame, Notre Dame, IN 46556, USA; Department of Anthropology, University of Notre Dame, Notre Dame, IN 46556, USA.
| | - Robert J Kane
- Department of Biological Sciences, Galvin Life Science Center, University of Notre Dame, Notre Dame, IN 46556, USA.
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17
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Jeon HM, Ahn YW, Jeong SH, Ok SM, Choi J, Lee JY, Joo JY, Kwon EY. Pattern analysis of patients with temporomandibular disorders resulting from unilateral mastication due to chronic periodontitis. J Periodontal Implant Sci 2017; 47:211-218. [PMID: 28861285 PMCID: PMC5577439 DOI: 10.5051/jpis.2017.47.4.211] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Accepted: 07/12/2017] [Indexed: 11/22/2022] Open
Abstract
Purpose The purpose of the present study was to perform a pattern analysis in patients with temporomandibular disorder (TMD) resulting from unilateral mastication due to chronic periodontitis. Methods Thirty participants with signs or symptoms of TMD who engaged in unilateral mastication due to periodontitis-related discomfort (test group) were selected. Another 30 subjects exhibiting signs or symptoms of TMD resulting from unilateral mastication not due to chronic periodontitis (control group) were also recruited. An interview-based questionnaire was administered, and an examination of the temporomandibular joint (TMJ) with determination of periodontal status was performed. Results The duration of unilateral mastication was significantly longer in the control group than in the test group. There was a significant negative correlation between the duration of unilateral mastication and the Community Periodontal Index score. Using the Research Diagnostic Criteria for TMD (RDC/TMD) axis I algorithms, all the subjects were assigned to 3 main groups. The test group exhibited significantly a higher diagnostic distribution of group III (arthralgia, osteoarthritis, or osteoarthrosis), and in both the test and control groups, the number of diagnoses was larger for the non-chewing side. The control group showed a significantly higher diagnostic distribution of group I (myofacial pain), and in both the test and control groups, the number of diagnoses was larger for the chewing side. Conclusions The results of the present study indicate that unilateral mastication due to chronic periodontitis could induce not only pain but also structural TMJ changes if adequate treatment is not administered and supported within a short time from the onset of the condition. Therefore, immediate treatment of chronic periodontitis is recommended to prevent not only the primary progress of periodontal disease, but also secondary TMJ-related problems. Furthermore, subjects who have suffered chronic long-term periodontitis without treatment should be urged to undergo a TMJ examination.
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Affiliation(s)
- Hye-Mi Jeon
- Dental Clinic Center, Pusan National University Hospital, Busan, Korea
| | - Yong-Woo Ahn
- Department of Oral Medicine, Pusan National University School of Dentistry, Yangsan, Korea
| | - Sung-Hee Jeong
- Department of Oral Medicine, Pusan National University School of Dentistry, Yangsan, Korea
| | - Soo-Min Ok
- Department of Oral Medicine, Pusan National University School of Dentistry, Yangsan, Korea
| | - Jeomil Choi
- Department of Periodontology, Pusan National University School of Dentistry, Yangsan, Korea
| | - Ju-Youn Lee
- Department of Periodontology, Pusan National University School of Dentistry, Yangsan, Korea
| | - Ji-Young Joo
- Department of Periodontology, Pusan National University School of Dentistry, Yangsan, Korea
| | - Eun-Young Kwon
- Dental Clinic Center, Pusan National University Hospital, Busan, Korea.,Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
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18
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Kyllar M, Putnová B, Jekl V, Stehlík L, Buchtová M, Štembírek J. Diagnostic imaging modalities and surgical anatomy of the temporomandibular joint in rabbits. Lab Anim 2017; 52:38-50. [PMID: 28443382 DOI: 10.1177/0023677217702178] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The temporomandibular joint (TMJ) is a condylar synovial joint that, together with the masticatory muscles, controls mandibular movement during mastication. The rabbit is often used as a model species for studying the mechanisms of TMJ diseases, and in regenerative research. However, there are significant differences between rabbit and human TMJs that should be taken into account before using this model for experimental research. Here, we use several analytical approaches (radiography, computed tomography and magnetic resonance imaging) to enable a detailed description and analysis of the rabbit TMJ morphology. Moreover, possible surgical approaches have been introduced with a focus on available access into the rabbit TMJ cavity, which relate our findings to clinical usage.
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Affiliation(s)
- Michal Kyllar
- 1 Department of Anatomy, Histology and Embryology, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic.,2 Companion Care, Broadstairs, UK
| | - Barbora Putnová
- 3 Institute of Animal Physiology and Genetics, v.v.i., Academy of Sciences of Czech Republic, Brno, Czech Republic.,4 Department of Pathological Morphology and Parasitology, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic
| | - Vladimír Jekl
- 5 Avian and Exotic Animal Clinic, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic
| | - Ladislav Stehlík
- 6 Department of Diagnostic Imaging, Small Animals Clinics, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic
| | - Marcela Buchtová
- 3 Institute of Animal Physiology and Genetics, v.v.i., Academy of Sciences of Czech Republic, Brno, Czech Republic
| | - Jan Štembírek
- 3 Institute of Animal Physiology and Genetics, v.v.i., Academy of Sciences of Czech Republic, Brno, Czech Republic.,7 Department of Oral and Maxillofacial Surgery, University Hospital Ostrava, Czech Republic
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19
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Zeng G, Kuang B, Xun WX, Ren GT, Wei KW. Response of mandibular condyles of juvenile and adult rats to abnormal occlusion and subsequent exemption. Arch Oral Biol 2017; 80:136-143. [PMID: 28414988 DOI: 10.1016/j.archoralbio.2017.03.019] [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: 11/15/2016] [Revised: 03/25/2017] [Accepted: 03/27/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The adaptation capacities of the mandibular condyle in response to mechanical stimuli might be different between juveniles and adults, but has not been compared. This study aimed to investigate whether abnormal molar occlusion and subsequent molar extraction could lead to different remodeling responses in the mandibular condyles of juvenile and adult rats. METHODS Abnormal molar occlusion (AMO) was established in the 5- and 16-wk old rats by moving their maxillary left and mandibular right third molars distally. AMO was removed in the molar extraction group at 4 weeks but remained in the AMO group. All rats were sacrificed at 8 weeks. Micro-computed tomography, histomorphology, immunohistochemistry and real-time PCR were adopted to evaluate the remodeling of condylar subchondral bone. RESULTS Condylar subchondral bone loss and increased osteoclastic activities were observed in both juvenile and adult AMO groups, while increased osteoblastic activities were only seen in the juvenile AMO group. Decreased bone mineral density, bone volume fraction and trabecular thickness, but increased trabecular separation, number and surface of osteoclasts and mRNA levels of TRAP, cathepsin-K, RANKL in the juvenile AMO group were all reversed after molar extraction (all P<0.05). However, these parameters showed no difference between adult AMO and extraction groups (all P>0.05). CONCLUSIONS Abnormal molar occlusion led to degenerative remodeling in the mandibular condyles of both juvenile and adult rats, while exemption of abnormal occlusion caused significant rescue of the degenerative changes only in the juvenile rats.
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Affiliation(s)
- Guang Zeng
- Department of Dentistry, Tangdu Hospital, Forth Military Medical University, Xi'an, 710038, China
| | - Bin Kuang
- Department of Stomatology, First People's Hospital, Lanzhou, 730050, China
| | - Wen-Xing Xun
- Department of Dentistry, Tangdu Hospital, Forth Military Medical University, Xi'an, 710038, China
| | - Gao-Tong Ren
- Department of Immunology, Forth Military Medical University, Xi'an, 710032, China
| | - Ke-Wen Wei
- Department of Dentistry, Tangdu Hospital, Forth Military Medical University, Xi'an, 710038, China.
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Watson PJ, Gröning F, Curtis N, Fitton LC, Herrel A, McCormack SW, Fagan MJ. Masticatory biomechanics in the rabbit: a multi-body dynamics analysis. J R Soc Interface 2015; 11:rsif.2014.0564. [PMID: 25121650 PMCID: PMC4233732 DOI: 10.1098/rsif.2014.0564] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Multi-body dynamics is a powerful engineering tool which is becoming increasingly popular for the simulation and analysis of skull biomechanics. This paper presents the first application of multi-body dynamics to analyse the biomechanics of the rabbit skull. A model has been constructed through the combination of manual dissection and three-dimensional imaging techniques (magnetic resonance imaging and micro-computed tomography). Individual muscles are represented with multiple layers, thus more accurately modelling muscle fibres with complex lines of action. Model validity was sought through comparing experimentally measured maximum incisor bite forces with those predicted by the model. Simulations of molar biting highlighted the ability of the masticatory system to alter recruitment of two muscle groups, in order to generate shearing or crushing movements. Molar shearing is capable of processing a food bolus in all three orthogonal directions, whereas molar crushing and incisor biting are predominately directed vertically. Simulations also show that the masticatory system is adapted to process foods through several cycles with low muscle activations, presumably in order to prevent rapidly fatiguing fast fibres during repeated chewing cycles. Our study demonstrates the usefulness of a validated multi-body dynamics model for investigating feeding biomechanics in the rabbit, and shows the potential for complementing and eventually reducing in vivo experiments.
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Affiliation(s)
- Peter J Watson
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
| | - Flora Gröning
- Musculoskeletal Research Programme, School of Medicine and Dentistry, University of Aberdeen, Aberdeen AB25 2ZD, UK
| | - Neil Curtis
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
| | - Laura C Fitton
- Centre for Anatomical and Human Sciences, Hull York Medical School, University of York, York YO10 5DD, UK
| | - Anthony Herrel
- Département d'Ecologie et de Gestion de la Biodiversité, Muséum National d'Histoire Naturelle, Case postale 55, Paris Cedex 5 75231, France Evolutionary Morphology of Vertebrates, Ghent University, K.L. Ledeganckstraat 35, 9000 Gent, Belgium
| | - Steven W McCormack
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
| | - Michael J Fagan
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
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Zhang HY, Liu YD, Yang HX, Zhang M, Liao LF, Wan XH, Wang MQ. Installing and thereafter removing an aberrant prosthesis elicited opposite remodelling responses in growing mouse temporomandibular joints. J Oral Rehabil 2015; 42:685-92. [PMID: 25940877 DOI: 10.1111/joor.12304] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2015] [Indexed: 01/23/2023]
Abstract
Temporomandibular joint (TMJ) displays a high remodelling capability. The current purpose was to investigate the differences between mandibular condylar remodelling responses of growing mice to installation and removal of unilateral anterior crossbite (UAC) prosthesis. Twenty-four mice were divided into one mock control group and two UAC groups. Unilateral anterior crossbite was created by installing a pair of prosthesis to left-side maxillary and mandibular incisors. Unilateral anterior crossbite was removed in removal group at 3 weeks but remained in UAC group. Temporomandibular joints were sampled at 7 weeks. Changes in condylar cartilage and subchondral bone were assessed by histology and in vivo micro-CT. Real-time PCR and immunohistochemistry were performed to evaluate expression changes in ADAMTS-5, MMP-3, MMP-9, MMP-13, IL-1, TNF-α, OPG and RANKL. Statistical analysis was performed at α = 0.05. Temporomandibular joint cartilage degradation was induced by UAC as previously reported but was reversed by removal of UAC. The dropped cartilage thickness, chondrocyte number and collagen II-positive area, the increased expression levels of Adamts-5, Mmp3, 9, 13, Tnf-α and Il-1β in cartilage, the decreased ratio of OPG/RANKL in both condylar cartilage and subchondral bone, the loss of TMJ subchondral bone and the increase in the TRAP-positive cells in subchondral bone were all reversed in the removal group (P < 0.05). The growing mouse TMJ condyle displays a high remodelling capability which can be degenerative and rehabilitative, respectively, in response to placement and thereafter removal of the aberrant prosthesis. Eliminating aberrant prosthesis is helpful to promote the degraded condyle to recover.
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Affiliation(s)
- H Y Zhang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Y D Liu
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - H X Yang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - M Zhang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - L F Liao
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - X H Wan
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - M Q Wang
- State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, The Fourth Military Medical University, Xi'an, China
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Jing Z, Gu Z, Feng J. Forward mandibular positioning enhances the expression of Ang-1 and Ang-2 in rabbit condylar chondrocytes. Mol Med Rep 2013; 8:1094-8. [PMID: 23934380 DOI: 10.3892/mmr.2013.1620] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Accepted: 07/29/2013] [Indexed: 11/06/2022] Open
Abstract
Functional appliances correct dental malocclusion, partly by exerting an indirect mechanical stimulus on the condylar cartilage, initiating novel bone formation in the condyle. Angiopoietin is involved in the angiogenesis associated with novel bone formation. This study aimed to determine the expression of angiopoietin (Ang)‑1 and ‑2 following forward mandibular positioning (FMP) in the condylar chondrocytes of rabbits. Sixty rabbits (age, 8 weeks) were randomly allocated to the experimental and control groups (n=30 per group). In the experimental group, FMP was induced by a functional appliance. Five rabbits from the experimental group and the control group were sacrificed following 3 days and 1, 2, 4, 8 and 12 weeks, respectively. The right temporomandibular joints (TMJs) were collected and the expression of Ang‑1 and -2 was evaluated by immunohistochemical staining. The expression of Ang-1 increased at day 3 and reached a peak at 2 weeks, whereas Ang‑2 reached maximal expression 4 weeks after FMP. Subsequently, the expression of Ang‑1 and ‑2 gradually decreased. Thus, FMP enhanced the expression of Ang‑1 and Ang‑2 in condylar cartilage, which is related to angiogenesis in the process of endochondral ossification.
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Affiliation(s)
- Zhan Jing
- Department of Stomatology, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou, Zhejiang 310016, P.R. China.
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Xie Q, Li X, Xu X. The difficult relationship between occlusal interferences and temporomandibular disorder - insights from animal and human experimental studies. J Oral Rehabil 2013; 40:279-95. [PMID: 23356664 DOI: 10.1111/joor.12034] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/03/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Q. Xie
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
| | - X. Li
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
| | - X. Xu
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
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Levartovsky S, Gavish A, Nagar Y, Sarphati L, Levartovsky D, Winocur E. The association between dental status and temporomandibular osseous changes: a morphological study on Roman-Byzantine skeletons. J Oral Rehabil 2012; 39:888-95. [DOI: 10.1111/joor.12001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2012] [Indexed: 11/30/2022]
Affiliation(s)
- S. Levartovsky
- Department of Oral Rehabilitation; The Maurice and Gabriela Goldschleger School of Dental Medicine; Tel Aviv University; Tel Aviv
| | - A. Gavish
- Department of Oral and Maxillofacial Surgery; Beilinson Hospital; Rabin Medical Center; Sackler School of Medicine; Tel Aviv University; Tel Aviv
| | - Y. Nagar
- Department of Interdisciplinary Studies; Israel Antiquities Authority; Jerusalem
| | - L. Sarphati
- The Maurice and Gabriela Goldschleger School of Dental Medicine; Tel Aviv University; Tel Aviv
| | - D. Levartovsky
- Department of Rheumatology; Sourasky Medical Center; Sackler School of Medicine; Tel Aviv University; Tel Aviv Israel
| | - E. Winocur
- Department of Oral Rehabilitation; The Maurice and Gabriela Goldschleger School of Dental Medicine; Tel Aviv University; Tel Aviv
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25
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Im JH, Kim SG, Oh JS, Lim SC, Ha JM. Influence of unilateral tooth loss in the temporomandibular joint and masseter muscle of rabbits. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:9-16. [PMID: 22732844 DOI: 10.1016/j.tripleo.2011.05.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2011] [Revised: 05/10/2011] [Accepted: 05/20/2011] [Indexed: 02/07/2023]
Abstract
OBJECTIVE The purpose of this study was to evaluate the influence of the masticatory system in patients with missing teeth. STUDY DESIGN The influence of tooth loss on the masticatory system was analyzed with the use of bone scintigraphy ((99m)Tc-MDP) and histochemistry. Eight white rabbits (New Zealand, 12 weeks old) were used. The rabbits were divided into 2 groups: 6 weeks and 12 weeks. Teeth were extracted unilaterally in each rabbit under general anesthesia. Six and 12 weeks after extraction, scintigraphy was conducted, and the rabbits were killed and their masseter muscles removed for histochemical analysis. RESULTS The results of bone metabolism (relative ratio) measured by bone scintigraphy were 48.27% at extraction sites and 51.73% at nonextraction sites at 6 weeks and 39.96% at extraction sites and 60.04% at nonextraction sites at 12 weeks. There was a significant difference at 12 weeks (P < .05). Tissue calcium contents and osteoclast counts showed different results between the extraction and nonextraction sites, but these differences did not reach statistical significance. CONCLUSIONS The bone metabolism of temporomandibular joints and histochemical aspects of masticatory muscles may be associated with occlusal alterations following tooth loss.
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Affiliation(s)
- Jae-Hyung Im
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
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26
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Mizumachi-Kubono M, Watari I, Ishida Y, Ono T. Unilateral maxillary molar extraction influences AQP5 expression and distribution in the rat submandibular salivary gland. Arch Oral Biol 2012; 57:877-83. [PMID: 22424887 DOI: 10.1016/j.archoralbio.2012.02.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2011] [Revised: 01/21/2012] [Accepted: 02/03/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE Mastication has been regarded as a crucial factor for maintaining the morphology and function of secretion in salivary glands. Although it is known that occlusion affects mastication, the detailed process for how occlusal changes affect the secretory function of salivary glands is still unknown. Aquaporin 5 (AQP5) is a membrane protein that forms water channels, and plays an important role in water transport. In this study, we investigated the structural changes and alterations in the expression and distribution of AQP5 in the rat submandibular salivary gland (SMG) under occlusal hypofunction after unilateral molar extraction. METHODS Seven-week-old male Wistar rats (n = 36) were used in the study. In the experimental group, all of the right maxillary molars were extracted. Rats with no molar extraction were used as the control group. The rats were euthanized at 7, 14 or 28 days after the procedure, and the right SMGs were isolated and subjected to histological analyses. The expression and distribution of AQP5 were detected by immunohistochemistry. RESULTS Morphological analyses revealed hypertrophic changes in the acinar cells in the experimental group. Immunohistochemical staining of AQP5 was detected in the apical membrane (APM) and intercellular secretory canaliculi of acinar cells in both groups. On the other hand, the AQP5 expression in the APM and intercellular secretory canaliculi of acinar cells was less prominent in the experimental group than in the control group. CONCLUSIONS The present findings suggest that unilateral molar extraction has significant influences on the function of water transport in the rat SMG.
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Affiliation(s)
- Mariko Mizumachi-Kubono
- Orthodontic Science, Department of Orofacial Development and Function, Division of Oral Health Science, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Tokyo 113-8549, Japan.
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Yokoyama M, Atsumi T, Tsuchiya M, Koyama S, Sasaki K. Dynamic changes in bone metabolism in the rat temporomandibular joint after molar extraction using bone scintigraphy. Eur J Oral Sci 2009; 117:374-9. [DOI: 10.1111/j.1600-0722.2009.00635.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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28
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Death and proliferation of chondrocytes in the degraded mandibular condylar cartilage of rats induced by experimentally created disordered occlusion. Apoptosis 2008; 14:22-30. [DOI: 10.1007/s10495-008-0279-5] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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29
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Ravosa MJ, Lopez EK, Menegaz RA, Stock SR, Stack MS, Hamrick MW. Using "Mighty Mouse" to understand masticatory plasticity: myostatin-deficient mice and musculoskeletal function. Integr Comp Biol 2008; 48:345-59. [DOI: 10.1093/icb/icn050] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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30
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A Quantitative Study of the Microstructure and Biochemistry of the Medial Meniscal Horn Attachments. Ann Biomed Eng 2007; 36:123-31. [DOI: 10.1007/s10439-007-9403-x] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2007] [Accepted: 10/31/2007] [Indexed: 10/22/2022]
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31
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Ravosa MJ, Kunwar R, Stock SR, Stack MS. Pushing the limit: masticatory stress and adaptive plasticity in mammalian craniomandibular joints. ACTA ACUST UNITED AC 2007; 210:628-41. [PMID: 17267649 DOI: 10.1242/jeb.02683] [Citation(s) in RCA: 71] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Excessive, repetitive and altered loading have been implicated in the initiation of a series of soft- and hard-tissue responses or ;functional adaptations' of masticatory and locomotor elements. Such adaptive plasticity in tissue types appears designed to maintain a sufficient safety factor, and thus the integrity of given element or system, for a predominant loading environment(s). Employing a mammalian species for which considerable in vivo data on masticatory behaviors are available, genetically similar domestic white rabbits were raised on diets of different mechanical properties so as to develop an experimental model of joint function in a normal range of physiological loads. These integrative experiments are used to unravel the dynamic inter-relationships among mechanical loading, tissue adaptive plasticity, norms of reaction and performance in two cranial joint systems: the mandibular symphysis and temporomandibular joint (TMJ). Here, we argue that a critical component of current and future research on adaptive plasticity in the skull, and especially cranial joints, should employ a multifaceted characterization of a functional system, one that incorporates data on myriad tissues so as to evaluate the role of altered load versus differential tissue response on the anatomical, cellular and molecular processes that contribute to the strength of such composite structures. Our study also suggests that the short-term duration of earlier analyses of cranial joint tissues may offer a limited notion of the complex process of developmental plasticity, especially as it relates to the effects of long-term variation in mechanical loads, when a joint is increasingly characterized by adaptive and degradative changes in tissue structure and composition. Indeed, it is likely that a component of the adaptive increases in rabbit TMJ and symphyseal proportions and biomineralization represent a compensatory mechanism to cartilage degradation that serves to maintain the overall functional integrity of each joint system. Therefore, while variation in cranial joint anatomy and performance among sister taxa is, in part, an epiphenomenon of interspecific differences in diet-induced masticatory stresses characterizing the individual ontogenies of the members of a species, this behavioral signal may be increasingly mitigated in over-loaded and perhaps older organisms by the interplay between adaptive and degradative tissue responses.
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Affiliation(s)
- Matthew J Ravosa
- Department of Pathology and Anatomical Sciences, University of Missouri School of Medicine, M263 Medical Sciences Building, One Hospital Drive DC055.07, Columbia, MO 65212, USA.
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Wang MQ, Cao HT, Liu FR, Chen C, Li G. Association of tightly locked occlusion with temporomandibular disorders. J Oral Rehabil 2007; 34:169-73. [PMID: 17302944 DOI: 10.1111/j.1365-2842.2006.01657.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The association between teeth loss and temporomandibular disorders (TMD) is still inconclusive. A kind of secondary changes of the occlusion after teeth lose called the tightly locked occlusion (TLO), defined as the occluding contact that delivers angled occlusal force on the drifted neighbour and/or the tipped antagonists of the lost posterior teeth, was hypothesized to be association with TMD. The study aimed at investigating the association between the TLO and TMD. A total of 113 posterior-teeth losing patients, 64 with TMD symptoms (group of TMD) and 49 without (group of TMD-Free) were included. Study casts and joint radiographs were made to diagnose the TLO and joint morphological changes. The simultaneous contribution of the potential variables of gender, age, tooth losing number, the TLO, joint symmetry and signs of osteoarthrosis shown on radiographs were tested through binary logistic regression analysis. In women, the TLO entered into logistic model, and had an effect on the incidence of TMD (P = 0.008). The odds ratio of with-TLO versus without-TLO is 2.6 (95% CI: 1.2, 5.8) after controlling for the effect of gender. Age, tooth lose number, joint asymmetry or osseous changes had no effect on the incidence of TMD. The tightly locked occlusion is associated with some signs and symptoms of TMD. Randomized controlled trials will be needed in further studies to test the hypothesis that treatment of a TLO, as defined in the present study, will have a beneficial effect on the signs and symptoms of TMD.
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Affiliation(s)
- M-Q Wang
- Department of Oral Anatomy and Physiology, Stomatological College, Fourth Military Medical University, Xi'an City, Shaanxi Province, China.
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Maeda Y, Sogo M, Tsutsumi S. Efficacy of a posterior implant support for extra shortened dental arches: a biomechanical model analysis. J Oral Rehabil 2005; 32:656-60. [PMID: 16102078 DOI: 10.1111/j.1365-2842.2005.01478.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The purpose of this study was to test the efficacy of utilizing implants underneath distal free-end denture bases to establish a stable occlusal support for extreme shortened dental arches (ESDA). The authors constructed a two-dimensional finite element model of the ESDA where only lower anterior teeth remain. Posterior occlusal support was provided by a fixed partial denture with an osseointegrated implant (IFPD), fixed cantilever partial denture (CFPD), or a removable partial denture with or without an implant underneath (IRPD and RPD). A dentate mandible model was the control. When muscle vectors simulating clenching force were applied, stress levels on the temporal bone surface area under each configuration were compared, to evaluate the efficacy in establishing the occlusal support. The largest stress increase in temporal bone was found in the ESDA situation followed by the RPD. The least amount of stress increase was found with the IFPD followed by IRPD when the implant was placed in the molar region. The stress increase with IRPD was about 20-45% of the amount with RPD. Our results suggest that IFPD provides most favourable and stable occlusal support, however, IRPD with a single posterior implant also provide stable occlusal support with reducing the stress levels in the temporomandibular joint.
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Affiliation(s)
- Y Maeda
- Division for Interdisciplinary Dentistry, Osaka University Faculty of Dentistry, Osaka, Japan.
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Fujisawa T, Kuboki T, Kasai T, Sonoyama W, Kojima S, Uehara J, Komori C, Yatani H, Hattori T, Takigawa M. A repetitive, steady mouth opening induced an osteoarthritis-like lesion in the rabbit temporomandibular joint. J Dent Res 2003; 82:731-5. [PMID: 12939359 DOI: 10.1177/154405910308200914] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Although excessive mechanical stress is assumed to be one of the factors contributing to pathogenesis of temporomandibular joint (TMJ) osteoarthritis (OA), no pure mechanical-stress-induced OA model has been developed without surgical manipulation or puncture of the joint cavity. The purpose of this study was to establish a genuine mechanical-stress-induced OA model of the rabbit TMJ. In the experimental rabbits, repetitive, forced jaw-opening, 3 hrs/day for 5 days, was applied with the use of a general anesthesia protocol. By histological assessment of the TMJ articular tissues, partial eburnation of the articular cartilage, reactive marginal proliferation of the articular cartilage chondrocytes, and nested proliferation of chondrocytes in the subchondral bone area were observed at 7 days after the repetitive, forced-jaw-opening period. These results suggest that the repetitive, forced-jaw-opening protocol without surgical intervention can induce evident OA-like lesions in the rabbit TMJ, and this OA model may greatly contribute to the elucidation of the cartilage degradation mechanism in TMJ OA.
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Affiliation(s)
- T Fujisawa
- Oral and Maxillofacial Rehabilitation, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
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