Abstract

Periodontitis, a common disease that can lead to bone destruction, periodontal attachment loss, and tooth loss, is the major cause for oral tissue engineering. Experimental periodontitis is a suitable disease-model for studying bone regeneration and the potential therapeutic role of biomaterials on periodontal tissue engineering, as this in vivo model could be employed to mimic the natural host response under bacteria-caused oral pathological environments. Although large animals with ligature-induced periodontitis have mostly been used for experiments, a mouse model is a better choice for several reasons. Inserting ligature threads through the interproximal space between the teeth is the key step in establishing a periodontitis model, and it is easy to achieve in large animals, but difficult in mice due to the limited operating space. In this work, we provide a new and proven approach for periodontitis induction in mice using C+ nickel-titanium root canal files and stainless-steel ligature wires. The validity of this method was assessed by evaluating alveolar bone loss via micro-CT and detecting periodontal inflammation by histological staining and qPCR after the treatments. Progressive alveolar bone loss was observed from day 3 after the ligature-placement. Infiltration and accumulation of F4/80+ macrophage was also detected. In accordance with the histological results, there was upregulation of the expression levels of the inflammatory genes Il1β, Tnf-α, and Il6 in gingival tissues isolated from the ligation sites. Our results suggest that this novel method could resolve the difficulty of ligature-placement in mice and consequently contribute to further use of mouse models for studying the pathological mechanisms of periodontitis and developing potential periodontal tissue regeneration strategies. C+ files, which are made of nickel-titanium, are tough, elastic, and sufficiently thin to pass through the interproximal space between the teeth after pre-bending to form an appropriate angle, thus providing an access for ligature wire insertion. As a common tool in the dental clinic, it is familiar to researchers of oral biology, and can provide the feasibility for wide application of our method.

Highlights

  • Periodontitis is a chronic inflammatory disease caused by bacterial pathogens and is characterized by inflammatory infiltration and progressive alveolar bone loss (Hajishengallis et al, 2012), and it is highly prevalent all over the world (Lamont et al, 2018)

  • In addition to being the major cause of bone destruction, periodontal attachment loss, and tooth loss in adults, periodontitis is associated with an increased risk of developing fatal systemic disorders such as atherosclerosis (Hajishengallis, 2015), hypertension (Schiffrin and Engert, 2019), rheumatoid arthritis (Potempa et al, 2017), and diabetes (Blasco-Baque et al, 2017; Xiao et al, 2017)

  • We introduce the procedures for ligature placement in detail and present the data that verify the effectiveness of experimental periodontitis induction

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Summary

Introduction

Periodontitis is a chronic inflammatory disease caused by bacterial pathogens and is characterized by inflammatory infiltration and progressive alveolar bone loss (Hajishengallis et al, 2012), and it is highly prevalent all over the world (Lamont et al, 2018). In addition to being the major cause of bone destruction, periodontal attachment loss, and tooth loss in adults, periodontitis is associated with an increased risk of developing fatal systemic disorders such as atherosclerosis (Hajishengallis, 2015), hypertension (Schiffrin and Engert, 2019), rheumatoid arthritis (Potempa et al, 2017), and diabetes (Blasco-Baque et al, 2017; Xiao et al, 2017). Previous studies on periodontitis therapy examined the clearance of pathogenic bacteria and usage of biomaterials for repairing periodontal defects (Ouchi and Nakagawa, 2020). Apart from the significance of studying periodontitis itself, it is a suitable model for studying bone regeneration and investigating the potential therapeutic functions (such as antiinflammation, anti-osteoclast, and osteogenesis) of biomaterials on periodontal tissue engineering, as it is obtained and accessible for observation (Eskan et al, 2012; Manilay and Zouali, 2014; Tsukasaki et al, 2018)

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