Abstract

BackgroundThis study aimed to explore whether compensatory remodeling of the alveolar bone surface occurred during the buccal palatal movement of orthodontic teeth. We preliminarily explored whether corticotomy could activate or accelerate osteogenesis in the alveolar bone surface by measuring the expression of TGF-β1 (transforming growth factor-β1), which can facilitate the proliferation and differentiation of osteoblasts and regulate the maturity and formation of bone.MethodsSixty 10-week-old male Wistar rats were selected. In the orthodontic group, 20 rats were implanted with a constriction device between the maxillary first molars under general anesthesia. In the corticotomy group, 20 rats were implanted with a constriction device, and a palatal incision was made to penetrate the cortical bone. In the control group, 20 rats underwent no experimental operation except general anesthesia. After 1, 3, 5 and 7 days, the maxillary first molars and the surrounding alveolar bone were harvested, and coronal sections containing the apical mesial buccal root were prepared and observed using tetracycline fluorescence, HE staining and immunohistochemical staining for TGF-β1. Image-Pro Plus software was used to assess the immunohistochemical results, and SPSS 22.0 statistical software was used to analyze variance and perform the LSD test.ResultsThe tetracycline fluorescence results showed that in the periosteum near the apical region, an obvious fluorescence signal was observed in the orthodontic group and the corticotomy group compared with the control group. In the orthodontic group and corticotomy group, HE staining showed that the morphology was similar to cube-shaped. The immunohistochemical results showed that TGF-β1 was significantly increased in the periosteum near the apical region in the orthodontic group and corticotomy group, and there were significant differences among the three groups. In addition, the expression of TGF-β1 in the periosteum in the orthodontic group and the corticotomy group gradually increased over time, reaching a peak on day 5 and slightly decreasing on day 7.ConclusionOsteogenesis occurred on the alveolar bone surface during the buccal palatal movement of orthodontic teeth, and corticotomy had a positive effect, and TGF-β1 was involved in this process.

Highlights

  • This study aimed to explore whether compensatory remodeling of the alveolar bone surface occurred during the buccal palatal movement of orthodontic teeth

  • One rat in groups B and C died before the time of sacrifice in the 3-day group, while 1 rat in group B and 2 rats in group C died before the time of sacrifice in the 5-day group; all of these rats were excluded from the statistical analyses

  • Combined with previous studies from this research group and Cone beam computed tomography (CBCT) data from other scholars [1, 27], it can be concluded that compensatory remodeling of the alveolar bone surface occurs, but the rate of remodeling clearly cannot match the rate of tooth movement, which is consistent with previous research results

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Summary

Introduction

This study aimed to explore whether compensatory remodeling of the alveolar bone surface occurred during the buccal palatal movement of orthodontic teeth. We preliminarily explored whether corticotomy could activate or accelerate osteogenesis in the alveolar bone surface by measuring the expression of TGF-β1 (transforming growth factor-β1), which can facilitate the proliferation and differentiation of osteoblasts and regulate the maturity and formation of bone. Compensatory accretion and absorption occur on the surface of the corresponding alveolar bone to maintain constant alveolar bone thickness. A large number of CBCT measurements have shown that the alveolar bone does not move with the teeth following the removal of first premolars with retraction of the anterior teeth [1]. The palatal alveolar bone thickness is generally decreased, while the labial alveolar bone thickness remains unchanged or exhibits only a small amount of accretion. The alveolar bone is mainly absorbed, and accretion is very limited [2, 3]

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