Effect of two corticotomy protocols on periodontal tissue and orthodontic movement

Objective: To compare two corticotomy surgical protocols in rats to verify whether they alter conventional orthodontic movement. Methodology: Sixty Wistar rats were divided into three groups – orthodontic movement (CG), orthodontic movement and corticotomy (G1) and orthodontic movement with corticotomy and decortication (G2) – and euthanized after 7 and 14 days. Tooth movement (mm), bone volume fraction and bone volume ratio to total volume (BV/TV), and bone mineral density (BMD) were evaluated by micro-CT. The total amount of bone was measured in square millimeters and expressed as the percentage of bone area in the histomorphometry. The number of positive TRAP cells and RANK/RANKL/OPG interaction were also investigated. Results: Day 14 showed a statistically significant difference in orthodontic tooth movement in CG compared with G1 (7.52 mm; p=0.009) and G2 (7.36 mm; p=0.016). A micro-CT analysis revealed a difference between CG, G1 and G2 regarding BV/TV, with G1 and G2 presenting a lower BV/TV ratio at 14 days (0.77 and 0.73 respectively); we found no statistically significant differences regarding BMD. There was a difference in the total amount of bone in the CG group between 7 and 14 days. At 14 days, CG presented a significantly higher bone percentage than G1 and G2. Regarding TRAP, G2 had more positive cells at 7 and 14 days compared with CG and G1. Conclusion: Corticotomy accelerates orthodontic movement. Decortication does not improve corticotomy efficiency

Antimicrobial Photodynamic Therapy for the Treatment of Teeth with Apical Periodontitis: A Histopathological Evaluation

Introduction: This study evaluated the in vivo response of apical and periapical tissues of dogs' teeth with apical periodontitis after one-session endodontic treatment with and without antimicrobial photodynamic therapy (aPDT). Methods: Sixty root canals with experimentally induced apical periodontitis were instrumented and assigned to 4 groups receiving aPDT and root canal filling (RCF) or not: group aPDT+/RCF- (n = 20): aPDT (photosensitizer phenothiazine chloride at 10 mg/mL for 3 minutes and diode laser [2 = 660 nm, 60 mW/cm(2)] for 1 minute) and RCF in the same session; group aPDT+/RCF (n = 10); group aPDT /RCF+ (n = 20), and group aPDT /RCF (n = 10). Teeth were restored, and the animals were killed after 90 days. Sections from the maxillas and mandibles were stained with hematoxylin-eosin and Mallory trichrome and examined under light microscopy. Descriptive (ie, newly formed apical mineralized tissue, periapical inflammatory infiltrate, apical periodontal ligament thickness, and mineralized tissue resorption) and quantitative (ie, periapical lesion size and number of inflammatory cells) microscopic analysis was performed. Quantitative data were analyzed by the Kruskal-Wallis and Dunn tests (alpha =.05). Results: In the aPDT-treated groups, the periapical region was moderately/severely enlarged with no inflammatory cells, moderate neoangiogenesis and fibrogenesis, and the smallest periapical lesions. Conclusions: Although apical closure by mineralized tissue deposition was not achieved, the absence of inflammatory cells, moderate neoangiogenesis, and fibrogenesis in the periapical region in the groups treated with aPDT indicate that this can be a promising adjunct therapy to cleaning and shaping procedures in teeth with apical periodontitis undergoing one-session endodontic treatment. (J Endod 2012;38:360-366

Photoelastic analysis of stress generated by wires when conventional and self-ligating brackets are used: A pilot study

OBJECTIVE: By means of a photoelastic model, this study analyzed the stress caused on conventional and self-ligating brackets with expanded arch wires. METHOD: Standard brackets were adhered to artificial teeth and a photoelastic model was prepared using the Interlandi 19/12 diagram as base. Successive activations were made with 0.014-in and 0.018-in rounded cross section Nickel-Titanium wires (NiTi) and 0.019 x 0.025-in rectangular stainless steel wires all of which made on 22/14 Interlandi diagram. The model was observed on a plane polariscope - in a dark field microscope configuration - and photographed at each exchange of wire. Then, they were replaced by self-ligating brackets and the process was repeated. Analysis was qualitative and observed stress location and pattern on both models analyzed. CONCLUSIONS: Results identified greater stress on the region of the apex of premolars in both analyzed models. Upon comparing the stress between models, a greater amount of stress was found in the model with conventional brackets in all of its wires. Therefore, the present pilot study revealed that alignment of wires in self-ligating brackets produced lower stress in periodontal tissues in expansive mechanics

Experimental tooth movement in murines: study period and direction of microscopic sections

AIM: This study aims to elucidate the relevant microscopic aspects of induced tooth movement in murines with regard to: (1) different study periods; and (2) transverse and longitudinal directions of microscopic sections. Experimental studies on induced tooth movement in murines use variable study periods and directions of microscopic sections, including those studies that specifically use the model adopted by Heller and Nanda in 1979. This manuscript was prepared in order to contribute to: (1) selection of the best study design for future studies on induced tooth movement in murines, and (2) improve the analysis criteria to be used by other investigators. METHODS: The study was conducted on 50 male Wistar rats with 90 days of age, submitted to induced tooth movement for periods of 3, 5, 7 and 9 days. The maxillary left first molar was submitted to mesial inclination by application of 75cN of force. Qualitative microscopic analysis evaluated the tissue and cellular phenomena secondary to induced tooth movement, at the different study periods and on transverse and longitudinal sections. RESULTS: Among the phenomena investigated, hyaline areas of periodontal ligament were mostly observed at 5 days, and root resorptions were remarkable and well delineated at 9 days. Both phenomena affected mainly the distal roots, especially the distobuccal root. CONCLUSION: Considering the present objective, study periods of 5 to 9 days and transverse microscopic sections may be suggested for future studies on this subject.OBJETIVO: este trabalho tem por finalidade explicitar aspectos microscópicos relevantes da movimentação dentária induzida em murinos quanto aos: (1) diferentes períodos de observação e (2) planos dos cortes microscópicos transversais e longitudinais. Os estudos experimentais sobre a movimentação dentária induzida em murinos variam quanto aos períodos e planos de cortes microscópicos, mesmo os trabalhos que utilizam especificamente o modelo de Heller e Nanda, de 1979. Para contribuir (1) na escolha do melhor design experimental de movimentação dentária induzida em murinos em futuros trabalhos, e (2) no aperfeiçoamento dos critérios de análise por outros pesquisadores, propusemo-nos a publicar este artigo. MÉTODOS: Empregaram-se 50 ratos machos Wistar, com 90 dias de vida, submetidos à movimentação dentária induzida por períodos de 3, 5, 7 e 9 dias. Utilizou-se movimento de inclinação mesial no primeiro molar superior esquerdo, com uma força equivalente a 75cN. A análise microscópica qualitativa avaliou os fenômenos teciduais e celulares decorrentes da movimentação dentária induzida, nos diferentes períodos de observação e entre os cortes microscópicos transversais e longitudinais. RESULTADOS: dos fenômenos observados, as áreas hialinas tiveram expressão máxima no período de 5 dias e as reabsorções radiculares apresentaram-se exuberantes e bem demarcadas no período de 9 dias. Nos dois fenômenos, as raízes mais afetadas foram as distais, especialmente a raiz distovestibular. CONCLUSÃO: mediante o delineamento proposto, pode-se sugerir, para futuros trabalhos nesta linha de pesquisa, períodos de análise de 5 a 9 dias e cortes microscópicos transversais.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUSP FOBUNIFESP, EPMSciEL

Root morphology can be a risk factor for periodontal damage and root resorption in orthodontic movement

e study evaluated, using histomorphometry, the percentage of hyaline area in periodontal ligament (PDL) and root resorption in orthodontic tooth movement (OTM). Methods: Ten rats were divided into two groups. G3 Group (n=5), with 3 days of OTM and G7 Group (n=5), with 7 days of OTM. A Control Group (n=5) consisted of contralateral teeth of each animal, which were not moved. Maxillary left first molar was moved, using stainless steel spring connected to the incisors with 40g force. Microscopic analysis was done in transversal sections of the mesiovestibular (MV) and distovestibular (DV) roots in the cervical level. Results: There was a PDL hyaline area in the DV root of 6.2% in G3 and 1.8% in G7. The root resorption area in G7 was 0.9%. On MV root and Control Group were not found occurrences of hyaline areas in PDL and no root resorption. Conclusions: Based on the results obtained, it might be concluded that smaller roots showed higher frequency of hyaline areas and root resorption

Electrical Stimulation Therapy and HA/TCP Composite Scaffolds Modulate the Wnt Pathways in Bone Regeneration of Critical-Sized Defects

Critical bone defects are the most difficult challenges in the area of tissue repair. Polycaprolactone (PCL) scaffolds, associated with hydroxyapatite (HA) and tricalcium phosphate (TCP), are reported to have an enhanced bioactivity. Moreover, the use of electrical stimulation (ES) has overcome the lack of bioelectricity at the bone defect site and compensated the endogenous electrical signals. Such treatments could modulate cells and tissue signaling pathways. However, there is no study investigating the effects of ES and bioceramic composite scaffolds on bone tissue formation, particularly in the view of cell signaling pathway. This study aims to investigate the application of HA/TCP composite scaffolds and ES and their effects on the Wingless-related integration site (Wnt) pathway in critical bone repair. Critical bone defects (25 mm2) were performed in rats, which were divided into four groups: PCL, PCL + ES, HA/TCP and HA/TCP + ES. The scaffolds were grafted at the defect site and applied with the ES application twice a week using 10 µA of current for 5 min. Bone samples were collected for histomorphometry, immunohistochemistry and molecular analysis. At the Wnt canonical pathway, HA/TCP and HA/TCP + ES groups showed higher Wnt1 and β-catenin gene expression levels, especially HA/TCP. Moreover, HA/TCP + ES presented higher Runx2, Osterix and Bmp-2 levels. At the Wnt non-canonical pathway, HA/TCP group showed higher voltage-gated calcium channel (Vgcc), calmodulin-dependent protein kinase II, and Wnt5a genes expression, while HA/TCP + ES presented higher protein expression of VGCC and calmodulin (CaM) at the same period. The decrease in sclerostin and osteopontin genes expressions and the lower bone sialoprotein II in the HA/TCP + ES group may be related to the early bone remodeling. This study shows that the use of ES modulated the Wnt pathways and accelerated the osteogenesis with improved tissue maturation