ABSTRACT
Abstract Objectives: Miniscrew has been frequently used, considering that anchorage control is a critical point in orthodontic treatment, and its failure, the main adverse problem. Using two groups of stable (successful) and unstable (failed) mini-implants, this in vivo study aimed to quantify proinflammatory cytokines IL-1 α, IL-6, IL-17, and TNF-α and osteoclastogenesis marker RANK, RANKL, and OPG in gingival tissue, using the real-time polymerase chain reaction technique. Methodology: Thirteen patients of both sexes (11-49 years old) under orthodontic treatment were selected, obtaining 11 successful and 7 failed mini-implants. The mini-implants were placed and removed by the same surgeon, in both jaws. The mean time of permanence in the mouth was 29.4 months for successful and 7.6 months for failed mini-implants. At removal time, peri-mini-implant gingival tissue samples were collected and processed for quantification of the proinflammatory cytokines and osteoclastogenesis markers. Nonparametric Wilcoxon rank-sum test considering the clusters and Kruskal-Wallis test were used for statistical analysis (α=0.05). Results: No significant difference (p>0.05) was observed between the groups for either quantification of cytokines or osteoclastogenesis markers, except for IL-6 (p<0.05). Conclusions: It may be concluded that the expression of IL-1α, IL-17, TNF-α, RANK, RANKL, and OPG in peri-implant gingival tissue were not determinant for mini-implant stability loss, but the higher IL-6 expression could be associated with mini-implant failure.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Osteogenesis/physiology , Dental Implants/adverse effects , Cytokines/analysis , Orthodontic Anchorage Procedures/adverse effects , Peri-Implantitis/pathology , Gingivitis/pathology , Reference Values , Time Factors , Biomarkers/analysis , Alveolar Bone Loss , Treatment Outcome , Statistics, Nonparametric , Osteoprotegerin/analysis , Real-Time Polymerase Chain ReactionABSTRACT
The aim of this article is to show the clinical and histochemical alterations of the first periodontal ligament, on the right side, after upper molars teeth extraction on the left side in gerbils. After two months, the periodontal ligaments were removed and processed for histochemical analysis. The data showed that TRAP reaction was able to evidence the osteoclastic activity in the hyperfunction hemimandible, right side, explaining the functional changes in the periodontal ligament after teeth extraction, and a little gingival recession and radicular exposure of teeth without function was observed at inferior molars of the left side.
El objetivo de este artículo es mostrar las alteraciones clínicas e histoquímicas del primer ligamento periodontal del lado derecho, después de la extracción del molar superior izquierdo en gerbiles {Meriones unguiculatus). Luego de dos meses, los ligamentos periodontales fueron retirados y procesados para el análisis histoquímico. Los resultados mostraron que la reacción de TRAP es capaz de evidenciar la actividad osteoclástica en la hiperfunción de la semimandíbula derecha, explicando los cambios funcionales del ligamento periodontal después de la extracción dental, siendo observada una pequeña recesión gingival y exposición radicular de los dientes sin función, en los molares inferiores izquierdos.