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Métodos Terapêuticos e Terapias MTCI
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1.
Angle Orthod ; 80(1): 116-22, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19852650

RESUMO

OBJECTIVES: To describe the microscopic pulpal reactions resulting from orthodontically induced tooth movement associated with low-level laser therapy (LLLT) in rats. MATERIALS AND METHODS: Forty-five young male Wistar rats were randomly assigned to three groups. In group I (n = 20), the maxillary right first molars were submitted to orthodontic movement with placement of a coil spring. In group II (n = 20), the teeth were submitted to orthodontic movement plus LLLT at 4 seconds per point (buccal, palatal, and mesial) with a GaAlAs diode laser source (830 nm, 100 mW, 18 J/cm(2)). Group III (n = 5) served as a control (no orthodontic movement or LLLT). Groups I and II were divided into four subgroups according to the time elapsed between the start of tooth movement and sacrifice (12 hours, 24 hours, 3 days, and 7 days). RESULTS: Up until the 3-day period, the specimens in group I presented a thicker odontoblastic layer, no cell-free zone of Weil, pulp core with differentiated mesenchymal and defense cells, and a high concentration of blood vessels. In group II, at the 12- and 24-hour time points, the odontoblastic layer was disorganized and the cell-free zone of Weil was absent, presenting undifferentiated cells, intensive vascularization with congested capillaries, and scarce defense cells in the cell-rich zone. In groups I and II, pulpal responses to the stimuli were more intense in the area underneath the region of application of the force or force/laser. CONCLUSIONS: The orthodontic-induced tooth movement and LLLT association showed reversible hyperemia as a tissue response to the stimulus. LLLT leads to a faster repair of the pulpal tissue due to orthodontic movement.


Assuntos
Polpa Dentária/patologia , Terapia com Luz de Baixa Intensidade , Técnicas de Movimentação Dentária , Animais , Capilares/patologia , Núcleo Celular/patologia , Cromatina/patologia , Citoplasma/patologia , Polpa Dentária/irrigação sanguínea , Polpa Dentária/efeitos da radiação , Eritrócitos/patologia , Fibroblastos/patologia , Hiperemia/patologia , Lasers Semicondutores , Masculino , Mesoderma/patologia , Dente Molar/patologia , Dente Molar/efeitos da radiação , Odontoblastos/patologia , Fios Ortodônticos , Distribuição Aleatória , Ratos , Ratos Wistar , Fatores de Tempo , Técnicas de Movimentação Dentária/instrumentação
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