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1.
J Bone Miner Metab ; 39(2): 148-159, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32844318

RESUMO

INTRODUCTION: Mechanical stimuli regulate Sclerostin (Scl), a negative regulator of bone formation, expression in osteocytes. However, the detailed Scl distribution in osteocytes in response to mechanical unloading remains unclear. MATERIALS AND METHODS: Twelve-week-old male rats were used. The sciatic and femoral nerves on the right side were excised as mechanical unloading treatment. A sham operation was performed on the left side. One week after neurotrauma, the bone density of the femora was evaluated by peripheral quantitative computed tomography, and immunofluorescence was performed in coronal sections of the femoral diaphysis. The mean fluorescence intensity and fluorescent profile of Scl from the marrow to the periosteal side were analyzed to estimate the Scl expression and determine to which side (marrow or periosteal) the Scl prefers to distribute in response to mechanical unloading. The most sensitive region indicated by the immunofluorescence results was further investigated by transmission electron microscopy (TEM) with immunogold staining to show the Scl expression changes in different subcellular structures. RESULTS: In femur distal metaphysis, neurotrauma-induced mechanical unloading significantly decreased the bone density, made the distribution of Scl closer to the marrow on the anterior and medial side, and increased the Scl expression only on the lateral side. TEM findings showed that only the expression of Scl in canaliculi was increased by mechanical unloading. CONCLUSIONS: Our results showed that even short-term mechanical unloading is enough to decrease bone density, and mechanical unloading not only regulated the Scl expression but also changed the Scl distribution in both the osteocyte network and subcellular structures.


Assuntos
Proteínas Morfogenéticas Ósseas/metabolismo , Osteócitos/metabolismo , Estresse Mecânico , Animais , Densidade Óssea , Diáfises/diagnóstico por imagem , Diáfises/patologia , Fêmur/diagnóstico por imagem , Fêmur/patologia , Fêmur/ultraestrutura , Marcadores Genéticos , Masculino , Osteócitos/ultraestrutura , Osteogênese , Periósteo/diagnóstico por imagem , Periósteo/patologia , Ratos Sprague-Dawley , Tomografia Computadorizada por Raios X
2.
Am J Orthod Dentofacial Orthop ; 159(3): 305-311, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33641814

RESUMO

INTRODUCTION: The early diagnosis and interception of potential maxillary canine impaction is the most desirable approach for correcting their path of eruption. However, there is still a lack of evidence regarding the effect of rapid maxillary expansion (RME) on labially impacted canines. This study aimed to investigate the age-related effect of RME on labially impacted maxillary canines in order to reduce the risk of their impaction in the mixed dentition and to examine the proper timing of interceptive treatment. METHODS: All patients aged 7-10 years were treated with an RME appliance using the same protocol. The distance to the occlusal plane, axis to the midline, and distribution in different sectors-depending on the patients' age-were evaluated for maxillary canines before and after treatment on panoramic radiographs in order to detect changes in the position of the impacted canines. These geometric measurements in the impacted canines were also validated by observing the nontreated canines at each age. RESULTS: Significant differences existed between the impacted canines and the erupted canines in all 3 categories in all age groups. RME treatment modulated the position of the impacted canines in all age groups. Interestingly, a statistically significant difference before and after RME in all categories was detected in patients aged <8 years. A discriminant analysis also showed a positive association of RME treatment with the risk of labially impacted canines. The standardized regression coefficients showed that the angulation of the maxillary canine was the most important predictor for impaction. CONCLUSIONS: Our findings indicate that RME treatment in the early mixed dentition was effective for managing labially impacted maxillary canines. An age of 7-8 years with early mixed dentition might be the most appropriate timing for therapeutic intervention on the basis of RME treatment for buccal canine impaction.


Assuntos
Técnica de Expansão Palatina , Dente Impactado , Estudos de Casos e Controles , Criança , Dente Canino/diagnóstico por imagem , Humanos , Maxila/diagnóstico por imagem , Dente Impactado/diagnóstico por imagem , Dente Impactado/terapia
3.
FASEB J ; 33(9): 10409-10424, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31238000

RESUMO

Human periodontal ligament (hPDL) fibroblasts are thought to receive mechanical stress (MS) produced by orthodontic tooth movement, thereby regulating alveolar bone remodeling. However, the role of intracellular calcium ([Ca2+]i)-based mechanotransduction is not fully understood. We explored the MS-induced [Ca2+]i responses both in isolated hPDL fibroblasts and in intact hPDL tissue and investigated its possible role in alveolar bone remodeling. hPDL fibroblasts were obtained from healthy donors' premolars that had been extracted for orthodontic reasons. The oscillatory [Ca2+]i activity induced by static compressive force was measured by a live-cell Ca2+ imaging system and evaluated by several feature extraction method. The spatial pattern of cell-cell communication was investigated by Moran's I, an index of spatial autocorrelation and the gap junction (GJ) inhibitor. The Ca2+-transporting ionophore A23187 was used to further investigate the role of [Ca2+]i up-regulation in hPDL cell behavior. hPDL fibroblasts displayed autonomous [Ca2+]i responses. Compressive MS activated this autonomous responsive behavior with an increased percentage of responsive cells both in vitro and ex vivo. The integration, variance, maximum amplitude, waveform length, and index J in the [Ca2+]i responses were also significantly increased, whereas the mean power frequency was attenuated in response to MS. The increased Moran's I after MS indicated that MS might affect the pattern of cell-cell communication via GJs. Similar to the findings of MS-mediated regulation, the A23187-mediated [Ca2+]i uptake resulted in the up-regulation of receptor activator of NF-κB ligand (Rankl) and Sost along with increased sclerostin immunoreactivity, suggesting that [Ca2+]i signaling networks may be involved in bone remodeling. In addition, A23187-treated hPDL fibroblasts also showed the suppression of osteogenic differentiation and mineralization. Our findings suggest that augmented MS-mediated [Ca2+]i oscillations in hPDL fibroblasts enhance the production and release of bone regulatory signals via Rankl/Osteoprotegerin and the canonical Wnt/ß-catenin pathway as an early process in tooth movement-initiated alveolar bone remodeling.-Ei Hsu Hlaing, E., Ishihara, Y., Wang, Z., Odagaki, N., Kamioka, H. Role of intracellular Ca2+-based mechanotransduction of human periodontal ligament fibroblasts.


Assuntos
Cálcio/metabolismo , Comunicação Celular , Fibroblastos/fisiologia , Mecanotransdução Celular , Osteogênese , Ligamento Periodontal/fisiologia , Animais , Diferenciação Celular , Células Cultivadas , Fibroblastos/citologia , Humanos , Masculino , Camundongos , Camundongos Endogâmicos ICR , Ligamento Periodontal/citologia , Transdução de Sinais , Análise Espaço-Temporal , Estresse Mecânico
4.
Am J Orthod Dentofacial Orthop ; 158(6): e151-e160, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33139146

RESUMO

INTRODUCTION: The Wnt signaling pathway acts as a key regulator of skeletal development and its homeostasis. However, the potential role of Wnt1 in the mechanotransduction machinery of orthodontic tooth movement-initiated bone remodeling is still unclear. Hence, this study focused on the regulatory dynamics of the Wnt1 expression in both the periodontal ligament (PDL) and osteocytes in vivo and in vitro. METHODS: The Wnt1 expression in the orthodontically moved maxillary first molar in mice was assessed at 0, 1, and 5 days, on both the compression and tension sides. Primary isolated human PDL (hPDL) fibroblasts, as well as murine long-bone osteocyte-Y4 (MLO-Y4) cells, were exposed to continuous compressive force and static tensile force. RESULTS: The relative quantification of immunodetection showed that orthodontic tooth movement significantly stimulated the Wnt1 expression in both the PDL and alveolar osteocytes on the tension side on day 5, whereas the expression on the compression side did not change. This increase in the Wnt1 expression, shown in vivo, was also noted after the application of 12% static tensile force in isolated hPDL fibroblasts and 20% in MLO-Y4 cells. In contrast, a compressive force led to the attenuation of the Wnt1 gene expression in both hPDL fibroblasts and MLO-Y4 cells in a force-dependent manner. In the osteocyte-PDL coculture system, recombinant sclerostin attenuated Wnt1 in PDL, whereas the antisclerostin antibody upregulated its gene expression, indicating that mechanically-driven Wnt1 signaling in PDL might be regulated by osteocytic sclerostin. CONCLUSIONS: Our findings provide that Wnt1 signaling plays a vital role in tooth movement-initiated bone remodeling via innovative mechanotransduction approaches.


Assuntos
Mecanotransdução Celular , Técnicas de Movimentação Dentária , Animais , Remodelação Óssea , Camundongos , Osteócitos , Ligamento Periodontal , Estresse Mecânico , Proteína Wnt1/genética
5.
J Bone Miner Metab ; 37(4): 614-626, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30413886

RESUMO

This study aimed to predict the key genes and pathways that are activated when different types of mechanical loading are applied to osteocytes. mRNA expression datasets (series number of GSE62128 and GSE42874) were obtained from Gene Expression Omnibus database (GEO). High gravity-treated osteocytic MLO-Y4 cell-line samples from GSE62128 (Set1), and fluid flow-treated MLO-Y4 samples from GSE42874 (Set2) were employed. After identifying the differentially expressed genes (DEGs), functional enrichment was performed. The common DEGs between Set1 and Set2 were considered as key DEGs, then a protein-protein interaction (PPI) network was constructed using the minimal nodes from all of the DEGs in Set1 and Set2, which linked most of the key DEGs. Several open source software programs were employed to process and analyze the original data. The bioinformatic results and the biological meaning were validated by in vitro experiments. High gravity and fluid flow induced opposite expression trends in the key DEGs. The hypoxia-related biological process and signaling pathway were the common functional enrichment terms among the DEGs from Set1, Set2 and the PPI network. The expression of almost all the key DEGs (Pdk1, Ccng2, Eno2, Egln1, Higd1a, Slc5a3 and Mxi1) were mechano-sensitive. Eno2 was identified as the hub gene in the PPI network. Eno2 knockdown results in expression changes of some other key DEGs (Pdk1, Mxi1 and Higd1a). Our findings indicated that the hypoxia response might have an important role in the differential responses of osteocytes to the different types of mechanical force.


Assuntos
Biologia Computacional/métodos , Estudos de Associação Genética , Osteócitos/metabolismo , Transdução de Sinais/genética , Estresse Mecânico , Animais , Linhagem Celular , Perfilação da Expressão Gênica , Mecanotransdução Celular/genética , Camundongos , Mapas de Interação de Proteínas/genética
6.
Am J Orthod Dentofacial Orthop ; 154(5): 718-732, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30384943

RESUMO

Prader-Willi syndrome (PWS) is a complex disorder that affects multiple systems and may cause craniofacial and dentofacial abnormalities. However, there is still a lack of evidence in the literature regarding the progress of orthodontic treatment in patients with PWS. This case report describes the successful orthodontic treatment of a patient with PWS. A girl, 9 years 0 months of age, who had been diagnosed with PWS had protruding maxillary incisors and a convex profile. Her malocclusion was due to the posteriorly positioned mandible. Screening tests for sleep apnea syndrome showed that she had sleep-disordered breathing, including obstructive sleep apnea and bruxism. We also observed an excessive overjet of 10.0 mm, a deep overbite of 6.8 mm, and the congenital absence of the mandibular second premolars. The patient was diagnosed with an Angle Class II malocclusion and a skeletal Class II jaw-base relationship with a deep overbite. Functional appliance therapy with mandibular advancement, which can enlarge the upper airway and increase the upper airspace, was performed to prevent further deterioration of the patient's obstructive sleep apnea. An acceptable occlusion with a proper facial profile and functional excursion were achieved without interference after comprehensive 2-stage treatment that incorporated orthodontic therapy for the patient's excessive overjet and deep overbite. The resulting occlusion was stable, and the occlusal force and the contact area gradually increased over a 2-year retention period. These results suggest that orthodontic treatment offers the opportunity to greatly improve the health and quality of life of people with PWS.


Assuntos
Aparelhos Ortodônticos Funcionais , Sobremordida/etiologia , Sobremordida/terapia , Síndrome de Prader-Willi/complicações , Anodontia/complicações , Dente Pré-Molar , Criança , Feminino , Humanos , Avanço Mandibular , Sobremordida/diagnóstico , Qualidade de Vida , Apneia Obstrutiva do Sono/etiologia , Bruxismo do Sono/etiologia , Resultado do Tratamento
7.
Acta Med Okayama ; 71(5): 437-443, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29042703

RESUMO

The rare developmental defect, Goldenhar syndrome is characterized by complex craniofacial and dentofacial anomalies. Here we describe the successful orthodontic treatment of a 5-year-old Japanese Goldenhar syndrome patient with mild facial asymmetry, right microtia, right-side hearing loss, and tongue-thrusting by a modification of dentofacial growth using a non-surgical orthopedic treatment approach. Improvement of the vertical discrepancies on the affected side and canted occlusal plane as well as mandibular deviation were achieved with a functional orthopaedic approach. Stable and acceptable occlusion were obtained over the 32-month post-retention period. A non-surgical orthodontic treatment approach offers satisfactory facial aesthetic outcomes in Goldenhar syndrome.


Assuntos
Síndrome de Goldenhar/patologia , Má Oclusão/terapia , Aparelhos Ortodônticos , Adolescente , Humanos , Masculino
9.
Acta Med Okayama ; 70(1): 57-62, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26899611

RESUMO

Permanent canines are thought to play a pivotal role in obtaining an ideal occlusion. Dentists occasionally encounter patients who lack canines and are therefore missing a key to harmonious guidance during functional mandibular excursions. This case report describes the substitution of maxillary first premolars for congenitally missing canines in the context of an orthodontic treatment plan. A boy, age 10 years and 11 months, with a chief complaint of crooked teeth was diagnosed with Class II division 2 malocclusion associated with a high mandibular plane angle and deep overbite. A stable occlusion with a satisfactory facial profile and functional excursions without interference were achieved after a comprehensive two-stage orthodontic treatment process. The resulting occlusion and satisfactory facial profile were maintained for 12 months. These results indicate that substituting the first premolars for the canines is an effective option in treating patients with missing canines while maintaining functional goals.


Assuntos
Anodontia/terapia , Dente Canino/anormalidades , Ajuste Oclusal , Técnicas de Movimentação Dentária , Criança , Humanos , Anormalidades Maxilomandibulares/terapia , Masculino , Má Oclusão Classe II de Angle/terapia , Radiografia Dentária
10.
Am J Orthod Dentofacial Orthop ; 150(1): 167-80, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27364218

RESUMO

The orofacial muscle is an important factor in the harmony of the occlusion, and its dysfunction significantly influences a patient's occlusion after craniofacial growth and development. In this case report, we describe the successful orthodontic treatment of a patient with unilateral orofacial muscle dysfunction. A boy, 10 years 0 months of age, with a chief complaint of anterior open bite, was diagnosed with a Class III malocclusion with facial musculoskeletal asymmetry. His maxillomandibular relationships were unstable, and he was unable to lift the right corner of his mouth upon smiling because of weak right orofacial muscles. A satisfactory occlusion and a balanced smile were achieved after orthodontic treatment combined with orofacial myofunctional therapy, including muscle exercises. An acceptable occlusion and facial proportion were maintained after a 2-year retention period. These results suggest that orthodontic treatment with orofacial myofunctional therapy is an effective option for a patient with orofacial muscle dysfunction.


Assuntos
Músculos Faciais , Má Oclusão Classe III de Angle/terapia , Debilidade Muscular/terapia , Terapia Miofuncional , Aparelhos Ortodônticos , Criança , Humanos , Masculino , Má Oclusão Classe III de Angle/complicações , Debilidade Muscular/complicações , Resultado do Tratamento
11.
Clin Oral Investig ; 19(2): 363-71, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24862940

RESUMO

OBJECTIVES: It is well accepted that stage-specific embryonic antigen (SSEA)-4 is an antigen that is useful to isolate adult stem cells analogous to embryonic stem cells. Therefore, in the present study, we investigated whether SSEA-4 can also be used as a marker to identify human deciduous dental pulp (D-DP) stem cells. MATERIALS AND METHODS: Intact deciduous teeth were collected from healthy patients who were undergoing orthodontic treatment at Okayama University Hospital. Immunofluorescence analysis, flow cytometric analysis, and multilineage differentiation assay were performed to characterize SSEA-4+ D-DP cells. RESULTS: The D-DP cells had the characteristics of mesenchymal stem cells (MSCs), namely plastic adherence, specific surface antigen expression, and multipotent differentiation potential. SSEA-4 expression was detected in D-DP cells in vitro and ex vivo samples. A flow cytometric analysis demonstrated that 21.2 % of the D-DP cells were positive for SSEA-4. The SSEA-4+ clonal D-DP cells showed multilineage differentiation potential toward adipocytes, osteoblasts, and chondrocytes in vitro. In fact, 26.1 % (6/23) of the SSEA-4+ clonal D-DP cells showed adipogenic potential, 91.3 % (21/23) showed osteogenic potential, 91.3 % (21/23) showed chondrogenic potential, and 87.0 % (20/23) showed both osteogenic and chondrogenic potential. CONCLUSIONS: Thus, the majority of SSEA-4+ D-DP cells had the potential for multilineage differentiation. Hence, SSEA-4 appears to be a specific marker that can be used to identify D-DP stem cells. CLINICAL RELEVANCE: SSEA-4+ D-DP cells appear to be a promising source of stem cells for regenerative therapy.


Assuntos
Polpa Dentária/imunologia , Antígenos Embrionários Estágio-Específicos/imunologia , Dente Decíduo/imunologia , Adolescente , Criança , Polpa Dentária/citologia , Humanos , Células-Tronco Mesenquimais/citologia , Células-Tronco Mesenquimais/imunologia , Dente Decíduo/citologia
12.
Am J Orthod Dentofacial Orthop ; 147(6): 766-80, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26038081

RESUMO

Aggressive periodontitis is a great challenge to clinicians when providing orthodontic treatment because of the potential for progression of periodontal disease. In this article, we report the successful comprehensive orthodontic treatment of bimaxillary protrusion and severe crowding in an adult with generalized aggressive periodontitis. A woman, aged 22 years 7 months, with a chief complaint of incisal crowding was diagnosed with a skeletal Class I malocclusion associated with severe anterior crowding, possibly worsened by generalized aggressive periodontitis. In addition to a periodontal examination, a blood IgG antibody titer analysis and microbiologic examination for periodontal pathogens were used to diagnose the type of periodontal disease and determine the proper timing to initiate orthodontic treatment. The total active treatment period was 28 months, followed by periodontal prostheses and regeneration therapy. Consequently, satisfactory facial profile, occlusion, and periodontal health were maintained for at least 36 months. These results indicate that efficient screening is important for providing successful orthodontic treatment in patients with advanced periodontal disease. This report also demonstrates the diagnostic importance of blood IgG antibody titer assays and microbiologic examinations to detect periodontal pathogens.


Assuntos
Periodontite Agressiva/terapia , Imunoglobulina G/sangue , Má Oclusão Classe I de Angle/terapia , Equipe de Assistência ao Paciente , Aggregatibacter actinomycetemcomitans/imunologia , Periodontite Agressiva/microbiologia , Perda do Osso Alveolar/terapia , Anticorpos Antibacterianos/sangue , Cefalometria/métodos , Feminino , Seguimentos , Regeneração Tecidual Guiada Periodontal/métodos , Humanos , Má Oclusão Classe I de Angle/sangue , Higiene Bucal , Planejamento de Assistência ao Paciente , Prótese Periodontal , Porphyromonas gingivalis/imunologia , Prevotella intermedia/imunologia , Fatores de Tempo , Técnicas de Movimentação Dentária/métodos , Resultado do Tratamento , Adulto Jovem
13.
Am J Orthod Dentofacial Orthop ; 145(4 Suppl): S100-13, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24680017

RESUMO

This article reports the successful treatment using miniscrew anchorage of an adult patient with a severe deep overbite and a unilateral scissors-bite. A 23-year-old woman had chief complaints of maxillary incisal crowding and difficulty chewing. She was diagnosed with a severe Class II Division 2 malocclusion with anterior crowding and a unilateral scissors-bite caused by buccal elongation of the maxillary left second molar. The maxillary first premolars were extracted, and 3 miniscrews were implanted as skeletal anchorage to resolve the functional and esthetic problems. The total active treatment period was 41 months. As a result of the implant-anchored orthodontic treatment, both the patient's facial profile and occlusion significantly improved. The asymmetric movements of the incisor paths and bilateral condyles during lateral excursions disappeared. The satisfactory facial profile and resultant occlusion were maintained throughout a 49-month retention period. The patient was satisfied with the treatment results.


Assuntos
Implantes Dentários , Arcada Osseodentária/fisiologia , Má Oclusão Classe II de Angle/terapia , Procedimentos de Ancoragem Ortodôntica/métodos , Técnicas de Movimentação Dentária/métodos , Cefalometria , Feminino , Humanos , Má Oclusão/terapia , Má Oclusão Classe II de Angle/diagnóstico por imagem , Dente Molar , Radiografia , Adulto Jovem
14.
J Biol Chem ; 287(15): 12217-29, 2012 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-22351753

RESUMO

Cell surface heparan sulfate (HS) is an essential regulator of cell signaling and development. HS traps signaling molecules, like Wnt in the glycosaminoglycan side chains of HS proteoglycans (HSPGs), and regulates their functions. Endosulfatases Sulf1 and Sulf2 are secreted at the cell surface to selectively remove 6-O-sulfate groups from HSPGs, thereby modifying the affinity of cell surface HSPGs for its ligands. This study provides molecular evidence for the functional roles of HSPG sulfation and desulfation in dentinogenesis. We show that odontogenic cells are highly sulfated on the cell surface and become desulfated during their differentiation to odontoblasts, which produce tooth dentin. Sulf1/Sulf2 double null mutant mice exhibit a thin dentin matrix and short roots combined with reduced expression of dentin sialophosphoprotein (Dspp) mRNA, encoding a dentin-specific extracellular matrix precursor protein, whereas single Sulf mutants do not show such defective phenotypes. In odontoblast cell lines, Dspp mRNA expression is potentiated by the activation of the Wnt canonical signaling pathway. In addition, pharmacological interference with HS sulfation promotes Dspp mRNA expression through activation of Wnt signaling. On the contrary, the silencing of Sulf suppresses the Wnt signaling pathway and subsequently Dspp mRNA expression. We also show that Wnt10a protein binds to cell surface HSPGs in odontoblasts, and interference with HS sulfation decreases the binding affinity of Wnt10a for HSPGs, which facilitates the binding of Wnt10a to its receptor and potentiates the Wnt signaling pathway, thereby up-regulating Dspp mRNA expression. These results demonstrate that Sulf-mediated desulfation of cellular HSPGs is an important modification that is critical for the activation of the Wnt signaling in odontoblasts and for production of the dentin matrix.


Assuntos
Dentinogênese , Heparitina Sulfato/fisiologia , Animais , Células Cultivadas , Dentina/crescimento & desenvolvimento , Dentina/metabolismo , Dentina/patologia , Proteínas da Matriz Extracelular/genética , Proteínas da Matriz Extracelular/metabolismo , Regulação da Expressão Gênica no Desenvolvimento , Proteoglicanas de Heparan Sulfato/metabolismo , Heparitina Sulfato/metabolismo , Camundongos , Camundongos Knockout , Dente Molar/crescimento & desenvolvimento , Dente Molar/metabolismo , Dente Molar/patologia , Proteínas do Tecido Nervoso/genética , Proteínas do Tecido Nervoso/metabolismo , Proteínas do Tecido Nervoso/fisiologia , Odontoblastos/metabolismo , Fenótipo , Fosfoproteínas/genética , Fosfoproteínas/metabolismo , Ligação Proteica , Sialoglicoproteínas/genética , Sialoglicoproteínas/metabolismo , Sulfatases/genética , Sulfatases/metabolismo , Sulfotransferases/genética , Sulfotransferases/metabolismo , Anormalidades Dentárias/enzimologia , Anormalidades Dentárias/genética , Transcrição Gênica , Proteínas Wnt/genética , Proteínas Wnt/metabolismo , Proteínas Wnt/fisiologia , Via de Sinalização Wnt
15.
Exp Cell Res ; 318(5): 453-63, 2012 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-22266579

RESUMO

Embryonic stem cell-associated antigens are expressed in a variety of adult stem cells as well as embryonic stem cells. In the present study, we investigated whether stage-specific embryonic antigen (SSEA)-4 can be used to isolate dental pulp (DP) stem cells. DP cells showed plastic adherence, specific surface antigen expression, and multipotent differentiation potential, similar to mesenchymal stem cells (MSC). SSEA-4+ cells were found in cultured DP cells in vitro as well as in DP tissue in vivo. Flow cytometric analysis demonstrated that 45.5% of the DP cells were SSEA-4+. When the DP cells were cultured in the presence of all-trans-retinoic acid, marked downregulation of SSEA-3 and SSEA-4 and the upregulation of SSEA-1 were observed. SSEA-4+ DP cells showed a greater telomere length and a higher growth rate compared to ungated and SSEA-4- cells. A clonal assay demonstrated that 65.5% of the SSEA-4+ DP cells had osteogenic potential, and the SSEA-4+ clonal DP cells showed multilineage differentiation potential toward osteoblasts, chondrocytes, and neurons in vitro. In addition, the SSEA-4+ DP cells had the capacity to form ectopic bone in vivo. Thus, our results suggest that SSEA-4 is a specific cell surface antigen that can be used to identify DP stem cells.


Assuntos
Células-Tronco Adultas/metabolismo , Polpa Dentária/citologia , Antígenos Embrionários Estágio-Específicos/metabolismo , Adipogenia , Adolescente , Adulto , Células-Tronco Adultas/fisiologia , Células-Tronco Adultas/transplante , Animais , Antígenos CD/metabolismo , Regeneração Óssea , Proliferação de Células , Condrogênese , Colágeno Tipo I/metabolismo , Polpa Dentária/metabolismo , Citometria de Fluxo , Humanos , Camundongos , Camundongos SCID , Osteocalcina/metabolismo , Osteogênese , Fenótipo , Homeostase do Telômero , Alicerces Teciduais , Adulto Jovem
16.
Am J Orthod Dentofacial Orthop ; 143(4 Suppl): S113-24, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23540627

RESUMO

Vertical dentoalveolar discrepancies are a common problem in orthodontic patients but are often difficult to treat with traditional mechanics. This case report illustrates the successful treatment of overerupted mandibular incisors via the indirect use of miniscrew anchorage. A woman (age, 22 years 9 months) had chief complaints of maxillary incisor protrusion and crooked teeth. An excessive curve of Spee caused by elongation of the mandibular incisors was also found. The patient was diagnosed with a severe Class II Division 1 malocclusion and a deep overbite. After extraction of the mandibular first premolars and the subsequent leveling phase, the elongated incisors were intruded with a novel method, which involved the combined use of sectional archwires and miniscrews placed in the premolar areas. After the procedure, the mandibular incisors had been intruded by 6.5 mm with no undesirable side effects. The total active treatment period was 42 months. The resultant occlusion and satisfactory facial profile were maintained after 30 months of retention. Our novel intrusion approach shows potential for correcting a deep overbite.


Assuntos
Incisivo/patologia , Procedimentos de Ancoragem Ortodôntica/instrumentação , Sobremordida/terapia , Técnicas de Movimentação Dentária/métodos , Parafusos Ósseos , Cefalometria , Arco Dental/patologia , Feminino , Humanos , Mandíbula , Fios Ortodônticos , Erupção Dentária , Técnicas de Movimentação Dentária/instrumentação , Adulto Jovem
17.
Sci Rep ; 13(1): 22028, 2023 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-38086873

RESUMO

Osteocytes form a cellular network by gap junctions between their cell processes. This network is important since intercellular communication via the network is essential for bone metabolism. However, the factors that influence the formation of this osteocyte network remain unknown. As the early stage of osteocyte network formation occurs on the bone surface, we observed a newly formed trabecular bone surface by orthogonal focused ion beam-scanning electron microscopy. The embedding late osteoblast processes tended to avoid bundled collagen fibrils and elongate into sparse collagen fibrils. Then, we examined whether the inhibition of bundling of collagen fibrils using a potent lysyl oxidase inhibitor, ß-aminopropionitrile (BAPN) changed the cellular network of the chick calvaria. The osteocyte shape of the control group was spindle-shape, while that of the BAPN group was sphere-shaped. In addition, the osteocyte processes of the control group were elongated vertically to the long axis of the cell body, whereas the osteocyte processes of the BAPN group were elongated radially. Therefore, it was suggested that the bundling of collagen fibrils influences normal osteocyte network formation during bone modeling.


Assuntos
Aminopropionitrilo , Osteócitos , Osteócitos/metabolismo , Matriz Extracelular/metabolismo , Crânio/metabolismo , Colágeno/metabolismo
18.
Am J Orthod Dentofacial Orthop ; 141(2): 228-41, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22284291

RESUMO

This article reports the successful treatment of a patient with the unusual occurrence of bilateral and multiple dentigerous cysts of the premolars. One impacted mandibular premolar was moved by traction orthodontically. On the opposite side, the impacted premolar was autotransplanted after space was created through mesial movement and hemi-sectioning of the neighboring molars. The impacted maxillary premolar was extracted. Miniscrews were additionally used for anchorage reinforcement to prevent unintended counteractions and solve the problem of space management after autotransplantation. We also reviewed the clinical implications of the diagnosis, planning, and treatment of cyst-associated impacted teeth in young adult patients.


Assuntos
Dente Pré-Molar/patologia , Cisto Dentígero/cirurgia , Dente Impactado/cirurgia , Adolescente , Anodontia/terapia , Dente Pré-Molar/anormalidades , Dente Pré-Molar/transplante , Cefalometria/métodos , Humanos , Masculino , Má Oclusão Classe II de Angle/cirurgia , Má Oclusão Classe II de Angle/terapia , Má Oclusão Classe III de Angle/cirurgia , Má Oclusão Classe III de Angle/terapia , Doenças Mandibulares/cirurgia , Doenças Maxilares/cirurgia , Procedimentos de Ancoragem Ortodôntica/instrumentação , Desenho de Aparelho Ortodôntico , Planejamento de Assistência ao Paciente , Radiografia Panorâmica , Tomografia Computadorizada por Raios X , Extração Dentária , Técnicas de Movimentação Dentária/instrumentação , Técnicas de Movimentação Dentária/métodos , Transplante Autólogo , Resultado do Tratamento
19.
Am J Orthod Dentofacial Orthop ; 142(4): 534-45, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22999677

RESUMO

Patients with multiple craniofacial fractures often suffer from stomatognathic problems after their primary treatment, because administering emergency care is the clinician's highest priority. Therefore, optimal bone repositioning is sometimes difficult because bone fixation is delayed. Moreover, neither an adequate radiographic examination nor an evaluation of primary occlusion is available during the repair of fractured bones. The lack of these assessments can also lead to occlusal dysfunction after bone fixation. As a result, patients with craniofacial fractures often require occlusal reconstruction. This report describes the successful occlusal reconstruction with orthodontic-surgical treatment of a patient with multiple maxillofacial bone fractures. Combined surgery, including an intraoral vertical ramus osteotomy and a mandibular body osteotomy, was performed to reposition the deviated mandible after 3 months of preoperative orthodontic treatment. The total active treatment period was 25 months. After treatment, both the facial asymmetry and the anterior open bite caused by the skeletal disharmony were significantly improved. Additionally, the range of condylar motion, maximum occlusal force, and occlusal contact area during maximum clenching were also increased. These stomatognathic functions were further enhanced by 2 years of retention. Orthodontic-surgical reconstruction appears to improve both facial esthetics and occlusal function in patients with facial asymmetry caused by severe traumatic maxillofacial fractures.


Assuntos
Ossos Faciais/lesões , Ortodontia Corretiva/métodos , Procedimentos Cirúrgicos Ortognáticos/métodos , Procedimentos de Cirurgia Plástica/métodos , Fraturas Cranianas/terapia , Adulto , Força de Mordida , Oclusão Dentária , Assimetria Facial/cirurgia , Assimetria Facial/terapia , Feminino , Seguimentos , Humanos , Má Oclusão Classe III de Angle/cirurgia , Má Oclusão Classe III de Angle/terapia , Côndilo Mandibular/lesões , Côndilo Mandibular/fisiopatologia , Osteotomia Mandibular/métodos , Contração Muscular/fisiologia , Mordida Aberta/cirurgia , Mordida Aberta/terapia , Planejamento de Assistência ao Paciente , Amplitude de Movimento Articular/fisiologia , Fraturas Cranianas/cirurgia
20.
Calcif Tissue Int ; 88(5): 416-24, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21340572

RESUMO

The study of osteocytes has progressed in chicks. We examined whether chick osteocyte data can be applied to other species. We used mice for comparison because they are common clinical tools in biomedical research and useful for future study. We analyzed the three-dimensional (3D) osteocyte network and gap junctional intercellular communication (GJIC) in living embryonic calvaria for the anatomical features. Embryonic parietal bones were stained with fluorescently labeled phalloidin and observed using confocal laser scanning microscopy. GJIC between osteocytes in chick and mouse parietal bone was assessed using fluorescence recovery after photobleaching (FRAP). The values for one chick and mouse osteocyte, respectively, were calculated as follows: cell processes 1,131 ± 139 µm, 2,668 ± 596 µm; surface area 1,128 ± 358 µm(2), 2,654 ± 659 µm(2); and cell volume 455 ± 90 µm(3), 1,328 ± 210 µm(3). The density of 3D osteocyte processes in the bone matrix was not significantly different. FRAP analysis showed dye coupling among osteocytes in chick and mouse bone. The fluorescence intensity recovered to 49.0 ± 2.4% in chicks and 39.9 ± 2.4% in mice after 5 minutes. Fluorescence recovery was similar within 4 minutes. The difference in osteocyte size between the two species might have affected their functions. Osteocyte processes in the two species may sense similarly changes in the exterior environment. We successfully conducted morphological and functional analyses of the osteocyte network in chicks and mice. The size of the osteocytes in bone differed between the two species.


Assuntos
Comunicação Celular/fisiologia , Embrião de Galinha/citologia , Embrião de Mamíferos/citologia , Osteócitos/citologia , Crânio/embriologia , Animais , Calcificação Fisiológica/fisiologia , Embrião de Galinha/fisiologia , Embrião de Mamíferos/fisiologia , Junções Comunicantes/fisiologia , Camundongos , Microscopia Confocal , Osteócitos/fisiologia , Crânio/citologia , Crânio/fisiologia , Especificidade da Espécie
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