RESUMO
OBJECTIVE: Mouth breathing as a result of nasal obstruction affects craniofacial growth and development. This study aimed to investigate the effects of unilateral nasal obstruction and its recovery, along with the role of nitric oxide (NO) in masticatory muscle physiology. MATERIALS AND METHODS: Forty-eight 4-week-old male rats were divided into control and experimental groups. The five experimental groups were subjected to left-sided nasal obstruction by suturing the external nostril, and the sutures were removed after 1, 3, 5, 7, or 9 weeks to allow for varying recovery periods. We assessed morphological changes in masseter, temporalis, and digastric muscle, by examining cross-sectional area (CSA) and myosin heavy chain (MHC) isoform composition of muscle fibers. Reverse transcription-quantitative real-time polymerase chain reaction to measure messenger RNA (mRNA) levels for tumor necrosis factor-α (TNF-α), glucose transporter 4 (GLUT4), and neuronal nitric oxide synthase (nNOS) were conducted. RESULTS: The SpO2, CSA, and fibers showing MHC-2b isoforms were significantly lower, while RT-PCR showed higher mRNA levels in TNF-α and nNOS, and a decrease in GLUT4 mRNA in the jaw-closing muscles in the long-term nasal obstruction groups than that in the control group. LIMITATIONS: The study findings should be interpreted cautiously because of the functional differences between rodents and humans in terms of respiratory mechanisms. CONCLUSIONS: Unilateral nasal obstruction affects the morphology and contractile characteristics of the rat masticatory muscles during development, with possible involvement of NO in muscle hypofunction. These changes may revert to baseline levels if the nasal obstruction is eliminated before puberty in rats.
Assuntos
Obstrução Nasal , Humanos , Ratos , Masculino , Animais , Ratos Wistar , Fator de Necrose Tumoral alfa , Músculos da Mastigação , Cadeias Pesadas de Miosina/genética , RNA MensageiroRESUMO
OBJECTIVE: The in vivo mechanoresponsive and lubricating changes of the mandibular condylar cartilage (MCC) associated with mandibular lateral shift (MLS) and recovery are poorly understood. Using growing rats, we investigated whether the expression of mechanoresponsive factors, including proteoglycan-4 (PRG4), Indian hedgehog (Ihh) and transforming growth factor-ß1 (TGF-ß1), would be affected by MLS. We also investigated whether these changes could recover to the control level after a 2-week treatment reversal (TR). MATERIALS AND METHODS: The MLS appliances were placed for 2 or 4 weeks in 5-week-old rats and removed from 7-week-old rats in the TR group. The MCC was analysed histomorphometrically by toluidine blue staining. Reverse transcription-polymerase chain reaction and immunohistochemistry were performed to evaluate the expression of PRG4, Ihh, PTHrP (parathyroid hormone-related protein), TGF-ß1, Matrix metallopeptidase 13 (MMP-13) and a disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS-5). RESULTS: A thickened superficial layer and an enhanced expression of PRG4 were detected in MLS groups. PTHrP-Ihh expression correlated positively with the up-regulation of PRG4. TGF-ß1 expression decreased in the early stage of MLS but recovered to the control level in the TR group. A significantly enhanced expression of MMP-13 in MLS groups was detected. CONCLUSION: MLS treatment, which acted on the growth stage of rats, affected the morphology and expression of lubrication factor in the MCC. Elimination of this mechanical stimulus may help MCC recover to normal conditions. CLINICAL RELEVANCE: Our study supports that the adaptive changes of MCC, which are caused by mandibular functional deviation, could be largely recovered by early treatment.
Assuntos
Côndilo Mandibular , Animais , Cartilagem , Proteínas Hedgehog , Má Oclusão , RatosRESUMO
INTRODUCTION: The frontal occlusal plane of the maxilla generally inclines toward the ipsilateral side of the mandibular deviation in subjects with facial asymmetry; however, a few patients with facial asymmetry have their frontal occlusal planes inclined toward the contralateral side. We aimed to investigate the morphologic and functional features of such patients. METHODS: The subjects were 40 patients with facial asymmetry divided into 2 groups based on the inclination of the frontal occlusal plane toward the ipsilateral or the contralateral side. We analyzed lateral and posteroanterior cephalometric radiographs and occlusal variables and evaluated temporomandibular joint symptoms. Statistical comparisons were performed between the 2 groups (P <0.05). RESULTS: The posteroanterior cephalometry significantly differed between the ipsilateral and contralateral groups. Occlusal force and occlusal contact area were significantly larger, and temporomandibular joint symptoms were more frequently found on the side of the upward-inclined frontal occlusal plane than on the opposite side in both groups. CONCLUSIONS: The features in the contralateral group in terms of occlusal force and temporomandibular disorders were clinically significant. Clinicians should note that the conditions associated with the contralateral group require less presurgical decompensation.
Assuntos
Cefalometria/métodos , Oclusão Dentária , Assimetria Facial/patologia , Mandíbula/patologia , Adulto , Força de Mordida , Corantes , Feminino , Humanos , Processamento de Imagem Assistida por Computador/métodos , Registro da Relação Maxilomandibular/instrumentação , Masculino , Maxila/patologia , Pressão , Prognatismo/patologia , Transtornos da Articulação Temporomandibular/diagnóstico , Adulto JovemAssuntos
Má Oclusão , Retrognatismo , Apneia Obstrutiva do Sono , Adulto , Humanos , Avanço Mandibular , Resultado do TratamentoRESUMO
In this study, we aimed to determine the effects of functional mandibular lateral shift (FMLS) on the muscle mass, fiber size, myosin heavy chain fiber type, and related gene expression in masticatory muscles (masseter and temporalis), as well as whether the baseline levels could be recovered after FMLS correction in growing rats. The FMLS appliance was placed to shift the mandible leftward by approximately 2 mm. After FMLS placement for 2 and 4 weeks, the muscles on the left side had significantly lower wet weight, mean cross-sectional area, and proportion of type IIa fibers than those on the right side or in the control groups (p < 0.05), with downregulation and upregulation of IGF-1 and GDF-8 gene expression, respectively (p < 0.05). Following 2 weeks devoted to recovery from FMLS, the muscle parameters in the recovery group were not significantly different to those of the control group, and IGF-1 expression in the left-side muscles was enhanced and GDF-8 expression was simultaneously suppressed. These findings indicate that the masticatory muscle changes induced via FMLS tend to revert to normal conditions if the intervention is eliminated at an early stage. Therefore, appropriate orthodontic treatment for FMLS during the growth period is advisable to prevent asymmetric alterations in masticatory muscles.
RESUMO
PURPOSE: The authors have been using improved superelastic Nickel-Titanium alloy wire (ISW) to close and align extraction spaces simultaneously, instead of separately using rigid wires for closing extraction spaces and Ni-Ti alloy wires for leveling and aligning. ISW has a low stiffness, which makes it challenging to generate sufficient moments. This study aimed to demonstrate the forces and moments exerted on adjacent brackets using an orthodontic simulator (OSIM) attached to a high-precision 6-axis sensor. MATERIALS AND METHODS: In experiment 1, a 0.016 × 0.022-inch ISW, stainless steel (SS) wire, and ß-titanium wires were ligatured into the two brackets. The 0.018 × 0.025-inch slot self-ligating brackets were bonded to two simulated teeth at the same height, and the experiment was conducted using the high-precision OSIM. The distance between the brackets was 10 mm, the V-bend angles of the installed wires were 10°, 20°, 30°, and 40°, and the apex position was set at the center of the bracket. In experiment 2, 6.0- and 9.0-mm long elastomeric chains were placed on the same brackets as in Experiment 1 to measure forces and moments. The distance between the brackets was increased by 1.0 mm from 6.0 to 15.0 mm. Both experiments were conducted in a 37 °C thermostatic chamber similar to the oral environment. RESULTS AND DISCUSSION: In experiment 1, we measured moments on both sides for all the wires. As the V-bend angle increased, the absolute values of the moments also increased. With a V-bend angle of 10°, there was a significant (p < 0.05) difference in the moment generated in the left and right brackets among the three wire types. In the ISW, -1.67 ± 0.38 Nã»mm was generated in the left bracket, while 0.38 ± 0.26 Nã»mm was generated in the right bracket at 10°. At 20°, -1.77 ± 0.69 Nã»mm was generated in the left bracket, while 2.37 ± 0.94 Nã»mm was generated in the right bracket. At 30°, -2.98 ± 0.49 Nã»mm was generated in the left bracket, while 3.25 ± 0.32 Nã»mm was generated in the right bracket. Moreover, at 40°, -3.96 ± 0.58 Nã»mm was generated in the left bracket, while 3.55 ± 0.53 Nã»mm was generated in the right bracket. Furthermore, in experiment 2, the moments increased in proportion to the increase in distance between the centers of the two brackets. Absolute values of the moments were approximately equal for the left and right brackets. The 6.0-mm elastomeric chain generated a minimum force of -0.09 ± 0.05 N in the left direction when the distance between brackets was 6.0 mm, while a maximum of 1.24 ± 0.3 N when the distance between brackets was 12 mm in the right bracket. In the left bracket, minimum and maximum forces of -0.09 ± 0.07 and 1.3 ± 0.4 N were generated in the right direction, respectively. The 9.0-mm elastomeric chain generated a minimum force of 0.03 ± 0.07 N in the left direction when the distance between brackets was 9.0 mm, while a maximum of 1.3 ± 0.1 N when the distance between brackets was 15 mm in the right bracket. In the left bracket, minimum and maximum forces of 0.05 ± 0.06 and 0.98 ± 0.2 N were generated in the right direction, respectively. CONCLUSION: Mechanical data of the ISW have been collected in the study, which was previously difficult to perform owing to the low stiffness of the wire. It is suggested that the ISW can provide sufficient moments with the addition of V-bends to close the space by bodily movement.
Assuntos
Ligas , Braquetes Ortodônticos , Titânio , Fios Ortodônticos , Torque , Aço Inoxidável , Análise do Estresse Dentário , Teste de Materiais , Ligas DentáriasRESUMO
Background/purpose: : Development and acquisition of communication, logical thinking, team-building, critical appraisal, critical thinking and person-centred multi-disciplinary care planning must be considered as skill sets and global core competencies for a dental professional. Therefore, an international online study course to foster undergraduate dental students' skill sets in these areas was established and this study aimed to report the perceptions of participants. Materials and methods: An international online course consisting of three levels pertaining to the school year was delivered to dental undergraduates of Japan and Thailand from September to December in 2021. An online questionnaire survey was conducted to obtain feedback from the participants and assess the implementation of the course. Results: In total, 64 responses were obtained from students who participated in all the assigned online sessions and completed the questionnaire (a response rate of 88%). More than 95% of students from each level felt that the programme increased their motivation to study clinical dentistry, and was beneficial for their future and made them appreciate the importance of participating in international exchange. The ratio of favourable respondents was more than 90% with a 95% confidence interval. Conclusion: Fostering globally competent dental students is important and the acquisition of necessary skill sets could be enhanced through international virtual team-working, problem-solving and person-centred multi-disciplinary care planning activities. These are beneficial for undergraduate dental student training so that they graduate with a broader global perspective and an appreciation of the importance of delivering person-centred culturally sensitive dental care.
RESUMO
Although nasal obstruction (NO) during growth causes maxillofacial growth suppression, it remains unclear whether eliminating the NO affects maxillary and mandibular growth differentially. We aimed to clarify whether eliminating NO can help regain normal maxillofacial growth and to determine the optimal intervention timing. Forty-two 4-week-old male Wistar rats were randomly divided into six groups. Their left nostril was sutured to simulate NO over different durations in the experimental groups; the sutures were later removed to resume nasal breathing. Maxillofacial morphology was assessed using microcomputed tomography. Immunohistochemical changes in hypoxia-inducible factor (HIF)-1α, osteoprotegerin (OPG), and receptor activator of nuclear factor kappa-B ligand (RANKL) of the condylar cartilage were evaluated to reveal the underlying mechanisms of these changes. Maxillary length was significantly lower in rats with NO for ≥5 weeks. In groups with NO for ≥7 weeks, the posterior mandibular length, ramus height, thickness of the hypertrophic cell layer in the condylar cartilage, HIF-1α levels, and RANKL levels were significantly lower and OPG levels and RANKL/OPG were significantly higher than those in the control group. Our findings suggest that eliminating NO is effective in regaining maxillofacial growth. Moreover, the optimal timing of intervention differed between the maxilla and mandible.
RESUMO
BACKGROUND: Most orthodontic cases consist of varying degrees of crowding. To manage crowded dentitions, nickel-titanium archwires with various ligation methods are often used. OBJECTIVE: We aimed to investigate the effect of different ligation methods with respect to force and moment and suggest the efficient ligation method for treating rotation and displacement simultaneously. METHODS: We built a model that simulated the three anterior teeth of the maxilla. The teeth on the two ends were fixed, and the middle tooth was set in several different positions by manipulating the amount of displacement in bucco-lingual direction and rotation angle. The measurements were taken with three different ligation methods of self-ligation (SL), elastomeric o-ring ligation on both side wings (EB), and on one side wings (EO). RESULTS: The magnitude of linguo-buccal force exceeded the standard optimal force in each condition examined and was significantly larger in EB than in other ligation methods. Moreover, the magnitude of moment generation with SL was suitable in the 0.0 mm linguo-version, whereas it was suitable with EO in the linguo-version ranging 1.0-3.0 mm. CONCLUSIONS: The ligation method significantly affected the force and moment. SL and EO are recommended in dentitions with light and deep lingual displacements, respectively.
Assuntos
Maxila , Braquetes Ortodônticos , Maxila/cirurgia , Fios Ortodônticos , Desenho de Aparelho Ortodôntico , Técnicas de Movimentação Dentária/métodos , Dentição , Rotação , IncisivoRESUMO
OBJECTIVE: To test the hypothesis that the effects of mechanical stress from a functional lateral shift of the mandible have no effect on the expression of two main condylar cartilage extracellular matrix components, type II collagen and aggrecan, in rats from early puberty to young adulthood. MATERIALS AND METHODS: Functional lateral shift of the mandible was induced in experimental groups of 5-week-old male Wistar rats, using guiding appliances. The rats were sacrificed at 3, 7, 14, and 28 days post appliance attachment. The condyles were immunohistochemically evaluated for type II collagen and aggrecan (the immunoreactive areas were quantified). RESULTS: As compared with the control group, on the contralateral condyles, the immunoreactivity of the experimental groups was significantly increased from 7 to 14 days. While on the ipsilateral condyles, the immunoreactive areas were significantly decreased throughout the experimental period. CONCLUSION: A functional lateral shift of the mandible modulated the condylar cartilage extracellular matrix differently on each side of the condyle, which affected condylar morphology, growth, biomechanical properties, and even the susceptibility of the condylar cartilage to pathogenesis.
Assuntos
Agrecanas/biossíntese , Colágeno Tipo II/biossíntese , Análise do Estresse Dentário , Côndilo Mandibular/fisiologia , Articulação Temporomandibular/fisiologia , Animais , Remodelação Óssea , Cartilagem Articular/metabolismo , Matriz Extracelular/metabolismo , Imuno-Histoquímica , Masculino , Mandíbula/fisiologia , Ratos , Ratos Wistar , Estresse MecânicoRESUMO
In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient's profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.
RESUMO
OBJECTIVES: Mouth breathing caused by nasal obstruction (owing to abnormal pressure of masticatory muscles) affects craniofacial growth and development. The influence of unilateral nasal obstruction on jaw-closing muscles was investigated in rats to reveal one of the etiologic mechanisms. MATERIALS AND METHODS: Forty 8-day-old male Wistar rats were used in this study. Experimental rats were subjected to left-sided nasal obstruction by burning the external nostril tissue at the age of 8 days. Pulse oxygen saturation was recorded each week. Morphologic changes were evaluated by staining with hematoxylin and eosin (to assess the cross-sectional area) and by adenosine triphosphatase activity staining (to assess the myosin heavy chain isoform composition). Immunohistochemical and reverse transcription quantitative real-time polymerase chain reaction analyses of tumor necrosis factor-α and glucose transporter 4 were carried out at 5 and 9 weeks of age. RESULTS: The cross-sectional area of the jaw-closing muscles was lower in the experimental group at 9 weeks of age. The percentage of myosin heavy chain-2a in masseter muscles was increased in the experimental group compared with the control group. An increase in the tumor necrosis factor-α messenger RNA and protein levels and a decrease in the glucose transporter 4 messenger RNA and protein levels at 5 and 9 weeks of age in the jaw-closing muscles in the experimental group were noted. CONCLUSIONS: Unilateral nasal obstruction could affect the morphology and contractile characteristics of jaw-closing muscles during growth in rats.
Assuntos
Músculos da Mastigação , Obstrução Nasal , Animais , Masculino , Músculos da Mastigação/fisiopatologia , Respiração Bucal , Contração Muscular , Ratos , Ratos WistarRESUMO
Many studies have shown that mandibular and condylar growth is affected by compressive forces on mandibular bone and the condyle. It has been reported that chondroblastic differentiation and proliferation in chondrocytes play important roles in condylar growth. However, the influence of reduced compressive force on chondroblastic proliferation and mandibular bone formation is not fully understood. Thirty-six 3-week-old male Wistar rats were used in this study. In the experimental group, the masseter muscles were bilaterally resected to evaluate the influence of masticatory force on mandibular and condylar bone morphology. Six weeks after the operation, while the rats were in the pubertal growth stage, lateral X-rays were taken to analyze the skeletal pattern of the mandible. The form of the condyle and the thickness of the chondroblastic layers were evaluated by toluidine blue staining. Chondroblastic proliferation was identified by insulin-like growth factor-1 receptor (IGF-1r) immunostaining and bone resorption of the condyle was assessed by measuring tartrate-resistant acid phosphatase (TRAP) activity. Lateral X-rays of the mandible showed that rats in the experimental group tended to have large mandibular plane angles. The chondroblastic layer in the condyles of the experimental group rats was thinner than in the control group. The expression of IGF-1r immunopositive cells in the experimental group was significantly lower than in the control chondrocytes, and the number of TRAP-positive cells was significantly higher in the condylar bone of the experimental group. We conclude that masseter muscle activity is closely related to mandibular morphology during growth.
Assuntos
Força de Mordida , Mandíbula/crescimento & desenvolvimento , Músculo Masseter/fisiologia , Fosfatase Ácida/análise , Animais , Biomarcadores/análise , Reabsorção Óssea/fisiopatologia , Cartilagem Articular/anatomia & histologia , Cartilagem Articular/diagnóstico por imagem , Cartilagem Articular/crescimento & desenvolvimento , Contagem de Células , Proliferação de Células , Cefalometria , Condrócitos/citologia , Condrócitos/fisiologia , Corantes , Isoenzimas/análise , Masculino , Mandíbula/anatomia & histologia , Mandíbula/diagnóstico por imagem , Côndilo Mandibular/anatomia & histologia , Côndilo Mandibular/diagnóstico por imagem , Côndilo Mandibular/crescimento & desenvolvimento , Músculo Masseter/cirurgia , Modelos Animais , Osteoclastos/patologia , Radiografia , Distribuição Aleatória , Ratos , Ratos Wistar , Receptor IGF Tipo 1/análise , Fosfatase Ácida Resistente a Tartarato , Cloreto de TolônioRESUMO
Biomechanical factors in masticatory function are related to the development of the mandible and the condyle. Previous studies have reported that reduced masticatory muscle force influences mandibular bone formation and chondroblastic proliferation. We examined the importance of compressive force in temporomandibular joint (TMJ) disc growth by reducing the masticatory load. Thirty 3-week-old male Wistar rats were used in this study. In the experimental group, the masseter muscles were bilaterally resected to evaluate the influence of masticatory muscle force on morphology and composition of TMJ disc during growth. No surgery was performed in the control group. The thickness of the TMJ disc was measured to evaluate the morphological changes. The localization of type I collagen and decorin was performed by immunostaining to examine compositional change. Cell proliferation in the disc was identified by insulin-like growth factor-1 receptor (IGF-1r) immunostaining. The disc thickness at each region in the experimental group was reduced compared to the control group. While in the control group, type I collagen and decorin were identified throughout the disc, it was concentrated on the superior portion of the disc at the anterior and posterior bands in the experimental group. The expression of IGF-1r immunopositive cells in the experimental group was also significantly lower than in the control. We conclude that masticatory muscle force is closely related to TMJ disc morphology and composition during growth.
Assuntos
Músculo Masseter/fisiologia , Disco da Articulação Temporomandibular/crescimento & desenvolvimento , Animais , Biomarcadores/análise , Força de Mordida , Colágeno Tipo I/análise , Decorina , Proteínas da Matriz Extracelular/análise , Masculino , Proteoglicanas/análise , Ratos , Ratos Wistar , Receptor IGF Tipo 1/metabolismo , Disco da Articulação Temporomandibular/metabolismoRESUMO
OBJECTIVE: To examine the effects of imbalance of masticatory muscle activity of the rat mandible on the condylar cartilage and subchondral bone during the growth period. DESIGN: Forty 5-week-old male Wistar rats were randomly divided into experimental (n=20) and control (n=20) groups. In the experimental group, the left masseter muscles were resected. The rats were sacrificed at 7 or 9 weeks of age in both groups. Microcomputed tomography was used to determine the three-dimensional morphology and cancellous bone structure. For histological and histochemical examination, 5-µm-thick serial frontal sections of the condyle were stained with toluidine blue and immunostained with asporin and TGF-ß1 to evaluate the promotion and inhibition of chondrogenesis. RESULTS: In the experimental group, microcomputed tomography analysis showed asymmetric growth; the resected side condyles showed degenerative changes. Histological analysis showed that the total cartilage in the central region of the resected side was significantly thinner than in the non-resected side in the experimental group, as well as in the control group. Compared with the control group, the expression of asporin was significantly higher in the resected side, and significantly lower in the non-resected side. In contrast, the expression of TGF-ß1-immunopositive cells in the non-resected side was significantly higher than in the resected side and the control group. CONCLUSIONS: These findings imply that lateral imbalance of masseter muscle activity lead to inhibition of chondrogenesis and induce asymmetric formation of the condyle during the growth period.
Assuntos
Cartilagem Articular/crescimento & desenvolvimento , Cartilagem Articular/metabolismo , Condrogênese/fisiologia , Proteínas da Matriz Extracelular/metabolismo , Côndilo Mandibular/crescimento & desenvolvimento , Músculos da Mastigação/fisiopatologia , Fator de Crescimento Transformador beta1/metabolismo , Animais , Masculino , Côndilo Mandibular/diagnóstico por imagem , Distribuição Aleatória , Ratos , Ratos Wistar , Microtomografia por Raio-XRESUMO
OBJECTIVES: Temporomandibular joint (TMJ) hypofunction secondary to feeding a liquid diet in the growing period leads to morphological hypoplasia. However, few studies have evaluated the results of mechanical loading on the hypoplastic TMJ. This study investigated whether TMJ hypofunction in rats causes osteoarthritis (OA)-like changes when exposed to mechanical loading. DESIGN: Male 21-day-old Wistar rats were divided into four groups. The first group (C) served as the control. In the second group (W), mechanical loading was applied to the TMJ by continuous steady mouth opening (3h/day for 5 days) from 63 days of age. A jaw-opening device was used to hold the mandible open in the maximal mouth-opening position with a cobalt-chromium (Co-Cr) wire (φ: 0.9mm). Groups C and W both received a normal hard diet. The third group (L) and fourth group (LW) were fed a liquid diet and group LW were subjected to the same loading as group W. We evaluated the TMJ using micro-CT, toluidine blue staining and immunohistochemistry of matrix metalloproteinase (MMP)-13. RESULTS: In group LW in the superior and posterior regions of the condyle, bone volume fraction, trabecular thickness and trabecular number were significantly decreased and trabecular spacing was significantly increased. The ratio of MMP-13 immunopositive cells was significantly higher than in the other groups. OA-like changes were also observed, including reduced thickness of the cartilage, irregularities in the chondrocytic layer, and cell-free areas. CONCLUSIONS: TMJ hypofunction in rats is likely to lead to OA-like changes when exposed to mechanical loading.
Assuntos
Osteoartrite/etiologia , Osteoartrite/fisiopatologia , Articulação Temporomandibular/fisiopatologia , Animais , Análise do Estresse Dentário , Masculino , Mastigação/fisiologia , Metaloproteinase 13 da Matriz/metabolismo , Osteoartrite/diagnóstico por imagem , Ratos , Ratos Wistar , Estresse Mecânico , Articulação Temporomandibular/diagnóstico por imagem , Microtomografia por Raio-XRESUMO
This report describes an orthognathic surgical case employing horseshoe Le Fort I osteotomy (HLFO) combined with mid-alveolar osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) for a patient with severe unilateral scissor bite and bimaxillary protrusion. A female patient (aged 26 years, 2 months) presented with a chief complaint of dysmasesis caused by scissor bite on the right side. The clinical examination revealed difficulty in lip closure and a convex profile. Overerupted right maxillary premolars and molars and lingual tipping of the right mandibular premolars and molars were indicated before treatment. After 3 months of presurgical orthodontic treatment, two-jaw surgery involving a combination of HLFO with mid-alveolar osteotomy and BSSRO was performed. A good interdigitation in the right side was established by superior-posterior-medial movement of the dento-alveolar segment of the maxilla. Next, both the maxilla and mandible were moved superiorly and posteriorly to correct the improper lip protrusion, thereby improving the patient's profile. Our results suggest that this new orthognathic surgery technique-achieved by combining HLFO with mid-alveolar osteotomy and BSSRO-is effective for adult patients exhibiting severe unilateral scissor bite and bimaxillary protrusion.
Assuntos
Má Oclusão/cirurgia , Osteotomia Maxilar/métodos , Osteotomia de Le Fort/métodos , Osteotomia Sagital do Ramo Mandibular/métodos , Adulto , Processo Alveolar/cirurgia , Dente Pré-Molar/patologia , Cefalometria/métodos , Assimetria Facial/cirurgia , Feminino , Seguimentos , Humanos , Má Oclusão/terapia , Má Oclusão Classe II de Angle/cirurgia , Má Oclusão Classe II de Angle/terapia , Dente Molar/patologia , Sobremordida/cirurgia , Sobremordida/terapia , Planejamento de Assistência ao Paciente , Técnicas de Movimentação Dentária/métodos , Resultado do TratamentoRESUMO
Lubrication of synovial joints reduces the coefficient of friction of the articular cartilage surface. To investigate the effect of malocclusion on the lubrication of the temporomandibular joint (TMJ), we evaluated lubricin expression in the rat TMJ immunohistochemically, under conditions of functional lateral shift of the mandible, during period of growth. Thirty 5-week-old male Wistar rats were divided into experimental, recovery, and control groups. Each rt in the experimental and recovery groups was fitted with an acrylic-plate guiding appliance. The rats in the experimental and control groups were killed at 14 and 28 days after the appliance was attached. Each rat in the recovery group was detached from the appliance at 14 days, and was killed 14 days after the appliance was removed. In the experimental group, the expression of lubricin staining in TMJ cartilage was significantly decreased during the experimental period. In the recovery group, the expression of lubricin staining in TMJ cartilage was significantly greater than in the experimental group, and there was no significant difference at 28 days between the control and recovery groups. Analysis of these data suggests that a functional lateral shift of the mandible during the growth period influences lubrication of the TMJ.
Assuntos
Cartilagem/anatomia & histologia , Glicoproteínas/biossíntese , Má Oclusão/complicações , Côndilo Mandibular/anatomia & histologia , Articulação Temporomandibular/fisiologia , Animais , Glicoproteínas/análise , Imuno-Histoquímica , Masculino , Má Oclusão/fisiopatologia , Côndilo Mandibular/crescimento & desenvolvimento , Ratos , Ratos Wistar , Articulação Temporomandibular/anatomia & histologia , Articulação Temporomandibular/crescimento & desenvolvimentoRESUMO
OBJECTIVE: To examine whether intermittent posterior condylar displacement causes changes in cancellous bone in the mandibular condyle during the growth period. MATERIALS AND METHODS: Sixteen 5-week-old male Wistar rats were divided into experimental and control groups. In the experimental group, an appliance was attached to the maxillary incisors to induce posterior displacement of the condyles in the occluded condition. Untreated rats served as the control group. Animals were sacrificed at 14 days, and the condyles were removed to analyze the three-dimensional cancellous bone structure by microcomputed tomography (micro-CT). Serial sagittal paraffin sections of the condyles were used for hematoxylin and eosin staining to investigate histomorphological changes and for tartrate-resistant acid phosphatase (TRAP) staining to identify osteoclastic cells. RESULTS: Micro-CT analysis showed that in the experimental group, the bone volume fraction and the degree of anisotropy were significantly decreased compared with those in the control group in the anterior region of the condyle. Moreover, the number of TRAP-positive cells was significantly greater in the same region in the experimental group than in the control group. CONCLUSION: Intermittent posterior displacement of the mandible can cause region-specific changes in the profile and microarchitecture of the condylar cancellous bone.