Leethanakul Chidchanok, Suamphan Sumit, Jitpukdeebodintra Suwanna, Thongudomporn Udom, Charoemratrote Chairat
a Associate Professor, Orthodontic Section, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
b Graduate student, Orthodontic Section, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Angle Orthod. 2016 Jan;86(1):74-80. doi: 10.2319/111914-830.1. Epub 2015 Mar 26.
To investigate the effects of application of vibratory stimuli on interleukin (IL)-1β secretion during maxillary canine distalization.
Split-mouth design study in 15 subjects (mean age, 22.9 years; range 19-25 years) whose bilateral maxillary first premolars were extracted with subsequent canine distalization. On the experimental side, light force (60 g) was applied to the canine for 3 months in combination with vibratory stimuli provided using an electric toothbrush 15 minutes a day for 2 months; only orthodontic force was applied to the contralateral control canine. Gingival crevicular fluid (GCF) was collected from the mesial and distal sides of each canine at each monthly appointment. IL-1β levels were analyzed using an enzyme-linked immunosorbent assay. Canine movement was measured monthly.
Overall, enhanced IL-1β secretion was observed at the pressure sites of experimental canines compared to control canines (mean, 0.64 ± 0.33 pg/µL vs 0.10 ± 0.11 pg/µL, respectively, P < .001). The accumulative amount of tooth movement was greater for the experimental canine than for the control canine (mean, 2.85 ± 0.17 mm vs 1.77 ± 0.11 mm, respectively, P < .001).
This study demonstrates that, in combination with light orthodontic force, application of vibratory stimuli using an electric toothbrush enhanced the secretion of IL-1β in GCF and accelerated orthodontic tooth movement.
研究在上颌尖牙远中移动过程中施加振动刺激对白细胞介素(IL)-1β分泌的影响。
对15名受试者(平均年龄22.9岁;年龄范围19 - 25岁)进行双侧上颌第一前磨牙拔除并随后进行尖牙远中移动的分口设计研究。在实验侧,对尖牙施加轻力(60 g),持续3个月,并结合使用电动牙刷每天提供15分钟的振动刺激,持续2个月;对侧对照尖牙仅施加正畸力。在每个月的预约就诊时,从每颗尖牙的近中侧和远中侧收集龈沟液(GCF)。使用酶联免疫吸附测定法分析IL-1β水平。每月测量尖牙移动情况。
总体而言,与对照尖牙相比,实验尖牙的压力部位观察到IL-1β分泌增强(分别为平均0.64±0.33 pg/μL和0.10±0.11 pg/μL,P <.001)。实验尖牙的牙齿移动累积量大于对照尖牙(分别为平均2.85±0.17 mm和1.77±0.11 mm,P <.001)。
本研究表明,与轻正畸力相结合,使用电动牙刷施加振动刺激可增强GCF中IL-1β的分泌并加速正畸牙齿移动。