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Histological, histochemical, and
immunohistochemical
investigations into the effects of
orthodontic forces on paradental
tissues and cells
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Histology
The branch of biology concerned with the
microscopic study of the structure of
tissues
The tissue structure of an organism or
part, as revealed by a microscopic study
(Webster’s Dictionary)
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Prominent orthodontic histologists
Carl Sandstedt (1904-5): apposition and
resorption of alveolar bone, mainly at the
PDL-bone surface interface
Albin Oppenheim(1911-2): complete
transformation of the alveolar process
Kaare Reitan (1947-70s): effects of
variables such as age, gender, species,
type and duration of force application
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3 hours tipping, 80 g
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12 hours tipping
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24 hours tipping
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2 days tipping
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7 days tipping
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14 days tipping
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28 days tipping
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Summary of clinical
implications of tooth
movement-related histological
observations (Kaare Reitan
and Per Rygh)
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Histochemistry
That branch of histology which deals with
the identification of chemical components
in cells and tissues (Medical Dictionary).
The study of the chemical components of
cells through the use of chemically
specific staining reagents (Webster).
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Enzymes with enhanced activity
during orthodontic PDL
compression in man (E. Lilja et al,
1983)
Lactate dehydrogenase
Glucose-6-phosphate dehydrogenase
Succinic dehydrogenase
Acid phosphatase
Aminopeptidase M
Aryl sulfatase
Prostaglandin synthetase
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Localization of enzymes in the
compressed PDL in rats (E Lilja, S
Lindskog, L Hammarstrom, 1983)
Mesial molar movement in rats for 10 h-6 d
RESULTS: acid phosphatase and lactate
dehydrogenase were found in sites of
alveolar bone resorption.
Prostaglandin synthetase was found
exclusively in the bone marrow, but not
in the PDL.
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Conclusions from orthodontic-
related histochemical studies
Specific enzymes can be localized and
identified in mechanically-stressed
paradental cells.
Cellular enzymatic activity is enhanced by
orthodontic forces.
Monitoring enzymatic fluctuations in the
gingival crevicular fluids may have
diagnostic value.
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Immunohistochemistry
Microscopic localization of molecular
components of tissues through the use of
antibodies against these molecules.
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Controlwww.indiandentalacademy.com
Tension, 24 hwww.indiandentalacademy.com
Controlwww.indiandentalacademy.com
Tension, 24 hwww.indiandentalacademy.com
Effect of orthodontic tension on
3’,5’-adenosine monophosphate
(cyclic AMP, cAMP) in cat
canine paradental cells
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Controlwww.indiandentalacademy.com
Tension, 24 hourswww.indiandentalacademy.com
Tension,7 dayswww.indiandentalacademy.com
Specificity test, cAMPwww.indiandentalacademy.com
Immunohistochemistry in
orthodontic research
It can determine the presence, location,
and relative concentration of specific
molecules in dental and paradental
tissues during tooth movement.
This information can assist in identifying
molecules that play important roles in
force-induced tissue remodeling.
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Autoradiography
The making of a radiograph of an object or
tissue by recording on a photographic
plate the radiation emitted by weakly
emitting radioactive material within the
object. The technique has been used
widely for studying DNA synthesis and
location within cells, with tritium-labeled
precursors (like thymidine) as the
radioactive marker. (Medical Dictionary)
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Conclusion: autoradiography and
orthodontics
Autoradiography facilitates the
determination of the origin of cells that
participate in the remodeling of
paradental tissues during orthodontic
treatment. It also enables to assess the
location and amount of newly synthesized
ECM, and the extent of blood flow
through the involved tissues.
www.indiandentalacademy.com
Overall conclusions
Microscopy in its various modes is a powerful
tool to expose the effects of orthodontic
forces on paradental tissues. It is useful in
highlighting morphological and functional
changes, on the cellular and molecular
levels. It provides the orthodontist means to
assess the outcome of various treatment
modalities, and a scientific basis for
choosing specific techniques.
www.indiandentalacademy.com
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Btm4 histology

Editor's Notes

  1. 3 hours tipping, 80 g
  2. 7