-
[show abstract]
[hide abstract]
ABSTRACT: The effect of occlusion on the temporomandibular joint (TMJ) is debated. By inserting rubber-bands that were replaced by self-curing resin one week later, the left maxillary and the right mandibular first-molars were moved and kept mesially in Sprague-Dawley (SD) rats in both experimental I (EXP-I) and II (EXP-II) groups, aiming to establish a non-matching cusp-to-fossa occlusal relation. Four weeks later, the left maxillary and the right mandibular third-molars were moved and kept distally in the EXP-II group. Degenerative changes, typically as a cell-free area, were observed in TMJs of the EXP groups. Binary logistical analysis indicated that the odds ratio of EXP group, EXP-II vs. EXP-I, on the incidence of a cell-free area, was 2.8 (p=.036). Time point, gender, and side did not have such effects (p>0.05). The results indicate that the persistence of more scattered non-matching cusp-to-fossa occlusion is more harmful to the condylar cartilage in terms of the incidence of degenerative changes.
Cranio: the journal of craniomandibular practice 10/2012; 30(4):286-92. · 0.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: BACKGROUND: Estrogens play an important role in modulating the morphology and function of temporomandibular joints (TMJs), which is suggested to act via estrogen receptors (ERs). The present study was to investigate the expression of aggrecan, collagen type II (Col II), Col X, aromatase, ERalpha and ERbeta in degenerative changes of mandibular condylar cartilage. METHODS: Forty male and 40 female 8-week-old rats were enrolled in this study. In experimental groups, the disordered occlusion was created by moving the first molars mesially and the third ones distally. Immunohistochemistry and real-time PCR were performed at the end of the second or fourth week. RESULTS: Degenerative changes, characterized by interrupted continuity of hypertrophic layer, pyknotic and eosinophilic lesion with few nuclei, areas filled with eosinophilic nuclei, were observed in more joints from female experimental groups than male ones. However, thickening changes in hypertrophic layer were only found in male experimental groups. The gene expression of Col II, Col X and aggrecan increased in 4-wk male experimental subgroup (both P < 0.01), but decreased in 2-wk and 4-wk female subgroups (P < 0.05). The gene expression of ERalpha decreased in 2-wk male and female experimental subgroups (both P < 0.01), however, that of ERbeta increased except the 2-wk female experimental subgroup (all P < 0.01). The expression of aromatase decreased in both male and female experimental subgroups (all P<0.01). CONCLUSIONS: Mandibular condylar cartilage responses differently to the disordered occlusion in male and female rats. The levels of locally synthesized estrogen, ERalpha and ERbeta may have limited attribution, if any, to the sex-specific cartilage response.
BMC Musculoskeletal Disorders 09/2012; 13(1):190. · 1.58 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To investigate the effect of gradually induced disordered occlusion (GIDO) on the expression of osteoprotegerin (OPG) and receptor activator of nuclear factor-kappaB ligand (RANKL) in mandibular condylar cartilage of rats.
Totally 48 rats, aged 8 weeks were included, and were divided into experimental and control groups randomly at 4 time points, with same gender distribution (n=3). By inserting elastic rubber band the right side mandibular first molar and the left side maxillary first molar were moved mesially. Four weeks later, the right side mandibular third molar and the left side maxillary third molar were moved distally with same method. In this way, the GIDO was established in rats. The rats were sacrificed at the end of 2th, 4th, 6th and 8th week respectively after the application of the GIDO. The expression of OPG and RANKL in condylar cartilage was examined with immunohistochemical method and calculated by the area of positive cell percentage.
OPG and RANKL expressed predominantly in condylar cartilage hypertrophic layer. The rats in experimental group expressed a higher OPG level in all of the 4 time points than their age-matched controls (P<0.05), while RANKL were higher in 2, 6, 8 weeks subgroups (P<0.05), but not in 4 weeks subgroup. No differences were found between male and female subgroups.
The present results suggest that both OPG and RANKL take part in the condylar cartilage remodeling procedure in the present rat model.
Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology 04/2012; 30(2):119-22, 127.
-
[show abstract]
[hide abstract]
ABSTRACT: Aims: To study the effect of estrogen deficiency and altered temporomandibular joint loading on the histomorphology of condylar cartilage and on the expression of types II and X collagen and matrix metalloproteinase-3 (MMP-3). Methods: Thirty-six female rats were divided into four groups: ovariectomized rats on a normal diet, nonovariectomized control rats on a normal diet, ovariectomized rats on a soft diet, and nonovariectomized control rats on a soft diet. Ovariectomy was performed at the age of 60 days. Repeatedmeasures ANOVA was used to analyze the data. Results: The condylar cartilage in the ovariectomized normal diet group showed a significantly higher number of cells than in the nonovariectomized control rats (P < .001). The proportional amount of MMP-3 expression was significantly higher in the ovariectomized rats than in the nonovariectomized control rats in both diet groups (P < .001). The area covered by types II and X collagen was significantly higher in the experimental groups than in the control groups (P < .01). Conclusion: Condylar cartilage is sensitive to both estrogen level and dietary loading.
Journal of orofacial pain 01/2012; 26(4):328-36. · 2.59 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To examine the effect of decreased estrogen level and altered diet hardness on condylar cartilage morphology of the rat temporomandibular joint (TMJ) and on the expression of condylar cartilage estrogen receptor alpha (ERa) and matrix metalloproteinase-8 (MMP-8).
A total of 36 female rats was divided into four groups: ovariectomized rats fed a normal diet, non-ovariectomized controls fed a normal diet, ovariectomized rats fed a soft diet, and non-ovariectomized controls fed a soft diet. Ovariectomy was performed at the age of 60 days. Seven days after the operation, the rats were sacrificed. Repeated measures ANOVA and Duncan's multiple comparison tests were used for statistical analysis.
The ovariectomized rats had thicker cartilage layers than the controls, both in the normal diet and soft diet groups. The thinnest cartilage layers were found in the control rats fed with the soft diet. The thickness of the chondroblastic layer was significantly higher (P < .001) in the normal-diet rats than in the soft-diet rats in both ovariectomized and non-ovariectomized groups. The thickness of the proliferative layer was significantly higher (P < .001) in the ovariectomized soft-diet rats than in the soft-diet control rats. The proportional amount of ERa was statistically significantly higher (P < .001) in the condylar cartilage of the ovariectomized rats than in the non-ovariectomized control rats both in the normal- and soft-diet groups. The proportional amount of ERa was statistically significantly higher (P < .001) in the ovariectomized normal-diet rats than in the ovariectomized soft-diet rats. The proportional number of MMP-8-positive cells was statistically significantly higher (P < .001) in the condylar cartilage of ovariectomized rats fed the soft diet than in non-ovariectomized control rats fed the soft diet. Control rats fed with the normal diet had a higher proportional amount of MMP-8 positive cells than control rats fed with the soft diet (P < .05).
The rat TMJ condylar cartilage is sensitive to changes in estrogen levels and altered diet hardness.
Journal of orofacial pain 01/2011; 25(3):261-8. · 2.59 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Studies of temporomandibular joint (TMJ) discs removed from autopsy specimens and in surgery indicate that they are often thicker in patients with temporomandibular disorders (TMDs). Disc thickness may also change when the condyle moves in and out of the joint fossa during opening and closing.
The purpose of this pilot study was to test the hypothesis that the TMJ disc thickness is greater in TMD patients than in healthy subjects and is affected by the degree of jaw opening.
Magnetic resonance images (MRI) were made of the TMJs in young volunteers, 9 asymptomatic subjects and 9 TMD subjects, at closed and at 10-, 20-, and 30-mm open positions. The thickness of the anterior and posterior bands of the discs and the intermediate zones was measured and compared between TMD and control groups, and between closed and opened positions, using the repeated-measures method in general linear model (alpha=.05).
The hypothesis that the disc was thicker in the TMD than in the control group was supported with respect to the anterior band and intermediate zone (P<.046), but not with respect to the posterior band. The hypothesis that the thickness is affected by the degree of jaw opening was only supported for the posterior band, where it increased during opening in both groups (P<.005).
The results indicate that the anterior band and the intermediate zone of the TMJ discs are thicker in TMD patients than in healthy subjects. The posterior band thickness increases with mouth opening in both asymptomatic and TMD subjects.
The Journal of prosthetic dentistry 08/2009; 102(2):89-93. · 1.22 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Estrogens have been suggested to play an important role in the development of temporomandibular disorders (TMD). However, a growing body of epidemiological, clinical and experimental researches focusing on the relationship between TMD and exogenous estrogen or serum estrogen has produced conflicting results. Recently, locally synthesized estrogens have been found and proved to contribute greatly to the function of cartilage. We hypothesize that estrogens synthesized locally in condylar cartilage have a profound effect on the development of TMD. Future investigation of local estrogen in condylar cartilage may give, at least partially, valuable evidences for the etiology and treatment strategy of TMD. In our opinion, regulating the amount and effect of locally synthesized estrogen seems to hold interesting future prospects for the treatment of TMD.
Medical Hypotheses 03/2009; 72(6):720-2. · 1.39 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To test the hypothesis that experimentally created physiologically nonbalanced occlusion will not affect the thickness of the temporomandibular joint (TMJ) discs in rats.
Twenty-four 8-week-old Sprague-Dawley rats were equally divided into a control group that was left untreated and an experimental group where a nonbalanced occlusion was created. Elastic rubber bands, 1 mm in diameter, were inserted and 1 week later were replaced by plastic material between the first and the second molars of the left maxillary and the right mandibular dentitions to move the first molars about 0.8 mm mesially. This created and maintained a physiologically nonbalanced occlusion. The animals were euthanized 8 weeks later, and the TMJ disc thickness was measured on histologically prepared slices using an electronic meter. Two-way univariate analysis of variance was used to compare the groups (alpha level = .05).
The intermediate zone was thicker in the experimental group than in the control group (P = .003), but no differences were found between groups regarding the anterior and posterior bands. There were no significant sex-related effects on this observation.
The hypothesis is rejected. The results indicate that the intermediate zone of rat TMJ disc has the ability to adapt to the alteration of the space between condyle and fossa caused by occlusion changes. Further studies on larger groups that are followed for longer times are needed.
The Angle Orthodontist 02/2009; 79(1):51-3. · 1.21 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Objective: To reconstruct three-dimensional FEM model including lower dentition、mandible and bilateral condyles for analyzing the regularities of Temporomandibular Joint (TMJ) stress distribution response to dental occlusion alteration by using Finite Element Methods. Methods and Materials: A skull sample was selected and scanned by CT at the direction parallel to the Frankfort Horizontal plane. Occlusion surface of the plaster casts were scanned with a 3D scanner. Then the cast's digital parameter and CT image's parameter were converted into one coordinate system. Also a simulated disc was added on each of the condyles. In FEA software ANSYS the same boundary constraints were applied to the TMJ FEM model with different load cases. According to three different occlusal area loads on the second mandibular molar, that were ICO load, distal load and buccal load, the stress value of condyles of the FEM model were calculated. Results: The FEM model containing bilateral condyles, simulated discs, and lower dentition was formed after meshing. The condyle stresses on TMJ FEM model in three loading cases are diverse not only in stress' character but also in stress distribution style. The maximum value of Von Mises in opposite condyle is 51.513MPa when ICO load was applied. But when the distal load or the buccal load was applied the maximum value of Von Mises in opposite condyle increased to 72.145MPa or 69.566Mpa respectively. Conclusion: Alteration of occlusal contact condition affects the TMJ condyle stress distribution significantly. The same level but different direction of occlusal force that resulted from difference of loading spots by changing the occlusal contact area would induce different stress features on bilateral condyles.
World Journal of Modelling and Simulation 01/2005; 1:60-64.
-
[show abstract]
[hide abstract]
ABSTRACT: The relationship between occlusion and temporomandibular disorders (TMD) remains disputed. The related epidemiological studies have been carried out focused on the occlusal characteristics in motion, for example in protrusion, retrusion or laterally extension and on some of malocclusion features. Very few studies were carried out on the intercuspal occlusion which is the most important occlusal relationship. Angle's classification of occlusion and the relationship of over-jet and over-bite are two prominent features now generally used in clinical practice for occlusal evaluation. In present study two kinds of features of occlusion were compared among TMD patients, malocclusion patients and university student volunteers, who of the laters represented nature population.
100 continued cases visiting our TMD Clinic during the year of 2 000 with complain of TMD problem, 100 malocclusion patients in continued orthodontic department records, and 268 university student volunteers were included. All subjects were with complete dentitions, except of age-related third or second molar tooth eruption difference. Study cast were obtained for all 468 subjects involved and following characters were studied. 1. Angle's classification; 2. Over-jet and over-bite relationship. Anteriorly it included cross-bite, cusp-to cusp bite, deep over-bite (without deep over-jet), deep over-jet (with or without deep-bite), open bite, and others. Posteriorly it included cross-bite, reverse cross-bite and others. 3. Abnormal occlusal index: For the purpose of quantitatively comparing the abnormal occlusal relationship of over-bite and over-jet, the occlusal index was introduced. The anterior continued abnormal was scored as 3 while posterior continued oclcusal abnormal scored as 5. The sum of the scores in the same subject was taken as his abnormal occlusion index.
1. Ratio of Angle's I patients in malocclusion group was significantly lower than those in TMD group and US group (P < 0.05), while the later two groups had no difference (P > 0.05). 2. The ratios of anterior cross-bite and deep over-jet were higher in malocclusion group than those in other two groups. No significant difference for the other kinds of abnormal over-jet and over-bite relationship were found among the three groups. 3. The abnormal occlusion index of malocclusion group was higher than that of US group, but not than that of TMD group which had no difference with US group either.
1. Aesthetic related anterior abnormal occlusion such as anterior cross-bite and deep-over-jet attract more attention of popular. But they had no relationship with TMD. 2. TMD patients had not significant occlusal features on Angle's classification and over-jet and over-bite relationship compared to malocclusion and nature population subjects.
Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology 07/2002; 37(4):249-52.
