Rat Articular Condyle Changes During and After Continuous Mandibular Advancement: A Histomorphometric Study

Wissam Alhamadi, Fayez Saleh, Amira Madwar

Abstract


The purpose of this study was to investigate the histological changes in rat mandibular condyle during and after continuous mandibular
advancement by using a fixed functional appliance.
Materials and methods: Fifty-four male Sprague-Dawley rats (4–weeks-old), weight (100-120gm) were used for three month experimental
period; control group (A=24 rats) and experimental group (B=30 rats). Group A and Group B were subdivided into 3
equal groups respectively (A1, A2, A3); (B1, B2, B3). All groups were fed ad libitum and were kept under the same environmental
condition. Only group (B1, B2, B3) were subjected to a full time orthodontic inclined bite plane cemented to the incisors (fixed
functional appliance) to advance the mandible, while group A still as a control group. At the end of the 1st month only group B1as
a (full-time wearer)and A1 were sacrificed, while groups B2 and B3 continue as a half-day-wearer, retention period) till the end of
the 2nd month, when group B2 and A2 were sacrificed. Remaining rats (Group B3) stayed without appliance, post retention period)
during whole 3rd month were sacrificed at the end of third month with control (A3). Specimens of hemi-cranium for all scarified
animals were cut and dissected, histopathological examination had been done.
Results: An abundant cellular proliferation expressed at posterior border of the condylar cartilage in group B than in group A.
Cellular proliferation without proper ossification was noticed on the condyles of young rats of group A. However, rats revealed a
significant Condylar ossification and higher osteoblastic activity towards the last week of treatment and retention period with the
mandibular Condylar growth was accelerated by bite-jumping appliance treatment and stable within limits after a certain period
of retention.
Conclusion:Mandibular Condylar changes were accelerated by using fixed functional appliances that increased osteogenesis noticed
during active mandibular advancement.


Keywords


Bite-jumping appliances, class II malocclusion, condylar histological changes.

References


Graber TM, Vanarsdall, R.L., Vig, K.W.L. Orthodontics:

Current Principles and Techniques. 4th edition Ed, St.

Louis: Elsevier Mosby, Inc.; 2005.

Pancherz H. The Herbst appliance…its biologic effects and

clinical use. Am J Orthod. 1985; 87(1):1-20.

Birkebaek L, Melsen B, Terp S. A lain graphic study of

the alterations in the tempromandibular joint following

activator treatment. Eur JOrthod. 1984; 6(4):257-66.

Shum L, Rabie AB, Hagg U, Shum L, Rabie ABM, Hagg

U. Vascular endothelial growth factor expression and bone

formation in posterior glenoid fossa during a stepwise

Orthodontics

Iraqi Dental Journal | volume 36 ,Issue 2- Jun. 2014

mandibular advancement. Am J Orthod. Dentofacial

Orthop., 2004; 125(2):185-90.

Rabie AB, Zhao Z, Shen G, Hagg EU, Dr O, Robinson W.

Osteogenesis in the glenoid fossa in response to mandibular

advancement. Am J Orthod. Dentofacial Orthopedic.2001;

(4):390-400.

Petrovic AG. Mechanisms and regulation of the mandibular

Gondylar growth. Acta Morphol Neerl Scand. 1972;

(1):25-34.

Jukes JM, Both SK, Leusink A, Serk LM, van Blitterswijk

CA, de Boer J, et al.Endochondral bone tissue engineering

using embryonic stem cells. Proc Natl Acad Sci USA. 2008

; 105(19):6840-5.

Shen G, Cephalometric evaluation of condylar

and mandibular growth modification: a

review. Orthod Craniofacial Res.2006;9(1):

-9.

Shen G, Darendeliler MA. The adaptive remodeling of

condylar cartilage atransition from chondrogenesis to

Osteogenesis. J Dent Res. 2005; 84(8):691-9.

Hajjar D, Santos MF, Kimura ET. Propulsive appliance

stimulates the synthesis of insulin-like growth factors I

and II in the MCC of young rats. Arch Oral Biol. 2003;

(9):635-42.

Leung FY, Rabie AB, Hagg U, Leung FYC, Rabie

ABM. Neovascularization and bone formation in the

condyle during stepwise mandibular advancement. Eur J

Orthod.2004; 26(2):137-41.

Klein-Nulend, J., Veldhuijzen, J.P., van Strien, M.E., de

Jong, M., and Burger, E.H. Inhibition of osteoblastic bone

resorption by mechanical stimulation in vitro, Arthritis and

Rheumatism.1990;33:66-72.

Rabie AB, Hagg U, Rabie ABM.Factors regulating

mandibular condylar growth. Am J Orthod Dentofacial

Orthop.2002; 122(4):401-9.

McNamara J.A., Peterson JJE, Pancherz H..Histological

changes associated with the Herbst appliance in adult rhesus

monkeys (Macaca mulatta). Seminars in Orthodontics.2003;

(1):26-40.

McNamara JA, Allen Bryan F. Long-term mandibular

adaptations to protrusive function: An experimental study

in Macaca mulatta. Am. J. of Orthod. And Dentofacial

Orthopedics. 1987; 92(2):98-108.

McNamara, J.A. Jr., Hinton, R.J. and Hoffiman, D.L.

Histological analysis of the tempromandibular joint

adaptation to protrusive function in young adult rhesus

monkeys (Macaca mulatta), Am J. Orthod.1982; 82:288-

Ruf S, Pancherz H. Tempromandibular joint remodeling in

adolescents and young adults during Herbst treatment: A

prospective longitudinal magnetic resonance imaging and

Cephalometric radiographic investigation. Am J Orthod

Dentofacial Orthop. 1999: 115(6):607-18.

Serbesis-Tsarudis C, Pancherz H. Effective TMJ and chin

position changes in Class II treatment. Angle Orthod.2008;

(5):813-8.

Woodside DG, Metaxas A, Altuna G. The influence of

functional appliance therapy on glenoid fossa remodeling.

Am J Orthod. Dentofacial Orthop. 1987; 92(3):181-98.

Vargervik K, Harvold EP. Response to activator treatment in

Class II malocclusions. Am J Orthod. 1985; 88(3):242-51.

Illing, K.G., Reed, R.T., and Stephens, C.D., Functional

orthodontic appliances, Oxford, England: Blackwell

Scientific Publications, 1991 PP: 102-6.

Woodside, D.G. Do functional appliances have orthopedic

effects? Am J Orthod. And Dentofacial Orthopedics 1998,

:11-14.

Tulloch, J.F.C., Medland, W. Tuncay, O.C. Method used

to evaluate growth modification in Class II malocclusion,

Am J of Orthodontics and Dentofacial Orthopedics, 1990,

:340-347.

Dermaut, L.R., and Aelbers, C.M.F. Orthopedics in

orthodontics: fiction or reality. Part II: a review of the

literature, Am J orthod. and Dentofacial Orthopedics, 1996;

:667-71.

Rabie AB, Wong L, Tsai M. Replicating mesenchymal

cells in the condyle and the glenoid fossa during

mandibular forward positioning. Am J Orthod. Dentofacial

Orthop.2003: 123(1):49-57.

Lawrence A., Manual of Histological and special staining

technique 2nd ed. Book, 1960 Black stone division Mac

Grew little Company.

Visnapuu V, Peltomaki T, Isotupa K, Helenius H:

Distribution and characterization of proliferative cells in the

rat mandibular condyle during growth. European Journal of

Orthodontics.2000: 22:631-8.

Kantomaa T, Pirttiniemi P.Differences in biologic response

of the mandibular condyle to forward traction or opening of

the mandible: an experiment study in the rat.Acta Odontol

Scand. 1996: 54:183-44.

Hashimoto S,Setareh M, OchsRL, LOtz M .FasFas ligand

expression and induction of apoptosis in chondrocytes

.Arthritis and Rheumatism.1997: 40:1749-1755.

Chung UI, SchipaniE, and McMahon AP, Kronenberg H:

Indian Hedgehog couples chondrogensis to osteogenesis

in endochondral bone development .Journal of Clinical

Investigation.2001:107:295-304.

Tang G H, Rabie A B M, and Hagg U: A mechanotransduction

mediator in condylar cartilage .European journal of

Orthodontics, (2003) Indian Hedgehog 25:440-441.




DOI: http://dx.doi.org/10.26477/idj.v36i2.12

Refbacks

  • There are currently no refbacks.




--------------------------------------------------------------------------------------------

Copyright by Iraqi Dental Journal

ISSN (Print): 2307-4779 | ISSN (Online): 2411-9741