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Tumor necrosis factor-alpha levels during two different canine distalization techniques.

Seniz Karacay1, Işil Saygun, Ali Osman Bengi

  • 1Dental Science Center Department of Orthodontics, Gulhane Military Medical Academy, Ankara, Turkey. senkaracay@yahoo.com

The Angle Orthodontist
|October 13, 2006
PubMed
Summary

Heavy interrupted forces significantly increase tumor necrosis factor-alpha (TNF-alpha) levels, indicating a prolonged tissue response. Continuous forces show a decrease in TNF-alpha over time, suggesting a potentially safer orthodontic approach.

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Area of Science:

  • Orthodontics
  • Immunology
  • Biomaterials

Background:

  • Tumor necrosis factor-alpha (TNF-alpha) is a key inflammatory mediator.
  • Understanding TNF-alpha's role in orthodontic tooth movement is crucial for optimizing treatment.
  • Continuous and interrupted forces elicit different cellular responses.

Purpose of the Study:

  • To compare TNF-alpha levels under continuous and heavy interrupted orthodontic forces.
  • To evaluate the temporal dynamics of TNF-alpha release in response to different force types.

Main Methods:

  • Two groups of subjects received orthodontic appliances: one with a hybrid retractor (continuous force) and another with rapid canine distalization (heavy interrupted force).
  • Gingival crevicular fluid samples were collected from canine teeth at baseline, 1 hour, 24 hours, and 1 week post-force application.

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  • TNF-alpha concentrations were measured in the collected samples.
  • Main Results:

    • The rapid canine distalization group (heavy interrupted force) showed a significant increase in TNF-alpha at 1 hour.
    • In contrast, the hybrid retractor group (continuous force) exhibited a decrease in TNF-alpha by 1 week.
    • Significantly higher TNF-alpha levels were observed in the heavy interrupted force group at both 1 hour and 1 week compared to the continuous force group.

    Conclusions:

    • Heavy interrupted orthodontic forces trigger a rapid and sustained release of TNF-alpha.
    • Continuous forces may lead to a more controlled inflammatory response with decreasing TNF-alpha levels over time.
    • The findings suggest potential feedback mechanisms to mitigate excessive inflammatory mediator release during orthodontic treatment.