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Salivary RANKL and OPG gene expression quantification during intermaxillary elastic traction in orthodontic patients
Danusha Siva Dharma1, Siti Hajjar Nasir1, Muhamad Ashraf Rostam2
1Department of Orthodontics, Kulliyyah of Dentistry, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
Methodsx
|June 19, 2026
Summary
This study outlines a non-invasive saliva collection method to measure gene expression (RANKL and OPG) in orthodontic patients. The protocol enables tracking molecular changes during intermaxillary elastic traction treatments.
Area of Science:
- Orthodontics
- Molecular Biology
- Genetics
Background:
- Orthodontic treatment involves mechanical forces that can induce molecular changes.
- Quantifying these changes non-invasively is crucial for understanding treatment responses.
- Saliva offers a promising source for molecular biomarker discovery.
Purpose of the Study:
- To present a detailed protocol for quantifying salivary RANKL and OPG gene expression.
- To assess gene expression changes in orthodontic patients undergoing different elastic traction therapies.
- To establish a reproducible workflow for molecular event investigation in orthodontics.
Main Methods:
- Non-invasive saliva collection via passive drooling at baseline, 24h, and 7 days.
- Column-based RNA extraction and cDNA synthesis from salivary pellets.
- Quantitative real-time PCR (RT-qPCR) for RANKL and OPG gene expression analysis using β-actin as reference.
Main Results:
- The protocol details steps for RNA extraction and RT-qPCR amplification.
- It includes spectrophotometric quality control and MIQE guidelines adherence.
- A prospective three-group design allows isolation of gene expression changes related to specific orthodontic mechanics.
Conclusions:
- This protocol provides a reproducible method for salivary gene expression analysis in orthodontics.
- It facilitates the study of mechanically induced molecular events during orthodontic treatment.
- The non-invasive approach enhances patient comfort and sample accessibility.

