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Carlalberta Verna

Publications and source records attributed to Carlalberta Verna.

5 recordsLinked to original sources

Microcracks in the alveolar bone following orthodontic tooth movement: a morphological and morphometric study.

Microcracks and microdamage have been associated with bone remodelling. The aim of this study was to investigate the role of microcracks as a trigger for alveolar bone remodelling after the application of an orthodontic load. In 25 3-month-old male Danish land-race pigs, the lower right first molar was moved buccally with a force of 130 cN. The contralateral molar was not treated and was used as an internal control. After 1, 2, 4, 7 and 15 days of treatment, the regions containing the right and left molars were excised and en bloc stained in basic fuchsin. The presence of microcracks on the buccal and lingual sides of both treated and untreated teeth was detected and expressed as crack density (number/mm2). The buccal treated side showed significantly more cracks than the buccal untreated side at day 1. This difference was significantly larger than that observed at days 2, 7 and 15. The same side showed significantly more microcracks than the lingual treated side at day 1, and this difference was larger compared with that observed at days 4 and 15. The presence of more microcracks on the treated side than on the untreated side suggests a role for microcracks in the initiation of bone remodelling after orthodontic loading. The increased presence of microcracks on the side towards which the tooth was moved, and where bone resorption is usually observed, suggests that microcracks could represent the first damage induced by orthodontic force that has to be repaired by bone remodelling. Finally, the strain levels in the alveolar bone during the orthodontic load transfer in the experiment were examined by finite element (FE) analysis. Although this showed that the strains were very low (10-100 microstrain), it should be noted that occlusal loading was not taken into account. In addition, high-resolution microtomography of the alveolar bone/periodontal ligament (PDL) interface revealed that the actual surface of the alveolar bone was very rough, predisposing it to high local stress/strain peaks.

Alveolar Process↗

Bone turnover rate in rats does not influence root resorption induced by orthodontic treatment.

The aim of this study was to determine, in a rat model, whether a state of high or low bone turnover had an effect on the rate and type of tooth movement and on the incidence of root resorption induced by orthodontic treatment. The maxillary left first molar was moved mesially for 21 days in 52 6-month-old Wistar rats. They were divided into three groups: group 1 (n = 19) with normal bone turnover, group 2 (n = 16) with high bone turnover, and group 3 (n = 17) with low bone turnover. The contralateral side was left untreated to act as a control. The different metabolic rates were created by inducing hyper- and hypothyroidism. The amount of tooth movement was measured using an electronic calliper and the location of the centre of rotation (CRot) was determined after microcomputer tomographic scanning and subsequent three-dimensional reconstruction. Histomorphometric evaluation of root resorption was performed on undecalcified 7 microm thick sections of the maxilla and the differences between treated and untreated sides were evaluated. The results showed that high bone turnover increased the amount of tooth movement compared with the normal or low bone turnover state. There was no statistical difference in the location of the CRot. The treated side presented more root resorption than the untreated side, but this difference was not influenced by the metabolic rates. On the contrary, the untreated side in the low bone turnover group showed more root resorption, suggesting that in subjects where a decreased bone turnover rate is expected, the risk of root resorption could be increased.

Analysis of Variance↗

Healing patterns in calvarial bone defects following guided bone regeneration in rats. A micro-CT scan analysis.

OBJECTIVE: The objective of this study was to evaluate healing patterns of critical-size calvarial bone defects treated according to principles of guided bone regeneration using micro-CT scan analysis. Specifically, the contribution of bone, periosteum and dura mater to the amount and mineralization of newly formed bone was evaluated. MATERIAL AND METHODS: Surgically induced, critical-size calvarial bone defects in 48 adult male Wistar rats received the following: an occlusive expanded polytetrafluoroethylene (ePTFE) membrane at the exo- and endocranial aspect (OO; n = 12); an occlusive membrane at the exocranial and a perforated membrane at the endocranial aspect (OP; n = 12); a perforated membrane at the exocranial and an occlusive membrane at the endocranial aspect (PO; n = 12); and a perforated membrane at the exo- and endocranial aspect (PP; n = 12). The animals were euthanized at 4 weeks for quantitative analysis of bone volume fraction and mineralization in the region of interest (ROI) as well as in the external, middle and central area of the defect using micro-CT. RESULTS: Bone volume fraction ranged from 31.4% (OP) to 24.5% (PP). No differences were found among the groups. Bone volume fraction and mineralization in the middle area were significantly greater in group OP than in group PP, and in the central area in group OO and PO than in group PP. CONCLUSIONS: The results of this study suggest that use of occlusive ePTFE membranes enhances bone formation and maturation in the calvarial skeleton. When occlusion of endo- and exocranial tissues was compromised by membrane perforation, impaired bone formation and mineralization were observed.

Analysis of Variance↗

Microdamage in porcine alveolar bone due to functional and orthodontic loading.

Bone remodelling has been associated with microdamage. The aim of this study was to investigate the presence of microdamage in the alveolar bone and its potential role in the initiation of bone remodelling following the application of an orthodontic load. The three-dimensional morphology of the alveolar bone was investigated by means of high resolution micro-CT scanning. In 25, 3-month-old, male Danish land-race pigs, the alveolar bone around the lower right and left first molars was analysed. The right first molar was moved buccally with a force of 130 cN by means of a custom-made cantilever made of a TMA 0.017 x 0.025 inch wire. The left molar was left untreated. After 1, 2, 4, 7 and 15 days of treatment the regions containing the right and left molars were excised and en bloc stained in basic fuchsin and the presence of microdamage detected. Diffuse damage was present in the alveolar bone of both the treated and the untreated teeth on both sides. On the lingual sides, diffuse damage showed the same orientation as the periodontal fibres. Bone microcracks were also detected on both the treated and untreated teeth. On the buccal surfaces they where often observed in close proximity to scalloped resorption surfaces. After 1 day of treatment, the presence of microcracks on the buccal-treated side was particularly marked. To conclude, bone microdamage is present in porcine alveolar bone in form of both microcracks and diffuse damage, suggesting that microdamage-driven remodelling also occurs in the alveolar bone. The presence of bone microcracks in the direction of the orthodontic force at day 1 suggests that they could represent the first damage induced by the orthodontic load that has to be repaired.

Animals↗