低酸素環境が矯正歯科治療に与える影響を解明~大気中酸素濃度の違いが歯の移動に及ぼすメカニズムを明らかに~

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2025-07-25 東京科学大学

東京科学大学とチュラロンコーン大学の共同研究により、持続的な低酸素環境が矯正歯科治療に与える影響が明らかとなった。ラット実験では、低酸素環境下で歯の移動が促進される一方、歯槽骨の再構築が抑制され、歯根膜細胞の増殖や骨形成因子の発現も低下。低酸素が歯周組織の健全なリモデリングを阻害する可能性が示された。呼吸器疾患などの低酸素症を伴う患者への安全な矯正治療指針の構築に貢献が期待される。

低酸素環境が矯正歯科治療に与える影響を解明~大気中酸素濃度の違いが歯の移動に及ぼすメカニズムを明らかに~
図1.実験の概要図

<関連情報>

ラットにおける全身性かつ持続的な低酸素状態が歯列矯正の歯の移動に与える影響 The effects of systemic and sustained hypoxia on orthodontic tooth movement in rats

Kwanrat Ploysongsang,Yukiho Kobayashi,Yeming Lu,Yuki Niki,Janeta Chavanavesh & Keiji Moriyama
Scientific Reports  Published:01 July 2025
DOI:https://doi.org/10.1038/s41598-025-07949-9

Abstract

During orthodontic tooth movement (OTM), local hypoxia on the compression side stimulates cellular remodelling of periodontal tissues. We investigated the effects of systemic, sustained hypoxia on OTM in vivo. OTM was performed on the right maxillary first molar (M1) of 8-week-old male Sprague–Dawley rats using a 10-gf nickel-titanium closed-coil spring for 4 weeks under control (21% O2, n = 9) or hypoxic (10% O2, n = 9) conditions. Micro-computed tomography was used to measure OTM distances, alveolar bone morphometric parameters, and M1 buccal alveolar bone levels. Osteoclast differentiation and periodontal ligament (PDL) cell proliferation were determined using tartrate-resistant acid phosphatase (TRAP) staining and immunohistochemistry, respectively. Runt-related transcription factor 2 (RUNX2) and vascular endothelial growth factor (VEGF) expression in M1 periodontal tissues were analysed using immunofluorescence. The hypoxia-OTM group showed significantly accelerated tooth movement, significantly decreased M1 buccal alveolar bone levels, significantly greater numbers of TRAP-positive cells on the compression side, and significantly reduced Ki67-positive ratios in PDL tissues. The VEGF and RUNX2 fluorescence intensities on the tension side were higher in the control-OTM than in the hypoxia-OTM group. Our results demonstrate that systemic, sustained hypoxia affects OTM by altering osteoclast and osteoblast differentiation in vivo, resulting in reduced alveolar bone levels after OTM.

医療・健康
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