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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/20547完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 姚宗珍(Chung-Chen Yao) | |
| dc.contributor.author | Yang-cheng Chen | en |
| dc.contributor.author | 陳泱錚 | zh_TW |
| dc.date.accessioned | 2021-06-08T02:52:42Z | - |
| dc.date.copyright | 2017-09-13 | |
| dc.date.issued | 2017 | |
| dc.date.submitted | 2017-08-11 | |
| dc.identifier.citation | Aihara, N., Yamaguchi M. and Kasai K. (2006). 'Low-energy irradiation stimulates formation of osteoclast-like cells via RANK expression in vitro.' Lasers Med Sci. 21(1): 24-33.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/20547 | - |
| dc.description.abstract | 矯正牙齒移動是牙齒受力後，牙周韌帶與齒槽骨組織重塑的結果。包含許多細胞激素參與，RANKL-RANK-OPG系統是調控骨重塑活動的重要一環，也是許多加速牙齒移動機制的主要目標。眾多文獻回顧支持低能量雷射治療有加速矯正牙齒移動功效，可能的機制為透過RANKL-RANK系統活化噬骨細胞、刺激骨生成，以及加快矯正治療中的透明帶移除。
影響RANKL-RANK-OPG系統的因子很多，本實驗使用波長970 nm，功率輸出500 mW之低能量雷射，對大鼠上顎臼齒進行照射，利用IVIS活體影像系統觀察MMP3變化，並針對RANKL、OPG、VEGF、PECAM-1、HIF-1α、PCNA、MCP-1進行免疫化學組織染色分析；亦透過單純照射大鼠下顎臼齒探討單純照射高劑量LLLT對大鼠骨質代謝的影響。結果發現高劑量LLLT刺激並加成RANKL、VEGF、HIF-1α及MCP-1表現，且影響皆相當早期，而噬骨細胞數目的確因雷射刺激而顯著增加；單純照射高劑量LLLT對HIF-1α有明顯刺激作用。 綜合本實驗各項結果推論：LLLT加速牙齒移動機制除了RANKL-RANK系統，可能與HIF-1α→VEGF途徑亦有關，但詳細機轉仍須更進一步研究。 | zh_TW |
| dc.description.abstract | Orthodontic tooth movement (OTM) is the result of periodontium remodeling after mechanical force application. The remodeling includes many cytokines involved. RANKL-RANK-OPG system is one of the important keys to achieve periodontium remodeling, and different approaches were attempted to accelerate tooth movement. Lots of literatures support that low level laser therapy (LLLT) can increase rate of orthodontic tooth movement. The possible mechanisms are activating osteoclasts activity through the RANKL-RANK pathway, stimulating bone formation, and early removal of hyalinization tissue.
There are many factors contributing to the RANKL-RANK system. The aim of present study is to explore the LLLT effects on the bone remodeling of OTM in rat model. IVIS living image system was used for detecting luciferase actvitiy under MMP3 promoter at early stages of OTM, and immunohistochemistry was used to analyze the expression RANKL、OPG、VEGF、PECAM-1、HIF-1α、PCNA、MCP-1 at the tissue levels at day 1, day 3, day 7, day day 21 after OTM. The results reveal that MMP3 may be not an appropriate reporter of LLLT acceleration, however, the expression of RANKL、VEGF、HIF-1α及MCP-1 are upgraded early after LLLT stimulation. The number of osteoclasts are significantly higher in the high dose irritation group. And LLLT but without OTM, enhances HIF-1αexpression during physiological molar distal drifting in rats. We suggest that the effects of LLLT on accelerating orthodontic tooth movement are related to RANKL-RANK system and possibly the HIF-VEGF pathway. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-08T02:52:42Z (GMT). No. of bitstreams: 1 ntu-106-R03422025-1.pdf: 5196274 bytes, checksum: 680c9472b8bd0342bb683a547e712deb (MD5) Previous issue date: 2017 | en |
| dc.description.tableofcontents | 致謝 i
中文摘要 ii Abstract iii 目錄 iv 圖目錄 vii 表目錄 ix 第一章 前言 1 1.1 齒顎矯正牙齒移動(orthodontic tooth movement, OTM) 1 1.1.1骨重塑(bone remodeling) 2 1.1.2 細胞激素、生長因子與齒顎矯正牙齒移動 3 1.2 加速牙齒移動機制 5 1.3 低能量雷射(Low level laser) 7 1.3.1 雷射參數 7 1.3.2 低能量雷射於牙科之應用 8 1.3.3 低能量雷射與矯正相關之組織變化 9 1.4 本實驗室歷年研究發現 9 1.5 結語與研究目標 10 第二章 材料與方法 11 2.1 大鼠OTM模式及口內裝置 11 2.2 動物雷射照射方式及參數設定 11 2.3 高劑量LLLT對基因轉殖鼠MMP3表現影響實驗 12 2.3.1 MMP3偵測與量化 12 2.4 不同劑量LLLT於大鼠OTM模式引發之組織反應 – TRAP counts 13 2.4.1 免疫化學組織染色(Immunohistochemical analysis, IHC) 13 2.4.2 IHC觀察目標及範圍 14 2.5 高劑量LLLT於大鼠OTM模式引發之組織反應 14 2.5.1 標本處理 14 2.5.2 IHC 15 2.5.3 IHC觀察目標及範圍 16 2.6 單純照射高劑量LLLT之大鼠組織反應 16 2.6.1 IHC 16 2.6.2 IHC觀察目標及範圍 16 第三章 結果 17 3.1 高劑量LLLT對基因轉殖大鼠MMP3 promoter-Luciferase表現影響 17 3.2 不同劑量LLLT於大鼠OTM模式引發之組織反應 – TRAP counts 17 3.3 高劑量LLLT於大鼠OTM模式引發之組織反應 18 3.4 單純照射LLLT對組織影響 18 第四章 討論 19 4.1 大鼠OTM模式探討與應用 19 4.2 LLLT對「矯正牙齒移動速率影響」之動物實驗 19 4.3 LLLT引發之細胞組織層面反應 20 4.3.1 MMP3 20 4.3.2 RANKL、OPG 21 4.3.3 VEGF、PECAM-1 22 4.3.4 HIF-1α 24 4.3.5 PCNA 24 4.3.6 MCP-1 25 4.3.7 Osteoclasts 25 4.3.8 單純照射LLLT對組織影響 26 第五章 結論 28 參考文獻 56 | |
| dc.language.iso | zh-TW | |
| dc.title | 低能量雷射治療對大鼠矯正牙齒移動模式之影響 | zh_TW |
| dc.title | Effects of low level laser on orthodontic tooth movement
model in rats | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 105-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳羿貞(Yi-Chen Chen),張百恩(Bei-En Chang),林思洸(Sze-Kwan Lin) | |
| dc.subject.keyword | 矯正牙齒移動,加速牙齒移動,低能量雷射治療,骨重塑,免疫化學組織染色, | zh_TW |
| dc.subject.keyword | orthodontic tooth movement,accelerate tooth movement,low level laser therapy,bone remodeling,immunohistochemistry, | en |
| dc.relation.page | 69 | |
| dc.identifier.doi | 10.6342/NTU201702496 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2017-08-12 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
| 顯示於系所單位： | 臨床牙醫學研究所 | |
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