Abstract
Exposure to ultrasound during the inflammatory phase of periodontal tissue repair leads to an acceleration of this phase, which may eventually lead to an anti-inflammatory effect by low-intensity pulsed ultrasound (LIPUS) exposure. LIPUS has also been shown to enhance collagen synthesis by fibroblasts. As a consequence, LIPUS may be a promising candidate of treatment remedy for periodontal diseases such as periodontitis and orthodontically induced root resorption. Recent in vitro studies suggested that LIPUS promotes osteogenic differentiation of human periodontal ligament (PDL) cells, which is associated with upregulation of Runx2 and integrin β1 and activation of bone morphogenetic protein-smad signaling. Furthermore, recent in vivo studies have shown that LIPUS can enhance periodontal tissue repair and regeneration, especially if combined with the other treatment remedies for periodontal diseases such as guided tissue regeneration (GTR). These suggest that LIPUS could potentially enhance periodontal tissue repair and regeneration combined with GTR and provide therapeutic benefits in periodontal tissue regeneration.
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References
Ten Cate AR. The periodontium: oral histology, development, structure and function. St Louis, MO: Mosby; 2003. p. 276–9.
Bosshardt DD, Schroeder HE. Cementogenesis reviewed: a comparison between human premolars and rodent molars. Anat Rec. 1996;245:267–92.
Hollender L, Ronneman A, Thilander B. Root resorption, marginal bone support and clinical crown length in orthodontically treated patients. Eur J Orthod. 1980;2:197–205.
Kurol J, Owman-Moll P, Lundgren D. Time related root resorption after application of a controlled continuous orthodontic force. Am J Orthod Dentofac Orthop. 1996;110:303–10.
Rita FN, David EW, James LG. Tooth resorption. Quint Int. 1999;30:9–25.
Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part II. Treatment factors. Am J Orthod Dentofac Orthop. 2001;119(5):511.
Matias MA, Li H, Young WG, Bartold PM. Immunohistochemical localization of extracellular matrix proteins in the periodontium during cementogenesis in the rat molar. Arch Oral Biol. 2003;48:709–16.
Dyson M, Pond JB, Joseph J, Warwick R. The stimulation of tissue regeneration by means of ultrasound. Clin Sci. 1968;35:273–85.
Dyson M. Therapeutic applications of ultrasound. In: Nyborg WL, Ziskin MC, editors. Biological effects of ultrasound. New York, NY: Churchill Livingstone; 1985. p. 121–33.
Iashchenko LV, Ostapiak ZN, Semenov VL. The humoral mechanisms of the action of ultrasound in inflammatory lung diseases (an experimental study). Vopr Kurortol Fizioter Lech Fiz Kult. 1994;2:20–2.
Mukai S, Ito H, Nakagawa Y, Akiyama H, Miyamoto M, Nakamura T. Transforming growth factor-β1 mediates the effects of low-intensity pulsed ultrasound in chondrocytes. Ultrasound Med Biol. 2005;31:1713–21.
Mortimer AJ, Dyson M. The effect of therapeutic ultrasound on calcium uptake in fibroblasts. Ultrasound Med Biol. 1988;14:499–506.
Washio K, Iwata T, Mizutani M, Ando T, Yamato M, Okano T, Ishikawa I. Assessment of cell sheets derived from human periodontal ligament cells: a pre-clinical study. Cell Tissue Res. 2010;341:397–404.
Yoshida T, Washio K, Iwata T, Okano T, Ishikawa I. Current status and future development of cell transplantation therapy for periodontal tissue regeneration. Int J Dent. 2012;2012:1–8.
Matsuda N, Yokoyama K, Takeshita S, Watanabe M. Role of epidermal growth factor and its receptor in mechanical stress-induced differentiation of human periodontal ligament cells in vitro. Arch Oral Biol. 1988;43:987–97.
Warden SJ, Favaloro JM, Bennell KL, McMeeken JM, Ng KW, Zajac JD, Wark JD. Low-intensity pulsed ultrasound stimulates a bone forming response in UMR-106 cells. Biochem Biophys Res Commun. 2001;286:443–50.
Inubushi T, Tanaka E, Rego EB, Kitagawa M, Kawazoe A, Ohta A, et al. Effects of ultrasound on the proliferation and differentiation of cementoblast lineage cells. J Periodontol. 2008;79:1984–90.
Mostafa NZ, Uludağ H, Dederich DN, Doschak MR, El-Bialy TH. Anabolic effects of low-intensity pulsed ultrasound on human gingival fibroblasts. Arch Oral Biol. 2009;54(8):743.
Hu B, Zhang Y, Zhou J, Li J, Deng F, Wang Z, Song J. Low-intensity pulsed ultrasound stimulation facilitates osteogenic differentiation of human periodontal ligament cells. PLoS One. 2014;9:e95168.
Yang Z, Ren L, Deng F, Wang Z, Song J. Low-intensity pulsed ultrasound induces osteogenic differentiation of human periodontal ligament cells through activation of bone morphogenetic protein-smad signaling. J Ultrasound Med. 2014;33:865–73.
Dalla-Bona DA, Tanaka E, Oka H, Yamano E, Kawai N, Miyauchi M, et al. Effects of ultrasound on cementoblast metabolism in vitro. Ultrasound Med Biol. 2006;32:943–8.
Rego EB, Inubushi T, Kawazoe A, Tanimoto K, Miyauchi M, Tanaka E, et al. Ultrasound stimulation induces PGE2 synthesis promoting cementoblastic differentiation through EP2/EP4 receptor pathway. Ultrasound Med Biol. 2010;36:907–15.
Rego EB, Inubushi T, Miyauchi M, Kawazoe A, Tanaka E, Takata T, Tanne K. Ultrasound stimulation attenuates root resorption on rat replanted molars and impairs TNF-α signaling in vitro. J Periodont Res. 2011;46:648–54.
Norvell SM, Alvarez M, Bidwell JP, Pavalko FM. Fluid shear stress induces beta-catenin signaling in osteoblasts. Calcif Tissue Int. 2004;75:396–404.
El-Bialy T, El-Shamy I, Graber TM. Repair of orthodontically induced root resorption by ultrasound in humans. Am J Orthod Dentofac Orthop. 2004;126:186–93.
Inubushi T, Tanaka E, Rego EB, Ohtani J, Kawazoe A, Tanne K, et al. Low-intensity ultrasound stimulation inhibits resorption of the tooth root induced by experimental force application. Bone. 2013;53:497–506.
Al-Daghreer S, Doschak M, Sloan AJ, Major PW, Heo G, Scurtescu C, et al. Effect of low-intensity pulsed ultrasound on orthodontically induced root resorption in beagle dogs. Ultrasound Med Biol. 2014;40:1187–96.
Gu XQ, Li YM, Guo J, Zhang LH, Li D, Gai XD. Effect of low intensity pulsed ultrasound on repairing the periodontal bone of Beagle canines. Asian Pac J Trop Med. 2014;7:325–8.
Wang Y, Chai Z, Zhang Y, Deng F, Wang Z, Song J. Influence of low-intensity pulsed ultrasound on osteogenic tissue regeneration in a periodontal injury model: X-ray image alterations assessed by micro-computed tomography. Ultrasonics. 2014;54:1581–4.
Zheng H, Lu L, Song JL, Deng F, Wang ZB. Low intensity pulsed ultrasound combined with guided tissue regeneration for promoting the repair of defect at canines periodontal fenestration in Beagle dogs. Zhonghua Kou Qiang Yi Xue Za Zhi. 2011;46:431–6.
Ikai H, Tamura T, Watanabe T, Itou M, Sugaya A, Iwabuchi S, et al. Low-intensity pulsed ultrasound accelerates periodontal wound healing after flap surgery. J Periodontal Res. 2008;43:212–6.
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Tanaka, E., Inubushi, T., El-Bialy, T. (2018). Application of LIPUS to Periodontal Tissue Regeneration. In: El-Bialy, T., Tanaka, E., Aizenbud, D. (eds) Therapeutic Ultrasound in Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-66323-4_5
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DOI: https://doi.org/10.1007/978-3-319-66323-4_5
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