The Influence of Shockwave Therapy on Orthodontic Tooth Movement Induced in the Rat

Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 878)


Shockwave therapy is used in medicine due to its ability to stimulate healing processes. The application of orthodontic force evokes an inflammatory reaction resulting in tooth movement. Shockwave therapy might have an effect on both inflammatory and periodonal ligament cytokine profiles. Our aim was to evaluate the fluctuations of different inflammatory cytokines after orthodontic force induction with and without shockwave therapy. An orthodontic appliance was applied between the rats’ molars and incisors. In conjunction with the commencement of orthodontic force, the rats were treated with a single episode of 1000 shock waves and the gingival crevicular fluid was collected for 3 days. The expression and concentration of different cytokines was evaluated by a commercial 4-multiplex fluorescent bead-based immunoassay. The level of all cytokines displayed a similar trend in both shockwave-treated and untreated groups; the concentration peaked on the first day and declined thereafter. In all cases, however, the cytokine levels were smaller in the shockwave-treated than in untreated animals; a significant difference was found for sRANKL and borderline difference for IL-6 on Day 1. We conclude that shockwave therapy during the induction of orthodontic tooth movement influences the expression of inflammatory cytokines.


Cytokines Gingival crevicular fluid Healing Inflammation Orthodontic tooth movement Shockwave therapy Teeth 


Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Orthodontic and Craniofacial Anomalies DepartmentSchool of Graduate DentistryHaifaIsrael
  2. 2.Faculty of MedicineTechnionHaifaIsrael
  3. 3.Hebrew University-Hadassah School of Dental MedicineJerusalemIsrael
  4. 4.The Northern District of Trauma and Wound Clinic DivisionMaccabi Health Care ServicesHaifaIsrael
  5. 5.Department of Comprehensive CareCase Western Reserve University School of Dental MedicineClevelandUSA

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