Angiogenesis in human dental pulp following orthodontic tooth movement.

The pulpal response to orthodontic force is thought to involve cell damage, inflammation, and wound healing. These situations are likely to be associated with the release of angiogenic growth factors. We therefore investigated human dental pulps to determine if angiogenic changes could be detected after orthodontic force application. Fifteen premolar teeth were treated with straight-wire fixed orthodontic appliances for two weeks, and comparisons were made with 15 untreated control premolar teeth from the same subjects. The teeth were extracted and sectioned. The pulps were removed, divided into 1-mm sections, embedded in collagen, and cultured in growth media for up to four weeks. Cultures were examined daily, by light microscopy, for growth and number of microvessels. Apparent microvessels were observed within five days. Confirmation of microvessel identification was by electron microscopy for endothelial cell morphology. There were significantly greater numbers of microvessels at day five and day ten of culture in the pulp explants from orthodontically treated teeth compared with those from the pulps of control teeth. These results are consistent with the hypothesis that there is an increase in angiogenic growth factors in the pulp of orthodontically moved teeth.