Differentiation of mesenchymal stromal cells into osteoblasts is regulated by many factors including growth factors, cytokines, and hormones. Mechanical stress has been considered to be an important factor in bone modeling and remodeling. However, biological responses of stromal cells to mechanical stimuli are still unknown. To show the correlation between magnitude of mechanical strain and differentiation of stromal cells into osteoblasts, we investigated the proliferation and the expression of osteoblast-related genes in stromal cell line ST2 that is in the process of osteoblastic differentiation by treatment with ascorbic acid and beta-glycerophosphate, under 0.8%-15% elongation using the Flexercell Strain system. The expression of osteoblast-related genes was analyzed by real-time quantitative polymerase chain reaction (PCR). Cell proliferation significantly increased at 5%, 10%, and 15% elongation compared to that of unloaded controls. Alkaline phosphatase (ALPase) activity significantly increased at 0.8% and 5% elongation but decreased at 10% and 15% elongation. At 1 h and 6 h, mRNA level of Cbfa1/Runx2 increased at lower magnitudes of strain (0.8% and 5% elongation) but decreased at higher magnitude of strain (15% elongation). At 24 and 48 h, Cbfa1/Runx2 and osteocalcin mRNAs decreased at 5%, 10%, and 15% elongation, whereas cell proliferation and expression of type I collagen mRNA increased at the same elongation. These results indicate that mechanical strain stimulates osteoblastic differentiation of stromal cells at low magnitudes of strain.

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Experimental tooth movement in rats, tipping without friction under light forces, were either constant or fluctuated in cycles of several days' duration. This is in contradiction to the three-phases-theory of tooth movement described in previous investigations using heavy forces.

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Most orthodontic equipment is fabricated from alloys such as stainless steel, Co-Cr and Ni-Ti because of their excellent elastic properties. In recent years, increasing esthetic demands, metal allergy and interference of metals with magnetic resonance imaging have driven the development of non-metallic orthodontic materials. In this study, we assessed the feasibility of using three super engineering plastics (PEEK, PES and PVDF) as orthodontic wires. PES and PVDF demonstrated excellent esthetics, although PEEK showed the highest bending strength and creep resistance. PEEK and PVDF showed quite low water absorption. Because of recent developments in coloration of PEEK, we conclude that PEEK has many advantageous properties that make it a suitable candidate for use as an esthetic metal-free orthodontic wire.