BACKGROUND: Some studies have shown that Smad7 can combine and inhibit downstream signals of bone morphogenetic protein receptor, and bone morphogenetic protein can promote the distraction osteogenesis in the process of bone healing, in addition, Smad7 plays an inhibitory effect on cartilage formation. However, the mechanisms of Smad7 in the process of distraction osteogenesis have not been reported.
OBJECTIVE: To heighten the alveolar ridge of mandible using implant-distraction apparatus, and to investigate the law of Smad7 in distraction osteogenesis.
METHODS: A total of 24 male Japanese white rabbits were randomly divided into blank control group (n = 4) and distraction group (n = 20). In addition, the distraction group was divided into 1 day, 1, 2, 4, and 6 weeks subgroups, with 4 animals in each group. Distraction osteogenesis was performed on the left mandible of rabbits in the distraction groups with 4 days intervals, and the implant-distraction apparatus was used to increase in rabbit mandibular vertical alveolar ridge. The bone mineral density of mandible was measured at 1 day, 1, 2, 4 and 6 weeks after operation. The expression and distribution of Smad7 were observed by immunohistochemistry.
RESULTS AND CONCLUSION: A sprinkle of Smad7 was expressed in normal mandible tissues. The expression of Smad7 was greater at 1 day after distraction than that of the control group (P < 0.05). The expression of Smad7 was gradually decreased at 1, 2 and 4 weeks after distraction, but remained greater than that of the control group. The difference between the 6 weeks group and the control group had no significance (P > 0.05). The bone mineral density of mandible reached a trough at 1 day after distraction, gradually increased in the 1, 2 and 4 weeks after distraction, which greater than that of the control group (P < 0.01). It is suggesting that the varied expression of Smad7 may promote the new bone formation at early stage of distraction osteogenesis.