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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphys.2020.00549</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>&#x03B2;-catenin and Its Relation to Alveolar Bone Mechanical Deformation &#x2013; A Study Conducted in Rats With Tooth Extraction</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Ferreira</surname> <given-names>Beatriz Carmona</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/938451/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Freire</surname> <given-names>Alexandre Rodrigues</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/978967/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Araujo</surname> <given-names>Rafael</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/979020/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Amaral-Silva</surname> <given-names>Gleyson Kleber do</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/979416/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Okamoto</surname> <given-names>Roberta</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/967297/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Prado</surname> <given-names>Felippe Bevilacqua</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/979011/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Rossi</surname> <given-names>Ana Cl&#x00E1;udia</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/914396/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory for Mechanobiology Research, Biosciences Department, Piracicaba Dental School, University of Campinas</institution>, <addr-line>Piracicaba</addr-line>, <country>Brazil</country></aff>
<aff id="aff2"><sup>2</sup><institution>S&#x00E3;o Leopoldo Research Institute, S&#x00E3;o Leopoldo Mandic University</institution>, <addr-line>Campinas</addr-line>, <country>Brazil</country></aff>
<aff id="aff3"><sup>3</sup><institution>Oral Pathology Laboratory, Oral Diagnosis Department, Piracicaba Dental School, University of Campinas</institution>, <addr-line>Piracicaba</addr-line>, <country>Brazil</country></aff>
<aff id="aff4"><sup>4</sup><institution>Laboratory for Study of Mineralized Tissue, Basic Sciences Department, School of Dentistry of Ara&#x00E7;atuba, S&#x00E3;o Paulo State University</institution>, <addr-line>Ara&#x00E7;atuba</addr-line>, <country>Brazil</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Claudio Cant&#x00F9;, Link&#x00F6;ping University, Sweden</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Jos&#x00E9; Rosa Gomes, Universidade Estadual de Ponta Grossa, Brazil; Maria Hovorakova, Charles University, Czechia</p></fn>
<corresp id="c001">&#x002A;Correspondence: Ana Cl&#x00E1;udia Rossi, <email>anarossi@unicamp.br</email>; <email>rossianac01@gmail.com</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Craniofacial Biology and Dental Research, a section of the journal Frontiers in Physiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>05</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>11</volume>
<elocation-id>549</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>02</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>04</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2020 Ferreira, Freire, Araujo, Amaral-Silva, Okamoto, Prado and Rossi.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Ferreira, Freire, Araujo, Amaral-Silva, Okamoto, Prado and Rossi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The aim of this study was to analyze the relationship between alveolar bone deformation and &#x03B2;-catenin expression levels in response to the mechanical load changed by dental extraction in adult rats. Twenty-four male rats (<italic>Rattus norvegicus albinus</italic>), Wistar linage, at 2 months of age, were used. The right upper incisor tooth was extracted, and euthanasia occurred in periods 5 (<italic>n</italic> = 6), 7 (<italic>n</italic> = 6), and 14 (<italic>n</italic> = 6) days after Day 0. In the control group (<italic>n</italic> = 6), the dentition was maintained. The euthanasia occurred within 14 days after day 0. After euthanasia, the rats of all groups had their left jaw with tooth removed and separated in the middle. The pieces were undergone routine histological processing and then the immunohistochemical marking were performed to label expression of the primary &#x03B2;-catenin antibody, which was evaluated by qualitative and quantitative analysis. One head by each group (control and experimental) was submitted to computerized microtomography. After the three-dimensional reconstruction of the skull of the rat in each group, the computational simulation for finite elements analysis were performed to simulate a bite in the incisors. In finite element analysis, the strain patterns were evaluated after the application of bite force. The results were analyzed considering the areas in which changes in the amount of deformations were detected. The action of the bite force in the experimental condition, resulted in a uniform distribution of the amount of deformations, in addition to lower amount of deformation areas, differentiating from the control group. Comparing with the control group, the levels of &#x03B2;-catenin signaled in the lingual bone of the middle third of the alveolar bone were raised in the periods of 5 and 14 days. The increased &#x03B2;-catenin positive staining intensity was concentrated on osteocytes and gaps of osteocytes. The findings of the present study were in accordance with our hypothesis that the condition of dental extraction can cause the expression of &#x03B2;-catenin and alter the regimes of bone deformation.</p>
</abstract>
<kwd-group>
<kwd>mechanobiology</kwd>
<kwd>rat</kwd>
<kwd>finite element analysis</kwd>
<kwd>beta-catenin (B-catenin)</kwd>
<kwd>alveolar bone</kwd>
<kwd>mechanical deformation</kwd>
</kwd-group>
<contract-num rid="cn001">2017/14380-0</contract-num>
<contract-num rid="cn001">2009/53839-2</contract-num>
<contract-sponsor id="cn001">Funda&#x00E7;&#x00E3;o de Amparo &#x00E0; Pesquisa do Estado de S&#x00E3;o Paulo<named-content content-type="fundref-id">10.13039/501100001807</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="10"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>Bone tissue is physiologically dynamic. It is in continuous remodeling cycle of bone formation and resorption, maintaining a constant calcium homeostasis and bone mass during vertebrates&#x2019; lives (<xref ref-type="bibr" rid="B20">Kobayashi et al., 2016</xref>). The periodontal ligament and the mineralized tissues support many functional loads and transmit them to alveolar bone. Therefore, the magnitude, the direction, the frequency and the duration of these loads determine alveolar bone remodeling (<xref ref-type="bibr" rid="B4">Beertsen et al., 1997</xref>; <xref ref-type="bibr" rid="B17">Ho et al., 2010</xref>).</p>
<p>Dental occlusal trauma plays an important role in alveolar bone remodeling and its effects includes many cytokines and signaling pathways. However, the exact mechanism of the traumatic stimulus for alveolar bone remodeling is still unclear (<xref ref-type="bibr" rid="B43">Wan et al., 2012</xref>). Changes in mechanical stimulation as a result of dental extraction can lead to changes in bone tissue. Traumatic occlusal forces are responsible for altering the expression of osteoblasts and osteoclasts genes, and thus may cause bone resorption (<xref ref-type="bibr" rid="B42">Walker et al., 2008</xref>).</p>
<p>Mechanobiology is responsible for studying the action of these mechanical changes on biological processes through cellular signaling, enabling the understanding of how these tissues are produced, maintained and adapted by the cells as a reply to mechanical stimuli. The research in this field can be divided into two fields: mechanoregulation algorithms to estimate changes in bone tissue and models that analyze cellular mechanobiology (<xref ref-type="bibr" rid="B41">van der Meulen and Huiskes, 2002</xref>; <xref ref-type="bibr" rid="B14">Giorgi et al., 2016</xref>).</p>
<p>Understanding of cell behavior and expression of proteins related to tissue changes is possible by means of immunohistological analysis (<xref ref-type="bibr" rid="B24">Lin et al., 2017</xref>). One critical and most studied Wnt pathway is the canonical Wnt signaling, that works by regulating the amount of the transcriptional co-activator &#x03B2;-catenin, which controls the major programs of gene expression in development (<xref ref-type="bibr" rid="B25">MacDonald et al., 2009</xref>).</p>
<p>It is established that Wnt plays an important role in the regulation of bone mass in humans and rodents, positively affecting bone formation by managing osteoblasts at different degrees, and it is recognized as an essential regulator of osteoblast activity through the translation of mechanical loading into biochemical signals (<xref ref-type="bibr" rid="B3">Baron and Rawadi, 2007</xref>; <xref ref-type="bibr" rid="B39">Tyrovola, 2019</xref>).</p>
<p>The Wnt signaling pathway is regulated by molecular and mechanical extracellular environment signals and its biological effects well settled (<xref ref-type="bibr" rid="B33">Robling and Turner, 2009</xref>). Wnt/&#x03B2;-catenin signaling activation induces osterix expression, a transcription factor that promotes osteoblast differentiation. Besides that, osteoprotegerin (OPG) is a target gene of this signaling pathway. Therefore, the expression of OPG is induced, when signaling is activated, in order to inhibit osteoclasts differentiation, preventing bone resorption (<xref ref-type="bibr" rid="B20">Kobayashi et al., 2016</xref>).</p>
<p>The literature (<xref ref-type="bibr" rid="B5">Bonewald and Johnson, 2008</xref>; <xref ref-type="bibr" rid="B46">Xu et al., 2016</xref>) cited the osteocytes as the major bone cell type responsible for mechanical strain sensing, acting in the bone remodeling process by sensing and transmitting external mechanical loading information to effector cells. The osteocytes use the intracellular Wnt/&#x03B2;-catenin pathway to transmit signals of mechanical loading to cells on the bone surface (<xref ref-type="bibr" rid="B5">Bonewald and Johnson, 2008</xref>).</p>
<p>The finite element analysis is an <italic>in silico</italic> evaluation that has been applied when studying living tissues, having a wide spectrum of clinical applications (<xref ref-type="bibr" rid="B38">Tsouknidas et al., 2015</xref>). The effectiveness of this analysis depends on obtaining precise models (<xref ref-type="bibr" rid="B18">Hohmann et al., 2011</xref>). However, it is now possible to obtain proper models, since methods such as computerized tomography or microtomography or serial sections of the samples can be used (<xref ref-type="bibr" rid="B26">Mehari Abraha et al., 2019</xref>). Its acceptance allowed the analysis to become vastly used in biomechanics, and the development of increasingly complex and sophisticated three-dimensional models made it easier the comprehension of the <italic>in situ</italic> mechanical responses of biological systems (<xref ref-type="bibr" rid="B26">Mehari Abraha et al., 2019</xref>).</p>
<p>Regarding alveolar bone, studies using the finite element method have shown that, whether in rodents, non-human primates or humans, there is a bone adaptation coming from different Strain regimes associated with chewing (<xref ref-type="bibr" rid="B8">Cox et al., 2012</xref>; <xref ref-type="bibr" rid="B30">Prado et al., 2016</xref>). Tooth absence can lead to occlusal hypofunction, that is a reduced bite force on the antagonist tooth and adjacent alveolar bone during mastication and, then, cause a negative impact in bone homeostasis (<xref ref-type="bibr" rid="B35">Shimomoto et al., 2007</xref>; <xref ref-type="bibr" rid="B46">Xu et al., 2016</xref>).</p>
<p>In this study, the right upper incisor tooth extraction was performed to cause altered mechanical loading to study the tissue response of the alveolar bone from the adjacent tooth (left upper incisor tooth), considering that the mastication force was altered. Thus, our hypothesis was that the tooth extraction condition can cause &#x03B2;-catenin expression and altered strain pattern of the alveolar bone of the adjacent tooth (left upper incisor). The aim of this study was to analyze the relationship between alveolar bone deformation and &#x03B2;-catenin expression levels in response to the mechanical load changed by tooth extraction in adult rats.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<p>This study was approved by the Ethics Committee on Animal Experimentation (CEUA) from the Biology Institute (IB) of the University of Campinas (UNICAMP) (protocol number: 4674-1/2017).</p>
<sec id="S2.SS1">
<title>Study Design</title>
<p>Twenty-four male rats (<italic>Rattus norvegicus albinus</italic>), Wistar linage, 2 months old (average body weight of 200&#x2013;250 g), from CEMIB-UNICAMP were kept in collective cages (four animals/box), with temperature at 22 &#x00B1; 2&#x00B0;C, controlled light cycle (12/12 h) and free access to water and feed. The rats were randomly assigned to different groups for the experiments:</p>
<list list-type="simple">
<list-item>
<label>&#x2013;</label>
<p><italic>Control group (n</italic> = <italic>6):</italic> normal dentition was maintained. Euthanasia occurred at 14 days after day 0 of the exodontia.</p>
</list-item>
<list-item>
<label>&#x2013;</label>
<p><italic>Tooth extraction groups (n</italic> = <italic>18):</italic> the rats had their right upper incisor extracted, and the euthanasia occurred at 5 (<italic>n</italic> = 6), 7 (<italic>n</italic> = 6), and 14 (<italic>n</italic> = 6) days after day 0 of the exodontia.</p>
</list-item>
</list>
</sec>
<sec id="S2.SS2">
<title>Tooth Extraction</title>
<p>The procedure was performed under sedation via an intraperitoneal injection of ketamine (40&#x2013;87 mg/kg), to promote anesthesia, and xylazine (5&#x2013;13 mg/kg), to promote muscle relaxation. Once checked the sedation and anesthesia signals, the right upper incisor was extracted using specific and adapted instruments (<xref ref-type="bibr" rid="B28">Okamoto and de Russo, 1973</xref>). The gingival mucosa was sutured with polyglactin 910 (Vicryl 4.0 &#x2013; Jhonson &#x0026; Jhonson, New Brunswick, NJ, United States). After the surgery procedure, was promote analgesia using an injection of ketoprofen (NSAID &#x2013; 5 mg/kg) via subcutaneous, one time, per 1 day.</p>
<p>The euthanasia of the animals was performed in the periods previously proposed for both the control and the experimental group due to excessive anesthetic dose. The head was disjointed of the body and dissected to obtain the skull and fixed in 10% formalin solution and 0.1 M phosphate buffer (pH 7.4) for 24 h at 4&#x00B0;C.</p>
</sec>
<sec id="S2.SS3">
<title>Micro-CT Scanning Procedure</title>
<p>One specimen of the control group and one of the experimental group (14 day after extraction) were scanned in the Skyscan 1174 microtomography (Bruker, Belgium). The peak voltage was 50 kV and tube current was 800 &#x03BC;A. Image pixel size was 30 &#x03BC;m. After scanning, images were imported into NRecon Reconstruction software (SkyScan, Leuven, Belgium) for reconstruction in grayscale in the axial plane and presenting x-ray attenuation coefficients with values related to mineralized structures.</p>
</sec>
<sec id="S2.SS4">
<title>3D Model Preparation to Finite Element Analysis</title>
<p>The reconstructed micro-CT images were imported into Materialise Mimics Research v. 18 software (Materialise, Belgium) for segmentation of the structures required for the construction of the finite element model, which were: bone structure, periodontal ligament, enamel, dentin and pulp. All structures were converted to a 3D surface and, then, converted to finite element mesh (<xref ref-type="fig" rid="F1">Figure 1</xref>). For the periodontal ligament and pulp, the 3D surfaces were constructed based on their spaces.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>The 3D geometry and finite element model of control <bold>(A)</bold> and experimental <bold>(B)</bold> groups, which both are characterized by a mesh composed by tetrahedral elements. The image illustrates the model designed in the Materialise 3-Matic v10, which is associated with the Materialise MIMICS software.</p></caption>
<graphic xlink:href="fphys-11-00549-g001.tif"/>
</fig>
<p>The finite element model was imported to software Ansys v. 17.2 (Ansys Inc., EUA) that was used to assign the mechanical properties of anatomical structures. The structures were assigned as linear elastic and isotropic (<xref ref-type="table" rid="T1">Table 1</xref>), whose values were determined experimentally in rats according to the study of <xref ref-type="bibr" rid="B7">Cox and Jeffery (2011)</xref>; <xref ref-type="bibr" rid="B8">Cox et al. (2012)</xref>.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Mechanical properties of the anatomical structures considered in the study.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Structure of the tooth</td>
<td valign="top" align="center">Elasticity modulus (MPa)</td>
<td valign="top" align="center">Poisson&#x2019;s ratio</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Bone</td>
<td valign="top" align="center">19,920</td>
<td valign="top" align="center">0.3</td>
</tr>
<tr>
<td valign="top" align="left">Enamel</td>
<td valign="top" align="center">62,370</td>
<td valign="top" align="center">0.33</td>
</tr>
<tr>
<td valign="top" align="left">Dentin</td>
<td valign="top" align="center">23,600</td>
<td valign="top" align="center">0.31</td>
</tr>
<tr>
<td valign="top" align="left">Pulp</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.45</td>
</tr>
<tr>
<td valign="top" align="left">Periodontal ligament</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">0.4</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>MPA, megapascal.</italic></attrib>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S2.SS5">
<title>Finite Element Analysis Configuration</title>
<p>In order to simulate the biting force in the incisors for the control group (no tooth extraction) and experimental group (extraction of the right upper incisor), the analysis was configured for the action of the food break, that is the phase corresponding to the force of maximum bite, equal to 24.31N (<xref ref-type="bibr" rid="B31">Robins, 1977</xref>), for both groups. Restraints were applied on the posterior cut plane of the skull to keep the stability and absence of skull movements during the muscular action (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Model showing the nodes (pink) related to the boundary <bold>(A)</bold> and loading <bold>(B)</bold> conditions in Ansys software.</p></caption>
<graphic xlink:href="fphys-11-00549-g002.tif"/>
</fig>
</sec>
<sec id="S2.SS6">
<title>Sample Preparation for Immunohistochemistry Analysis</title>
<p>After euthanasia, the rats of all groups had their left maxilla (with tooth) removed. The pieces were fixed in 10% formaldehyde for 24 h, washed for 24 h in running water and decalcified in EDTA 4.13% (Merck<sup>&#x00AE;</sup>, EMD Millipore Corporation, Germany) (<xref ref-type="bibr" rid="B45">Warshawsky and Moore, 1967</xref>; <xref ref-type="bibr" rid="B1">Arana-Chavez and Nanci, 2001</xref>) for 3 months at room temperature. Once the decalcification was verified, the pieces went through routine histotechnician processing. The obtained blocks were cut in Lupetec MRP03 microtome (Ind&#x00FA;stria Tecnol&#x00F3;gica de Equipamentos para Laborat&#x00F3;rio LTDA &#x2013; ME, S&#x00E3;o Carlos-SP) in cuts of 5 &#x03BC;m thickness and mounted on silanized blades.</p>
<p>For the immunohistochemical reactions, the activity of the endogenous peroxidase was inhibited with hydrogen peroxide. Then, the slides underwent the antigenic recovery step with phosphate citrate buffer (pH 6.0, heated 55&#x00B0;C, 40 min). The primary antibody used was &#x03B2;-catenin/Wnt pathway, polyclonal (Anti-beta Catenin antibody ab6302 &#x2013; Abcam &#x2013; United States). The secondary antibody used was Universal Polimere (N-Histofine<sup>&#x00AE;</sup> Simple Stain Rat max po multi - NICHIREI BIOSCIENCES), and diaminobenzidine (Dako) as chromogen.</p>
<p>The slides were scanned using the Aperio Digital Pathology System (Aperio Technologies Inc., Vista, CA, United States) and the images were captured in the Aperio ImageScope Pathology Slide Viewing Software (Leica Biosystems Inc., Buffalo Grove, IL, United States) centralizing the middle third of the alveolus at a magnification of 40&#x00D7;.</p>
</sec>
<sec id="S2.SS7">
<title>Data Analysis</title>
<p>The middle third of the alveolus of the left upper incisor was evaluated (<xref ref-type="fig" rid="F3">Figure 3</xref>). Both analyses were directed to the same region to make it possible to relate the results obtained in Strain analysis to those obtained in the analysis of beta-catenin expression, proposed in this study.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Scheme showing the selection of the middle third of the alveolus in a slide (magnification of 1.25x) of the left upper incisor. In lingual alveolar bone of the middle third of the alveolus, the selection of the area of interesting was at a magnification of 40&#x00D7; to perform the cell count. A, Apical third of the left upper incisor; M, Middle third of the left upper incisor; C, Cervical third of the left upper incisor; B, Buccal alveolar bone; L, Lingual alveolar bone; T, Tooth.</p></caption>
<graphic xlink:href="fphys-11-00549-g003.tif"/>
</fig>
<sec id="S2.SS7.SSS1">
<title>Finite Element Analysis</title>
<p>Bone deformation patterns were evaluated in the alveolar bone adjacent to the upper incisor, after the application of bite force. The results were obtained by calculating the amount of deformation (equivalent strain). The results were analyzed considering the areas in which changes in the amount of deformations were detected (&#x03B5;). The analysis of the control group served as a parameter to characterize the normal distribution of the amount of deformations during the phase of maximum bite force required in the feed. Furthermore, the color scale with the strain value intervals was configured to visualize a general feature and for alveolar bone region.</p>
</sec>
<sec id="S2.SS7.SSS2">
<title>Qualitative Analysis of Immunohistochemistry</title>
<p>The analysis was performed according to the visualization of the intensity of chromogen marking in the osteocytes (<xref ref-type="fig" rid="F3">Figure 3</xref>), in the osteocyte gap and in the periphery of the osteocytes. The 40&#x00D7; magnification was used.</p>
</sec>
<sec id="S2.SS7.SSS3">
<title>Quantitative Analysis of Immunohistochemistry</title>
<p>The quantitative analysis of the positive beta-catenin immunostaining cells was performed in ImageJ Software (National Institutes of Health - Public Domain), using the images that were captured in the Aperio ImageScope Pathology Slide Viewing Software, centralizing the middle third of the alveolus at a magnification of 40&#x00D7; (<xref ref-type="fig" rid="F3">Figure 3</xref>). Three stained slides with one tissue section each (using semi seriated sections) from left upper incisor with alveolus per group were used for evaluation. Thus, three sections of the interest area were used for cell counting, totalizing 12 slides. The method used was the manual cell counting (positives osteocytes presented beta-catenin expression) (plug-in: cell counter). We only counted the osteocytes with positive staining. The counted cells were expressed as a percentage of the total number of cells (<xref ref-type="bibr" rid="B22">Lara-Castillo et al., 2015</xref>).</p>
</sec>
</sec>
<sec id="S2.SS8">
<title>Statistical Analysis</title>
<p>The results obtained in the quantitative analysis of immunohistochemistry were submitted to statistical analysis. For evaluation of the parametric data distribution the Shapiro-Wilk test was used. The data were submitted to the ANOVA test to verify the difference between the means of the percentages obtained in the cell count and the Tukey <italic>post hoc</italic> test to detect differences in the comparison between the groups (Software R &#x2013; R CRAN SOURCE). The level of significance of <italic>p</italic> &#x003C; 0.05 was considered.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Finite Element Analysis</title>
<p>In the control group, it can be observed a non-uniform distribution with medium strain magnitude areas ranging from 0.0001 to 0.001 &#x03BC;&#x03B5; in the alveolar bone. These areas are in both buccal and lingual alveolar bone at the middle third of the alveolus, wherein the buccal bone presented higher strain (<xref ref-type="fig" rid="F4">Figure 4</xref>). In addition, <xref ref-type="fig" rid="F4">Figure 4A</xref> shows higher strain magnitude in the periodontal ligament (ranging from 0.002 to 0.03 &#x03BC;&#x03B5;).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Amount of deformations (strain) distribution in the control group <bold>(A)</bold> and experimental group <bold>(B)</bold>. The top part of the figure shows the general color scale for the strain distribution. The bottom part shows the modified color scale configured for alveolar bone region. The black line indicates a sagittal cut plane, which the middle third of the alveolar region was highlighted in the black border square (containing the bone, periodontal ligament, and tooth). Below the square, the buccal (b) and lingual (l) alveolar bone lamina were isolated for better view. Note the experimental group presented a uniform color strain distribution, being difficult to identify the structures in the sagittal view. <bold>(A)</bold> Control group. <bold>(B)</bold> Experimental group.</p></caption>
<graphic xlink:href="fphys-11-00549-g004.tif"/>
</fig>
<p>In the experimental group, the action of the bite force resulted in distribution of lower strain magnitude than the control group, ranging up to 6 &#x00D7; 10<sup>&#x2013;8</sup> &#x03BC;&#x03B5; (<xref ref-type="fig" rid="F4">Figure 4</xref>) in the alveolar bone. The strain magnitude in this group was low in both buccal and lingual bone at the middle third of the alveolus.</p>
</sec>
<sec id="S3.SS2">
<title>Qualitative Analysis of Immunohistochemistry</title>
<p>Comparing with the control group, we observed that the levels of &#x03B2;-catenin signaled by diaminobenzidine staining areas (brown areas) in the lingual bone of the middle third of the alveolus were raised in the periods of 5 and 14 days. We have found that this increased beta-catenin positive staining intensity was concentrated on osteocytes and gaps of osteocytes. Representative sections of each group on the 40&#x00D7; objective can be seen in <xref ref-type="fig" rid="F5">Figures 5A&#x2013;D</xref>. <xref ref-type="supplementary-material" rid="SM1">Supplementary Data Sheet 1</xref> shows the representatives cuts of the groups in the 20x objective.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Representative cuts of each group in the 40&#x00D7; objective. <bold>(A)</bold> Control group. <bold>(B)</bold> 5 days group. <bold>(C)</bold> 7 days group. <bold>(D)</bold> 14 days group. The brown areas represent the staining of &#x03B2;-catenin by the chromogen. Contra-staining: Hematoxylin.</p></caption>
<graphic xlink:href="fphys-11-00549-g005.tif"/>
</fig>
</sec>
<sec id="S3.SS3">
<title>Quantitative Analysis of Immunohistochemistry</title>
<p>For the buccal alveolar bone lamina of the left upper incisor, <xref ref-type="table" rid="T2">Table 2</xref> shows the mean osteocyte cell counts with positive &#x03B2;-catenin staining in each group. ANOVA showed no significant differences between groups (<italic>p</italic> = 0.288), as it can be observed in <xref ref-type="fig" rid="F6">Figure 6</xref>.</p>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Mean values of positive markings in each group studied (buccal alveolar bone lamina).</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Group</td>
<td valign="top" align="center">Mean (%)</td>
<td valign="top" align="center">Standard deviation</td>
<td valign="top" align="center">Shapiro-Wilk (<italic>p</italic>-value)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Control</td>
<td valign="top" align="center">12.11</td>
<td valign="top" align="center">10.21</td>
<td valign="top" align="center">0.7070255</td>
</tr>
<tr>
<td valign="top" align="left">5 days</td>
<td valign="top" align="center">23.65</td>
<td valign="top" align="center">18.29</td>
<td valign="top" align="center">0.5391761</td>
</tr>
<tr>
<td valign="top" align="left">7 days</td>
<td valign="top" align="center">12.78</td>
<td valign="top" align="center">9.11</td>
<td valign="top" align="center">0.755004</td>
</tr>
<tr>
<td valign="top" align="left">14 days</td>
<td valign="top" align="center">23.30</td>
<td valign="top" align="center">14.21</td>
<td valign="top" align="center">0.3760958</td>
</tr>
</tbody>
</table></table-wrap>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Graphs of the cell count in the <bold>(A)</bold> Buccal (ANOVA: <italic>p</italic> = 0.288) and <bold>(B)</bold> Lingual (ANOVA: <italic>p</italic> = 0.00303&#x002A;&#x002A;) alveolar bone of the left upper incisor.</p></caption>
<graphic xlink:href="fphys-11-00549-g006.tif"/>
</fig>
<p>For the lingual alveolar bone lamina of the left upper incisor, <xref ref-type="table" rid="T3">Table 3</xref> shows the mean osteocyte cell counts with positive &#x03B2;-catenin staining in each group. ANOVA showed that there were significant differences when we observed the group 14 days compared to all the other groups (<italic>p</italic> = 0.00303<sup>&#x2217;&#x2217;</sup>), as it can be observed in <xref ref-type="fig" rid="F6">Figure 6</xref>.</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>Mean values of positive markings in each group studied (lingual alveolar bone lamina).</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Group</td>
<td valign="top" align="center">Mean (%)</td>
<td valign="top" align="center">Standard deviation</td>
<td valign="top" align="center">Shapiro-Wilk (<italic>p</italic>-value)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Control</td>
<td valign="top" align="center">26.91</td>
<td valign="top" align="center">5.80</td>
<td valign="top" align="center">0.8599952</td>
</tr>
<tr>
<td valign="top" align="left">5 days</td>
<td valign="top" align="center">27.26</td>
<td valign="top" align="center">15.88</td>
<td valign="top" align="center">0.2944084</td>
</tr>
<tr>
<td valign="top" align="left">7 days</td>
<td valign="top" align="center">12.78</td>
<td valign="top" align="center">12.94</td>
<td valign="top" align="center">0.3723958</td>
</tr>
<tr>
<td valign="top" align="left">14 days</td>
<td valign="top" align="center">55.33</td>
<td valign="top" align="center">26.86</td>
<td valign="top" align="center">0.8554278</td>
</tr>
</tbody>
</table></table-wrap>
<p><xref ref-type="table" rid="T4">Table 4</xref> shows the values corresponding to the comparisons between the groups on the lingual alveolar bone lamina of the left upper incisor, and the Tukey <italic>post hoc</italic> test detected a significant difference for comparison of the 14 days (d) group with the other groups.</p>
<table-wrap position="float" id="T4">
<label>TABLE 4</label>
<caption><p>Values of the comparisons between the groups on the lingual alveolar bone lamina of the left upper incisor by the Tukey <italic>post hoc</italic> test.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Relation</td>
<td valign="top" align="center">Diff</td>
<td valign="top" align="center">Lwr</td>
<td valign="top" align="center">Upr</td>
<td valign="top" align="center"><italic>p</italic>-value</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">5d-control</td>
<td valign="top" align="right">0.35000</td>
<td valign="top" align="right">&#x2212;27.3536322</td>
<td valign="top" align="center">28.05363</td>
<td valign="top" align="center">0.9999835</td>
</tr>
<tr>
<td valign="top" align="left">7d-control</td>
<td valign="top" align="right">&#x2212;14.13333</td>
<td valign="top" align="right">&#x2212;41.8369655</td>
<td valign="top" align="center">13.57030</td>
<td valign="top" align="center">0.4974262</td>
</tr>
<tr>
<td valign="top" align="left">14d-control</td>
<td valign="top" align="right">28.41667</td>
<td valign="top" align="right">0.7130345</td>
<td valign="top" align="center">56.12030</td>
<td valign="top" align="center">0.0431173</td>
</tr>
<tr>
<td valign="top" align="left">7d-5d</td>
<td valign="top" align="right">&#x2212;14.48333</td>
<td valign="top" align="right">&#x2212;42.1869655</td>
<td valign="top" align="center">13.22030</td>
<td valign="top" align="center">0.4769335</td>
</tr>
<tr>
<td valign="top" align="left">14d-5d</td>
<td valign="top" align="right">28.06667</td>
<td valign="top" align="right">0.3630345</td>
<td valign="top" align="center">55.77030</td>
<td valign="top" align="center">0.0463788</td>
</tr>
<tr>
<td valign="top" align="left">14d-7d</td>
<td valign="top" align="right">42.55000</td>
<td valign="top" align="right">14.8463678</td>
<td valign="top" align="center">70.25363</td>
<td valign="top" align="center">0.0018300</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Diff, difference in the observed means; Lwr, lowe end point of the interval; Upr, upper end point.</italic></attrib>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>Animal models provide relevant information about a variety of disorders in dentistry. The rat model has been widely used for studies in dentistry, including those which involve periodontal diseases, alveolar bone healing, tooth movement, osteogenesis, osseointegration, use of biomaterials, and altered occlusal loadings, for example (<xref ref-type="bibr" rid="B28">Okamoto and de Russo, 1973</xref>; <xref ref-type="bibr" rid="B35">Shimomoto et al., 2007</xref>; <xref ref-type="bibr" rid="B42">Walker et al., 2008</xref>; <xref ref-type="bibr" rid="B43">Wan et al., 2012</xref>; <xref ref-type="bibr" rid="B46">Xu et al., 2016</xref>; <xref ref-type="bibr" rid="B47">Zeng et al., 2016</xref>; <xref ref-type="bibr" rid="B21">Koutouzis et al., 2017</xref>; <xref ref-type="bibr" rid="B23">Lee et al., 2017</xref>; <xref ref-type="bibr" rid="B15">Hassumi et al., 2018</xref>; <xref ref-type="bibr" rid="B29">Palin et al., 2018</xref>; <xref ref-type="bibr" rid="B40">Uslu et al., 2018</xref>; <xref ref-type="bibr" rid="B44">Wang et al., 2018</xref>). Besides that, tooth extraction, inclosing incisor extraction, has been considered as a classical model of preclinical studies and has been applied in many studies with different aims in the last years (<xref ref-type="bibr" rid="B2">Avivi-Arber et al., 2010</xref>; <xref ref-type="bibr" rid="B37">Shoji et al., 2010</xref>; <xref ref-type="bibr" rid="B6">Boonyagul et al., 2014</xref>; <xref ref-type="bibr" rid="B9">Curra et al., 2016</xref>; <xref ref-type="bibr" rid="B15">Hassumi et al., 2018</xref>; <xref ref-type="bibr" rid="B10">de Oliveira Puttini et al., 2019</xref>).</p>
<p>Medical and dental science has benefited from the rat as a model through the investigation of pathological conditions affecting craniofacial morphology. As the rat has in the past, and continues to play, such a crucial role in the advancement of understanding of craniofacial development, morphology and evolution, it is surprising that very little published data exists regarding the anatomy, and in particular the craniofacial biomechanics behavior.</p>
<p>Mechanobiology is governed by cells response within the tissue to mechanical forces, and is essential to bone adaptation, since the skeletal tissues morphology and structural fitness are modulated by mechanical forces. Mechanically load-induced strains in the cells and stresses of fluid flow can bring on changes in gene expression in bone tissue. It is known that bone is a complex tissue made up of cells and collagenous matrix, which includes minerals, and its homeostasis is strongly conditioned on mechanosensory regulatory signals of environmental forces in biochemical responses. Bone architecture and mass modifying occurs to make possible a more efficient performance of the bone tissue. It is clear that bone cells act as mechanosensors, but the central issue in this study field is how external muscle loads are to skeletal tissues, how bone cells perceive these loads, and how these signals are translated into biochemical reactions to produce cell expression or differentiation, resulting in macroscopic changes in the bone structure (<xref ref-type="bibr" rid="B41">van der Meulen and Huiskes, 2002</xref>; <xref ref-type="bibr" rid="B12">Feller et al., 2015</xref>; <xref ref-type="bibr" rid="B34">Ruggiu and Cancedda, 2015</xref>).</p>
<p>According to the results of the present study, it is believed that the incisor tooth adjacent to the extracted tooth can present a modified masticatory loading regime. It is worth mentioning that the scarcity of information on how the rat behaves <italic>in vivo</italic> in chewing after extraction should be considered.</p>
<p>Little is known about the transduction of osteogenic signals to stimulate bone formation or bone resorption, because this pathway is hard to illustrate. Nevertheless, some recent molecular advances allow looking for genes and molecules to understand their role in the adaptation pathways (<xref ref-type="bibr" rid="B41">van der Meulen and Huiskes, 2002</xref>). Thus, the present study had the aim to evaluate Wnt/&#x03B2;-catenin signaling in bone, once this protein is responsible for the transmission of mechanical stimuli to biological signals for bone formation.</p>
<p>It is accepted that mechanical loads placed on bone generate a variety of stimuli that could be detected by the osteocyte, but the mechanism by which osteocytes sense mechanical strain has yet to be fully understood and described (<xref ref-type="bibr" rid="B27">Oftadeh et al., 2015</xref>). The Wnt/&#x03B2;-catenin pathway has been identified using <italic>in vitro</italic> and <italic>in vivo</italic> approaches to be an important pathway in osteocytes to sense and transduce the signals of mechanical stimuli to bone cells (<xref ref-type="bibr" rid="B11">Duan and Bonewald, 2016</xref>). Activation of Wnt/&#x03B2;-catenin signaling was related as a normal response to bone stimulation (<xref ref-type="bibr" rid="B32">Robinson et al., 2006</xref>; <xref ref-type="bibr" rid="B19">Javaheri et al., 2014</xref>; <xref ref-type="bibr" rid="B22">Lara-Castillo et al., 2015</xref>).</p>
<p>In the present study, when we induced the change in the normal stimulus, i.e., extracted the right upper incisor, we observed the activation of Wnt/&#x03B2;-catenin signaling in alveolar bone. We can suggest that the bone cells mechanosensing by an altered loading pattern microenvironment regulate the bone tissue behavior coordinating adaptive alterations in bone mass and architecture. In response to unusual signals several mechanotransduction pathways are activated (<xref ref-type="bibr" rid="B36">Shivashankar et al., 2015</xref>; <xref ref-type="bibr" rid="B14">Giorgi et al., 2016</xref>).</p>
<p>In the present study, the mechanical load pattern was altered by tooth extraction. It was possible to note the Wnt/&#x03B2;-catenin signaling in response to this altered load pattern, as it can be seen by a greater positive &#x03B2;-catenin staining osteocyte of the lingual bone in the 14-day group. &#x03B2;-catenin signaling in the alveolar bone of the adjacent tooth allows the understanding that the bone tissue had to adapt its structure to these new loads that were applied. <xref ref-type="bibr" rid="B22">Lara-Castillo et al. (2015)</xref> observed that &#x03B2;-catenin signaling activation in osteocytes occurred in regions that suffered both compression and tension after a mechanical stimulus. They suggested that the critical factor is the magnitude of the change, not necessarily the type of deformation applied.</p>
<p>To date, little is exposed about how &#x03B2;-catenin signaling is physiologically modulated by masticatory loads (<xref ref-type="bibr" rid="B13">Galli et al., 2010</xref>; <xref ref-type="bibr" rid="B27">Oftadeh et al., 2015</xref>). It is necessary developing additional studies to verify if the &#x03B2;-catenin activation pattern corresponds spatially and temporally with bone remodeling against mechanical stimuli. In the literature, it has been consistent that &#x03B2;-catenin plays an important role in bone formation and remodeling (<xref ref-type="bibr" rid="B16">Herencia et al., 2016</xref>).</p>
<p>Frost introduced the &#x201C;mechanostat theory&#x201D; in bone biology to understand the &#x201C;minimum effective strain (MES),&#x201D; which relates bone architecture changes to mechanical loads (<xref ref-type="bibr" rid="B39">Tyrovola, 2019</xref>). In our study, the FEA was used in order to figure out about the bone tissue threshold for strain associated with the &#x03B2;-catenin activation in alveolar bone, and how is the behavior of the alveolar bone after induction of changes in mechanical stimulus on adjacent tooth (upper left incisor) due to tooth extraction. We verified that the alveolar bone was deformed with changes in mechanical strain in comparison of two group.</p>
<p>The computational simulation by FEA in this present study has the limitation being a static analysis, presenting only the strain distribution from a bite load. In addition, we predicted that the experimental group apply the same bite force during the power stroke phase. In fact, dynamic features must be considered in a future study, as the frequency of bite loads as well as changes in the force orientation in result of a possible changes in the mandible position during incisor biting. Thus, beyond to establish the relation between the &#x03B2;-catenin expression to the changes in the mechanical strain distribution, this relationship could include dynamic features during feeding.</p>
<p>In conclusion, the findings of the present study were in accordance with our hypothesis that the condition of tooth extraction can cause the expression of &#x03B2;-catenin and alter the regimes of bone deformation.</p>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>All datasets generated for this study are included in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary Material</xref>.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Ethics Committee on Animal Experimentation (CEUA) 4674-1/2017.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>BF, AR, and AF contributed to conception of the manuscript. AR and BF contributed to the experiment. BF, AF, RA, GA-S, RO, and AR contributed to the data acquisition. BF, AR, FP, and AR contributed to the analyses and interpretation of the results. All authors contributed to design of the experiments and reviewed the manuscript.</p>
</sec>
<sec id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> The authors would like to express their gratitude to S&#x00E3;o Paulo Research Foundation (FAPESP, Grant Nos. #2009/53839-2 and #2017/14380-0) for the financial support.</p>
</fn>
</fn-group>
<ack>
<p>The authors would like to express their gratitude to Maria Aparecida Santiago Varella for the support during histological techniques.</p>
</ack>
<sec id="S10" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphys.2020.00549/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphys.2020.00549/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.DOCX" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arana-Chavez</surname> <given-names>V. E.</given-names></name> <name><surname>Nanci</surname> <given-names>A.</given-names></name></person-group> (<year>2001</year>). <article-title>High-resolution immunocytochemistry of noncollagenous matrix proteins in rat mandibles processed with microwave irradiation.</article-title> <source><italic>J. Histochem. Cytochem.</italic></source> <volume>49</volume> <fpage>1099</fpage>&#x2013;<lpage>1109</lpage>. <pub-id pub-id-type="doi">10.1177/002215540104900904</pub-id> <pub-id pub-id-type="pmid">11511679</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Avivi-Arber</surname> <given-names>L.</given-names></name> <name><surname>Lee</surname> <given-names>J. C.</given-names></name> <name><surname>Sessle</surname> <given-names>B. J.</given-names></name></person-group> (<year>2010</year>). <article-title>Effects of incisor extraction on jaw and tongue motor representations within face sensorimotor cortex of adult rats.</article-title> <source><italic>J. Comp. Neurol.</italic></source> <volume>518</volume> <fpage>1030</fpage>&#x2013;<lpage>1045</lpage>. <pub-id pub-id-type="doi">10.1002/cne.22261</pub-id> <pub-id pub-id-type="pmid">20127805</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baron</surname> <given-names>R.</given-names></name> <name><surname>Rawadi</surname> <given-names>G.</given-names></name></person-group> (<year>2007</year>). <article-title>Targeting the Wnt/beta-catenin pathway to regulate bone formation in the adult skeleton.</article-title> <source><italic>Endocrinology</italic></source> <volume>148</volume> <fpage>2635</fpage>&#x2013;<lpage>2643</lpage>. <pub-id pub-id-type="doi">10.1210/en.2007-0270</pub-id> <pub-id pub-id-type="pmid">17395698</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Beertsen</surname> <given-names>W.</given-names></name> <name><surname>McCulloch</surname> <given-names>C. A.</given-names></name> <name><surname>Sodek</surname> <given-names>J.</given-names></name></person-group> (<year>1997</year>). <article-title>The periodontal ligament: a unique, multifunctional connective tissue.</article-title> <source><italic>Periodontol</italic></source> <volume>13</volume> <fpage>20</fpage>&#x2013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-0757.1997.tb00094.x</pub-id> <pub-id pub-id-type="pmid">9567922</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bonewald</surname> <given-names>L. F.</given-names></name> <name><surname>Johnson</surname> <given-names>M. L.</given-names></name></person-group> (<year>2008</year>). <article-title>Osteocytes, mechanosensing and Wnt signaling.</article-title> <source><italic>Bone</italic></source> <volume>42</volume> <fpage>606</fpage>&#x2013;<lpage>615</lpage>. <pub-id pub-id-type="doi">10.1016/j.bone.2007.12.224</pub-id> <pub-id pub-id-type="pmid">18280232</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boonyagul</surname> <given-names>S.</given-names></name> <name><surname>Banlunara</surname> <given-names>W.</given-names></name> <name><surname>Sangvanich</surname> <given-names>P.</given-names></name> <name><surname>Thunyakitpisal</surname> <given-names>P.</given-names></name></person-group> (<year>2014</year>). <article-title>Effect of acemannan, an extracted polysaccharide from Aloe vera, on BMSCs proliferation, differentiation, extracellular matrix synthesis, mineralization, and bone formation in a tooth extraction model.</article-title> <source><italic>Odontology</italic></source> <volume>102</volume> <fpage>310</fpage>&#x2013;<lpage>317</lpage>. <pub-id pub-id-type="doi">10.1007/s10266-012-0101-2</pub-id> <pub-id pub-id-type="pmid">23315202</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cox</surname> <given-names>P. G.</given-names></name> <name><surname>Jeffery</surname> <given-names>N.</given-names></name></person-group> (<year>2011</year>). <article-title>Reviewing the jaw-closing musculature in squirrels, rats and guinea pigs with contrast-enhanced microCT.</article-title> <source><italic>Anat. Rec</italic></source>. <volume>294</volume>, <fpage>915</fpage>&#x2013;<lpage>928</lpage>. <pub-id pub-id-type="doi">10.1002/ar.21381</pub-id> <pub-id pub-id-type="pmid">21538924</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cox</surname> <given-names>P. G.</given-names></name> <name><surname>Rayfield</surname> <given-names>E. M.</given-names></name> <name><surname>Fagan</surname> <given-names>M. J.</given-names></name> <name><surname>Herrel</surname> <given-names>A.</given-names></name> <name><surname>Pataky</surname> <given-names>T. C.</given-names></name> <name><surname>Jeffery</surname> <given-names>N.</given-names></name></person-group> (<year>2012</year>). <article-title>Functional evolution of the feeding system in rodents.</article-title> <source><italic>PLoS One</italic></source> <volume>7</volume>:<issue>e36299</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0036299</pub-id> <pub-id pub-id-type="pmid">22558427</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Curra</surname> <given-names>C.</given-names></name> <name><surname>Cardoso</surname> <given-names>C. L.</given-names></name> <name><surname>Ferreira J&#x00FA;nior</surname> <given-names>O.</given-names></name> <name><surname>Curi</surname> <given-names>M. M.</given-names></name> <name><surname>Matsumoto</surname> <given-names>M. A.</given-names></name> <name><surname>Cavenago</surname> <given-names>B. C.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Medication-related osteonecrosis of the jaw. Introduction of a new modified experimental model.</article-title> <source><italic>Acta Cir Bras.</italic></source> <volume>31</volume> <fpage>308</fpage>&#x2013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1590/S0102-865020160050000003</pub-id> <pub-id pub-id-type="pmid">27275851</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>de Oliveira Puttini</surname> <given-names>I.</given-names></name> <name><surname>Gomes-Ferreira</surname> <given-names>P. H. D. S.</given-names></name> <name><surname>de Oliveira</surname> <given-names>D.</given-names></name> <name><surname>Hassumi</surname> <given-names>J. S.</given-names></name> <name><surname>Gon&#x00E7;alves</surname> <given-names>P. Z.</given-names></name> <name><surname>Okamoto</surname> <given-names>R.</given-names></name></person-group> (<year>2019</year>). <article-title>Teriparatide improves alveolar bone modelling after tooth extraction in orchiectomized rats.</article-title> <source><italic>Arch. Oral Biol.</italic></source> <volume>102</volume> <fpage>147</fpage>&#x2013;<lpage>154</lpage>. <pub-id pub-id-type="doi">10.1016/j.archoralbio.2019.04.007</pub-id> <pub-id pub-id-type="pmid">31022626</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname> <given-names>P.</given-names></name> <name><surname>Bonewald</surname> <given-names>L. F.</given-names></name></person-group> (<year>2016</year>). <article-title>The role of the wnt/&#x03B2;-catenin signaling pathway in formation and maintenance of bone and teeth.</article-title> <source><italic>Int. J. Biochem. Cell Biol.</italic></source> <volume>77(Pt A)</volume> <fpage>23</fpage>&#x2013;<lpage>29</lpage>. <pub-id pub-id-type="doi">10.1016/j.biocel.2016.05.015</pub-id> <pub-id pub-id-type="pmid">27210503</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feller</surname> <given-names>L.</given-names></name> <name><surname>Khammissa</surname> <given-names>R. A.</given-names></name> <name><surname>Schechter</surname> <given-names>I.</given-names></name> <name><surname>Thomadakis</surname> <given-names>G.</given-names></name> <name><surname>Fourie</surname> <given-names>J.</given-names></name> <name><surname>Lemmer</surname> <given-names>J.</given-names></name></person-group> (<year>2015</year>). <article-title>Biological events in periodontal ligament and alveolar bone associated with application of orthodontic forces.</article-title> <source><italic>ScientificWorldJournal</italic></source> <volume>2015</volume>:<issue>876509</issue>. <pub-id pub-id-type="doi">10.1155/2015/876509</pub-id> <pub-id pub-id-type="pmid">26421314</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Galli</surname> <given-names>C.</given-names></name> <name><surname>Passeri</surname> <given-names>G.</given-names></name> <name><surname>Macaluso</surname> <given-names>G. M.</given-names></name></person-group> (<year>2010</year>). <article-title>Osteocytes and WNT: the mechanical control of bone formation.</article-title> <source><italic>J. Dent. Res.</italic></source> <volume>89</volume> <fpage>331</fpage>&#x2013;<lpage>343</lpage>. <pub-id pub-id-type="doi">10.1177/0022034510363963</pub-id> <pub-id pub-id-type="pmid">20200416</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Giorgi</surname> <given-names>M.</given-names></name> <name><surname>Verbruggen</surname> <given-names>S. W.</given-names></name> <name><surname>Lacroix</surname> <given-names>D.</given-names></name></person-group> (<year>2016</year>). <article-title>In silico bone mechanobiology: modeling a multifaceted biological system.</article-title> <source><italic>Wiley Interdiscip. Rev. Syst. Biol. Med.</italic></source> <volume>8</volume> <fpage>485</fpage>&#x2013;<lpage>505</lpage>. <pub-id pub-id-type="doi">10.1002/wsbm.1356</pub-id> <pub-id pub-id-type="pmid">27600060</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hassumi</surname> <given-names>J. S.</given-names></name> <name><surname>Mulinari-Santos</surname> <given-names>G.</given-names></name> <name><surname>Fabris</surname> <given-names>A. L. D. S.</given-names></name> <name><surname>Jacob</surname> <given-names>R. G. M.</given-names></name> <name><surname>Gon&#x00E7;alves</surname> <given-names>A.</given-names></name> <name><surname>Rossi</surname> <given-names>A. C.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Alveolar bone healing in rats: micro-CT, immunohistochemical and molecular analysis.</article-title> <source><italic>J. Appl. Oral Sci.</italic></source> <volume>26</volume>:<issue>e20170326</issue>. <pub-id pub-id-type="doi">10.1590/1678-7757-2017-0326</pub-id> <pub-id pub-id-type="pmid">29898174</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Herencia</surname> <given-names>C.</given-names></name> <name><surname>Diaz-Tocados</surname> <given-names>J. M.</given-names></name> <name><surname>Jurado</surname> <given-names>L.</given-names></name> <name><surname>de Oca</surname> <given-names>A. M.</given-names></name> <name><surname>Rodr&#x00ED;guez-Ortiz</surname> <given-names>M. E.</given-names></name> <name><surname>Mart&#x00ED;n-Alonso</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Procaine inhibits Osteo/Odontogenesis through Wnt/&#x03B2;-Catenin Inactivation.</article-title> <source><italic>PLoS One</italic></source> <volume>11</volume>:<issue>e0156788</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0156788</pub-id> <pub-id pub-id-type="pmid">27257912</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname> <given-names>S. P.</given-names></name> <name><surname>Kurylo</surname> <given-names>M. P.</given-names></name> <name><surname>Fong</surname> <given-names>T. K.</given-names></name> <name><surname>Lee</surname> <given-names>S. S.</given-names></name> <name><surname>Wagner</surname> <given-names>H. D.</given-names></name> <name><surname>Ryder</surname> <given-names>M. I.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>The biomechanical characteristics of the bone-periodontal ligament-cementum complex.</article-title> <source><italic>Biomaterials</italic></source> <volume>31</volume> <fpage>6635</fpage>&#x2013;<lpage>6646</lpage>. <pub-id pub-id-type="doi">10.1016/j.biomaterials.2010.05.024</pub-id> <pub-id pub-id-type="pmid">20541802</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hohmann</surname> <given-names>A.</given-names></name> <name><surname>Kober</surname> <given-names>C.</given-names></name> <name><surname>Young</surname> <given-names>P.</given-names></name> <name><surname>Dorow</surname> <given-names>C.</given-names></name> <name><surname>Geiger</surname> <given-names>M.</given-names></name> <name><surname>Boryor</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>Influence of different modeling strategies for the periodontal ligament on finite element simulation results.</article-title> <source><italic>Am. J. Orthod. Dentofacial Orthop.</italic></source> <volume>139</volume> <fpage>775</fpage>&#x2013;<lpage>783</lpage>. <pub-id pub-id-type="doi">10.1016/j.ajodo.2009.11.014</pub-id> <pub-id pub-id-type="pmid">21640884</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Javaheri</surname> <given-names>B.</given-names></name> <name><surname>Stern</surname> <given-names>A. R.</given-names></name> <name><surname>Lara</surname> <given-names>N.</given-names></name> <name><surname>Dallas</surname> <given-names>M.</given-names></name> <name><surname>Zhao</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Deletion of a single &#x03B2;-catenin allele in osteocytes abolishes the bone anabolic response to loading.</article-title> <source><italic>J. Bone Miner. Res.</italic></source> <volume>29</volume> <fpage>705</fpage>&#x2013;<lpage>715</lpage>. <pub-id pub-id-type="doi">10.1002/jbmr.2064</pub-id> <pub-id pub-id-type="pmid">23929793</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kobayashi</surname> <given-names>Y.</given-names></name> <name><surname>Uehara</surname> <given-names>S.</given-names></name> <name><surname>Udagawa</surname> <given-names>N.</given-names></name> <name><surname>Takahashi</surname> <given-names>N.</given-names></name></person-group> (<year>2016</year>). <article-title>Regulation of bone metabolism by Wnt signals.</article-title> <source><italic>J. Biochem.</italic></source> <volume>159</volume> <fpage>387</fpage>&#x2013;<lpage>392</lpage>. <pub-id pub-id-type="doi">10.1093/jb/mvv124</pub-id> <pub-id pub-id-type="pmid">26711238</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koutouzis</surname> <given-names>T.</given-names></name> <name><surname>Eastman</surname> <given-names>C.</given-names></name> <name><surname>Chukkapalli</surname> <given-names>S.</given-names></name> <name><surname>Larjava</surname> <given-names>H.</given-names></name> <name><surname>Kesavalu</surname> <given-names>L.</given-names></name></person-group> (<year>2017</year>). <article-title>A novel rat model of polymicrobial peri-implantitis: a preliminary study.</article-title> <source><italic>J. Periodontol.</italic></source> <volume>88</volume> <fpage>e32</fpage>&#x2013;<lpage>e41</lpage>. <pub-id pub-id-type="doi">10.1902/jop.2016.160273</pub-id> <pub-id pub-id-type="pmid">27786620</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lara-Castillo</surname> <given-names>N.</given-names></name> <name><surname>Kim-Weroha</surname> <given-names>N. A.</given-names></name> <name><surname>Kamel</surname> <given-names>M. A.</given-names></name> <name><surname>Javaheri</surname> <given-names>B.</given-names></name> <name><surname>Ellies</surname> <given-names>D. L.</given-names></name> <name><surname>Krumlauf</surname> <given-names>R. E.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>In vivo mechanical loading rapidly activates &#x03B2;-catenin signaling in osteocytes through a prostaglandin mediated mechanism.</article-title> <source><italic>Bone</italic></source> <volume>76</volume> <fpage>58</fpage>&#x2013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1016/j.bone.2015.03.019</pub-id> <pub-id pub-id-type="pmid">25836764</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>Y. H.</given-names></name> <name><surname>Kim</surname> <given-names>J. S.</given-names></name> <name><surname>Kim</surname> <given-names>J. E.</given-names></name> <name><surname>Lee</surname> <given-names>M. H.</given-names></name> <name><surname>Jeon</surname> <given-names>J. G.</given-names></name> <name><surname>Park</surname> <given-names>I. S.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Nanoparticle mediated PPAR&#x03B3; gene delivery on dental implants improves osseointegration via mitochondrial biogenesis in diabetes mellitus rat model.</article-title> <source><italic>Nanomedicine</italic></source> <volume>13</volume> <fpage>1821</fpage>&#x2013;<lpage>1832</lpage>. <pub-id pub-id-type="doi">10.1016/j.nano.2017.02.020</pub-id> <pub-id pub-id-type="pmid">28285161</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>J. D.</given-names></name> <name><surname>Jang</surname> <given-names>A. T.</given-names></name> <name><surname>Kurylo</surname> <given-names>M. P.</given-names></name> <name><surname>Hurng</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>F.</given-names></name> <name><surname>Yang</surname> <given-names>L.</given-names></name></person-group> (<year>2017</year>). <article-title>Periodontal ligament entheses and their adaptive role in the context of dentoalveolar joint function.</article-title> <source><italic>Dent. Mater.</italic></source> <volume>33</volume> <fpage>650</fpage>&#x2013;<lpage>666</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2017.03.007</pub-id> <pub-id pub-id-type="pmid">28476202</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>MacDonald</surname> <given-names>B. T.</given-names></name> <name><surname>Tamai</surname> <given-names>K.</given-names></name> <name><surname>He</surname> <given-names>X.</given-names></name></person-group> (<year>2009</year>). <article-title>Wnt/beta-catenin signaling: components, mechanisms, and diseases.</article-title> <source><italic>Dev. Cell</italic></source> <volume>17</volume> <fpage>9</fpage>&#x2013;<lpage>26</lpage>. <pub-id pub-id-type="doi">10.1016/j.devcel.2009.06.016</pub-id> <pub-id pub-id-type="pmid">19619488</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mehari Abraha</surname> <given-names>H.</given-names></name> <name><surname>Iriarte-Diaz</surname> <given-names>J.</given-names></name> <name><surname>Ross</surname> <given-names>C. F.</given-names></name> <name><surname>Taylor</surname> <given-names>A. B.</given-names></name> <name><surname>Panagiotopoulou</surname> <given-names>O.</given-names></name></person-group> (<year>2019</year>). <article-title>The mechanical effect of the periodontal ligament on bone strain regimes in a validated finite element model of a macaque mandible.</article-title> <source><italic>Front. Bioeng. Biotechnol.</italic></source> <volume>7</volume>:<issue>269</issue>. <pub-id pub-id-type="doi">10.3389/fbioe.2019.00269</pub-id> <pub-id pub-id-type="pmid">31737614</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oftadeh</surname> <given-names>R.</given-names></name> <name><surname>Perez-Viloria</surname> <given-names>M.</given-names></name> <name><surname>Villa-Camacho</surname> <given-names>J. C.</given-names></name> <name><surname>Vaziri</surname> <given-names>A.</given-names></name> <name><surname>Nazarian</surname> <given-names>A.</given-names></name></person-group> (<year>2015</year>). <article-title>Biomechanics and mechanobiology of trabecular bone: a review.</article-title> <source><italic>J. Biomech. Eng.</italic></source> <volume>137</volume> <fpage>0108021</fpage>&#x2013;<lpage>01080215</lpage>. <pub-id pub-id-type="doi">10.1115/1.4029176</pub-id> <pub-id pub-id-type="pmid">25412137</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Okamoto</surname> <given-names>T.</given-names></name> <name><surname>de Russo</surname> <given-names>M. C.</given-names></name></person-group> (<year>1973</year>). <article-title>Wound healing following tooth extraction. Histochemical study in rats.</article-title> <source><italic>Rev. Fac. Odontol. Aracatuba.</italic></source> <volume>2</volume> <fpage>153</fpage>&#x2013;<lpage>169</lpage>.</citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Palin</surname> <given-names>L. P.</given-names></name> <name><surname>Polo</surname> <given-names>T. O. B.</given-names></name> <name><surname>Batista</surname> <given-names>F. R. S.</given-names></name> <name><surname>Gomes-Ferreira</surname> <given-names>P. H. S.</given-names></name> <name><surname>Garcia Junior</surname> <given-names>I. R.</given-names></name> <name><surname>Rossi</surname> <given-names>A. C.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Daily melatonin administration improves osseointegration in pinealectomized rats.</article-title> <source><italic>J. Appl. Oral Sci.</italic></source> <volume>26</volume>:<issue>e20170470</issue>. <pub-id pub-id-type="doi">10.1590/1678-7757-2017-0470</pub-id> <pub-id pub-id-type="pmid">29995145</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Prado</surname> <given-names>F. B.</given-names></name> <name><surname>Freire</surname> <given-names>A. R.</given-names></name> <name><surname>Rossi</surname> <given-names>A. C.</given-names></name> <name><surname>Ledogar</surname> <given-names>J. A.</given-names></name> <name><surname>Smith</surname> <given-names>A. L.</given-names></name> <name><surname>Dechow</surname> <given-names>P. C.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Review of in vivo bone strain studies and finite element models of the zygomatic complex in humans and nonhuman primates: implications for clinical research and practice.</article-title> <source><italic>Anat. Rec.</italic></source> <volume>299</volume> <fpage>1753</fpage>&#x2013;<lpage>1778</lpage>. <pub-id pub-id-type="doi">10.1002/ar.23486</pub-id> <pub-id pub-id-type="pmid">27870351</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robins</surname> <given-names>M. W.</given-names></name></person-group> (<year>1977</year>). <article-title>Biting loads generated by the laboratory rat.</article-title> <source><italic>Arch. Oral Biol.</italic></source> <volume>22</volume> <fpage>43</fpage>&#x2013;<lpage>47</lpage>. <pub-id pub-id-type="doi">10.1016/0003-9969(77)90138-8</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robinson</surname> <given-names>J. A.</given-names></name> <name><surname>Chatterjee-Kishore</surname> <given-names>M.</given-names></name> <name><surname>Yaworsky</surname> <given-names>P. J.</given-names></name> <name><surname>Cullen</surname> <given-names>D. M.</given-names></name> <name><surname>Zhao</surname> <given-names>W.</given-names></name> <name><surname>Li</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2006</year>). <article-title>Wnt/beta-catenin signaling is a normal physiological response to mechanical loading in bone.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>281</volume> <fpage>31720</fpage>&#x2013;<lpage>31728</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M602308200</pub-id> <pub-id pub-id-type="pmid">16908522</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robling</surname> <given-names>A. G.</given-names></name> <name><surname>Turner</surname> <given-names>C. H.</given-names></name></person-group> (<year>2009</year>). <article-title>Mechanical signaling for bone modeling and remodeling.</article-title> <source><italic>Crit. Rev. Eukaryot. Gene Expr.</italic></source> <volume>19</volume> <fpage>319</fpage>&#x2013;<lpage>338</lpage>. <pub-id pub-id-type="doi">10.1615/critreveukargeneexpr.v19.i4.50</pub-id> <pub-id pub-id-type="pmid">19817708</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ruggiu</surname> <given-names>A.</given-names></name> <name><surname>Cancedda</surname> <given-names>R.</given-names></name></person-group> (<year>2015</year>). <article-title>Bone mechanobiology, gravity and tissue engineering: effects and insights.</article-title> <source><italic>J. Tissue Eng. Regen. Med.</italic></source> <volume>9</volume> <fpage>1339</fpage>&#x2013;<lpage>1351</lpage>. <pub-id pub-id-type="doi">10.1002/term.1942</pub-id> <pub-id pub-id-type="pmid">25052837</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shimomoto</surname> <given-names>Y.</given-names></name> <name><surname>Chung</surname> <given-names>C. J.</given-names></name> <name><surname>Iwasaki-Hayashi</surname> <given-names>Y.</given-names></name> <name><surname>Muramoto</surname> <given-names>T.</given-names></name> <name><surname>Soma</surname> <given-names>K.</given-names></name></person-group> (<year>2007</year>). <article-title>Effects of occlusal stimuli on alveolar/jaw bone formation.</article-title> <source><italic>J. Dent. Res.</italic></source> <volume>86</volume> <fpage>47</fpage>&#x2013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.1177/154405910708600107</pub-id> <pub-id pub-id-type="pmid">17189462</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shivashankar</surname> <given-names>G. V.</given-names></name> <name><surname>Sheetz</surname> <given-names>M.</given-names></name> <name><surname>Matsudaira</surname> <given-names>P.</given-names></name></person-group> (<year>2015</year>). <article-title>Mechanobiology.</article-title> <source><italic>Integr. Biol.</italic></source> <volume>7</volume> <fpage>1091</fpage>&#x2013;<lpage>1092</lpage>. <pub-id pub-id-type="doi">10.1039/c5ib90040a</pub-id> <pub-id pub-id-type="pmid">26404492</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shoji</surname> <given-names>K.</given-names></name> <name><surname>Elsubeihi</surname> <given-names>E. S.</given-names></name> <name><surname>Heersche</surname> <given-names>J. N.</given-names></name></person-group> (<year>2010</year>). <article-title>Effects of ovariectomy on turnover of alveolar bone in the healed extraction socket in rat edentulous mandible.</article-title> <source><italic>Arch. Oral Biol.</italic></source> <volume>56</volume> <fpage>114</fpage>&#x2013;<lpage>120</lpage>. <pub-id pub-id-type="doi">10.1016/j.archoralbio.2010.09.013</pub-id> <pub-id pub-id-type="pmid">20943211</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tsouknidas</surname> <given-names>A.</given-names></name> <name><surname>Maliaris</surname> <given-names>G.</given-names></name> <name><surname>Savvakis</surname> <given-names>S.</given-names></name> <name><surname>Michailidis</surname> <given-names>N.</given-names></name></person-group> (<year>2015</year>). <article-title>Anisotropic post-yield response of cancellous bone simulated by stress-strain curves of bulk equivalent structures.</article-title> <source><italic>Comput. Methods Biomech. Biomed. Eng.</italic></source> <volume>18</volume> <fpage>839</fpage>&#x2013;<lpage>846</lpage>. <pub-id pub-id-type="doi">10.1080/10255842.2013.849342</pub-id> <pub-id pub-id-type="pmid">24156688</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tyrovola</surname> <given-names>J. B.</given-names></name></person-group> (<year>2019</year>). <article-title>The &#x201C;mechanostat&#x201D; principle in cell differentiation. The osteochondroprogenitor paradigm.</article-title> <source><italic>J. Cell. Biochem.</italic></source> <volume>120</volume> <fpage>37</fpage>&#x2013;<lpage>44</lpage>. <pub-id pub-id-type="doi">10.1002/jcb.27509</pub-id> <pub-id pub-id-type="pmid">30144147</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Uslu</surname> <given-names>M. &#x00D6;</given-names></name> <name><surname>Eltas</surname> <given-names>A.</given-names></name> <name><surname>Marako&#x011F;lu</surname> <given-names>&#x0130;</given-names></name> <name><surname>D&#x00FC;ndar</surname> <given-names>S.</given-names></name> <name><surname>&#x015E;ahin</surname> <given-names>K.</given-names></name> <name><surname>&#x00D6;zercan</surname> <given-names>&#x0130;H.</given-names></name></person-group> (<year>2018</year>). <article-title>Effects of diode laser application on inflammation and mpo in periodontal tissues in a rat model.</article-title> <source><italic>J. Appl. Oral Sci.</italic></source> <volume>26</volume>:<issue>e20170266</issue>. <pub-id pub-id-type="doi">10.1590/1678-7757-2017-0266</pub-id> <pub-id pub-id-type="pmid">30020350</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van der Meulen</surname> <given-names>M. C.</given-names></name> <name><surname>Huiskes</surname> <given-names>R.</given-names></name></person-group> (<year>2002</year>). <article-title>Why mechanobiology? A survey article.</article-title> <source><italic>J. Biomech.</italic></source> <volume>35</volume> <fpage>401</fpage>&#x2013;<lpage>414</lpage>. <pub-id pub-id-type="doi">10.1016/s0021-9290(01)00184-1</pub-id> <pub-id pub-id-type="pmid">11934410</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Walker</surname> <given-names>C. G.</given-names></name> <name><surname>Ito</surname> <given-names>Y.</given-names></name> <name><surname>Dangaria</surname> <given-names>S.</given-names></name> <name><surname>Luan</surname> <given-names>X.</given-names></name> <name><surname>Diekwisch</surname> <given-names>T. G.</given-names></name></person-group> (<year>2008</year>). <article-title>RANKL, osteopontin, and osteoclast homeostasis in a hyperocclusion mouse model.</article-title> <source><italic>Eur. J. Oral Sci.</italic></source> <volume>116</volume> <fpage>312</fpage>&#x2013;<lpage>318</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-0722.2008.00545.x</pub-id> <pub-id pub-id-type="pmid">18705798</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wan</surname> <given-names>H. Y.</given-names></name> <name><surname>Sun</surname> <given-names>H. Q.</given-names></name> <name><surname>Sun</surname> <given-names>G. X.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Shang</surname> <given-names>Z. Z.</given-names></name></person-group> (<year>2012</year>). <article-title>The early phase response of rat alveolar bone to traumatic occlusion.</article-title> <source><italic>Arch. Oral Biol.</italic></source> <volume>57</volume> <fpage>737</fpage>&#x2013;<lpage>743</lpage>. <pub-id pub-id-type="doi">10.1016/j.archoralbio.2012.01.002</pub-id> <pub-id pub-id-type="pmid">22297033</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>B.</given-names></name> <name><surname>Wu</surname> <given-names>Y.</given-names></name> <name><surname>Yu</surname> <given-names>H.</given-names></name> <name><surname>Jiang</surname> <given-names>L.</given-names></name> <name><surname>Fang</surname> <given-names>B.</given-names></name> <name><surname>Guo</surname> <given-names>Q.</given-names></name></person-group> (<year>2018</year>). <article-title>The effects of NELL on corticotomy-assisted tooth movement and osteogenesis in a rat model.</article-title> <source><italic>Biomed. Mater. Eng.</italic></source> <volume>29</volume> <fpage>757</fpage>&#x2013;<lpage>771</lpage>. <pub-id pub-id-type="doi">10.3233/BME-181021</pub-id> <pub-id pub-id-type="pmid">30282332</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Warshawsky</surname> <given-names>H.</given-names></name> <name><surname>Moore</surname> <given-names>G.</given-names></name></person-group> (<year>1967</year>). <article-title>A technique for the fixation and decalcification of rat incisors for electron microscopy.</article-title> <source><italic>J. Histochem. Cytochem.</italic></source> <volume>15</volume> <fpage>542</fpage>&#x2013;<lpage>549</lpage>. <pub-id pub-id-type="doi">10.1177/15.9.542</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>X.</given-names></name> <name><surname>Zhou</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>F.</given-names></name> <name><surname>Wei</surname> <given-names>S.</given-names></name> <name><surname>Dai</surname> <given-names>H.</given-names></name></person-group> (<year>2016</year>). <article-title>Using micro-computed tomography to evaluate the dynamics of orthodontically induced root resorption repair in a rat model.</article-title> <source><italic>PLoS One</italic></source> <volume>11</volume>:<issue>e0150135</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0150135</pub-id> <pub-id pub-id-type="pmid">26930605</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname> <given-names>N.</given-names></name> <name><surname>van Leeuwen</surname> <given-names>A.</given-names></name> <name><surname>Yuan</surname> <given-names>H.</given-names></name> <name><surname>Bos</surname> <given-names>R. R.</given-names></name> <name><surname>Grijpma</surname> <given-names>D. W.</given-names></name> <name><surname>Kuijer</surname> <given-names>R.</given-names></name></person-group> (<year>2016</year>). <article-title>Evaluation of novel resorbable membranes for bone augmentation in a rat model.</article-title> <source><italic>Clin. Oral Implants Res.</italic></source> <volume>27</volume> <fpage>e8</fpage>&#x2013;<lpage>e14</lpage>. <pub-id pub-id-type="doi">10.1111/clr.12519</pub-id> <pub-id pub-id-type="pmid">25382763</pub-id></citation></ref>
</ref-list>
</back>
</article>