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Review Article
Abstract For ethical reason, initiation and progression of periodontal disease as well as certain types of periodontal
treatment cannot be studied in humans. Instead, numerous studies in this field have been carried out in
laboratory animals. Animal models are needed to objectively evaluate the pathogenesis of human periodontal
disease and its various treatment modalities. A number of animal models have been used in studying etiology
and pathology of periodontitis. The primate model is recommended because the pathogenesis in primate model
closely resembles that in humans. In addition, the dog model is used frequently because of ease of ligature
placement as well as the natural occurrence of periodontal disease. However, ease of handling, inexpensive,
short study time, low variation among strains and controlled microflora, relatively disease resistant, make
the rat model extremely versatile and suited for a wide range of research endeavors. Rats are used mainly for
research in toxicity, nutrition, behavior, and cancer. Normal oral structure and physiology and the pathogenesis
of periodontal diseases have been studied more extensively in the rat than in any other rodents. Rats are used
extensively to study the effects of drugs on the gingiva because their tissue overgrowth is similar to that of
humans. The purpose of this review is to evaluate rats as models for studying various aspects of periodontal
disease, including disease process and its treatment handling, advantages and limitations of these models.
Address for correspondence: Dr. Mallanagouda B Patil, Department of Periodontics, College of Dental Sciences, Room No. 4, Davangere ‑ 577 004,
Karnataka, India.
E‑mail: mal_pati@rediffmail.com
68 © 2018 International Journal of Oral Health Sciences | Published by Wolters Kluwer - Medknow
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forms of periodontitis in animals, such as “cara inchada” centuries. By the mid‑1800s, rats were used in scientific
(swollen face), a disease found in cattle in West Central experimentation. Rats, such as mice, are now available
Brazil and the “broken mouth” periodontitis of sheep. in various ecologic and genetic varieties, however, most
Because of these observations are then related to research rats are barrier‑raised in specific pathogens free
periodontal diseases in rodents and nonhuman primates, colonies.[3,4]
to ligature‑induced disease, to the nature of the disease in
germ‑free animals, to the incidence of periodontal disease Rat is one of the most widely used species of laboratory
in nondominated versus dominated animals and to many animals. Its popularity is next only to that of mice and
other aspects of comparative pathology.[1] found all over the world, especially in association with
human habitation. R. norvegicus (scientific name) adopts
Animal models for testing periodontal regenerative readily in laboratories all over the world. Rats are used
procedure are necessary because controlled quantitative mainly for research in toxicology, nutrition, behavior, and
histological analysis is required to evaluate the quality and cancer. Proportionately, a smaller number, are also used
extent of the rarely formed supporting tissues. Histometric in physiological and pharmacological investigations and
evaluation can determine the amount of new cementum, for teaching.
periodontal ligament, and alveolar bone formed the amount
of new regenerative periodontal surgery. These studies are The most frequently used inbred strains of rats
not possible in man because of the need to retrieve the include the Wister albino, Lewis, Norwegian grey, Rice
teeth and their surrounding periodontium in large blocks (Oryzomys palustris) (Leonard, 1979), Kyoto and Carworth
appropriate for histological analysis. Furthermore, proper Wistar, Osborne‑Mendel, Holtzman, white Lobund, CD
evaluation of a new therapy necessarily involves the use and CDF‑Fisher 344, and several strains of the Sprague
of treated and untreated controls which are difficult to Dawley rat (Forsyth strain, CR strain, and RIC strain).[1]
obtain in the human. The testing of potentially harmful
new devices and pharmaceuticals may be unethical in man Sprague Dawley rat, an albino, has a narrow head and tail
before thorough evaluation in higher animals.[2] longer than the body, whereas the Wistar rat has a wide
head and shorter tail. The Long‑Evans and other “hooded”
Animal research and its value to human experience varieties are smaller than the albino strains and have darker
remain controversial. Animal model data can provide hair over portions of the head and anterior body.
us with models of biologic trends before proceeding to
human application. Each animal species are manifested Normal oral structure and physiology and the pathogenesis
by a wide range of clinical and histopathological features. of periodontal diseases have been studied more extensively
Different species have distinct traits, habits, life spans, in the rat than in any other rodent. For this reason, the
tissue structures, host defense mechanisms and genetic rat serves as an example for other rodents such as mice
microbiological immunological, and clinical features of and hamsters. Although particular dental and periodontal
periodontal disease and its prevention and treatment. tissues differ in size among various rat strains, principles
of tissue structure and growth phenomena are identical
Here, we have made an attempt to review to evaluate rats as in all strains.
models for studying various periodontal diseases, including
ANATOMIC PHYSIOLOGIC CHARACTERISTICS
disease process, its prevention and treatment, advantages,
and limitations of these models.
The rat is the most extensively studied rodent for the
ORIGIN pathogenesis of periodontal disease. Typical rodent
dentition is Incisor 1/1, canine 0/0, premolar 0/0/ and
The laboratory rat, Rattus norvegicus, is a rodent of the molars 3/3. The incisors are rootless with continuously
family Muridae [Figure 1]. Wild rats’ apparently originated, erupting [Figure 2-5]. The cheeks closes into the diastema,
in recent times at least, in the temperate regions of central separating incisors from the oral cavity and have an
Asia, from southern U. S. S. R. through northern China. articulated mandibular symphysis. The structure of the
Through migration along trade and military routes, the dental gingival area in rat is quite similar to that observed
cosmopolitan rat has spread around the world. in humans. They have a tapered head with pinnae relatively
smaller than those of mouse, a long tail, and an anus usually
Domesticated rats were raised by fanciers in the seventeenth pressed on the ground. An adult rat weights about 530-900
century and for combat with terriers in subsequent grams and varies from species to species.
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Figure 1: Rat
The gnawing apparatus, shared with other rodents, is cage and restraining the head with thumb and forefinger
remarkable. The continuously erupting (hypsodontic), immediately behind the mandibles. Rats held upside down
chisel‑like incisors, powerful jaw muscles, articulated are more concerned with righting themselves than with
symphysis, and long diastema with loose cheek skin all biting [Figure 6].
contribute to the rat’s omnivorous habits and gnawing
ability. The 12 molars, on the other hand, are permanently HOUSING
rooted (brachiodontic), located far back in the mouth, and
are used for grinding.[3,4] Rats are housed either in metal cages [Figure 7] with mesh or
in plastic cages with solid floors. “Rats mesh” should have
LIFE SPAN openings of 2 wires per inch. A homemade, shoebox‑shaped
cage with a hardware cloth top is satisfactory for pet rats,
Rats may live longer than 3 years and have a productive
Terraria are commonly used to house pet rodents, but care
breeding life of approximately 9 or more months or until
must be taken to assure accessibility to water and feed. Care
they are 12 or more months of age, during which time
should be taken to prevent escape, loss of neonates through
they may bear 7–10 L with 6–14 offspring per litter. After
wire floors, and fractured limbs from too close a mesh.
12 months, litter size decreases and litter interval increases
Young rats housed on the wire and deprived of the nest
until sexual senescence at 450–500 days.
may become dehydrated, especially during months when
HANDLING ambient humidity is low. Rat cages should provide at least
259 cm square floor space per adult (300 g) rat. A female
Rats gently handled become tame and will rarely bite unless with litter requires 1000 cm square floor space. Rat cages
startled or hurt. Because the tail may tear, the tail should should be at least 18 cm high. Bedding for rats, which
be grasped only at the base and for short periods. Rats are may be paper, wood chips or shavings, ground corn cob,
picked up by placing the hand firmly over the back and rib or sawdust, should be nonallergenic, dust free, absorptive,
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COLLECTION OF BLOOD
DRUG ADMINISTRATION
Rats have the typical rodent dentition, and the molars are after birth, whereas in the Sprague Dawley rat this occurs at
fully erupted between about the 15th and the 40th day of about 15–17 days and in the osbeorne Mendel rat at about
postnatal life. Eruption time differs from strain to strain. day 17. On the other hand, the first molars begin to emerge
In the Cotton rat, the first molars begin to erupt 4–7 days in the rice rat within 9–10 days after birth.[5]
The structure of the dentogingival area in the rat, including ERUPTION RATE
the junctional epithelium and its attachment to the tooth
surface, the configuration, and topography of the epithelial The eruption of rat molars, accompanies by rapid occlusal
tissues at the gingival margin, and the very shallow gingival wear and hard tissue apposition, continues through life.
sulcus with the free surface of the junctional epithelium The rate of eruption, at least in young animals, is faster
at its bottom or at the level of the gingival margin, is very than the concomitant increase in bone height. During the
similar to that of man.[6] period from 21 to 35 days, the first mandibular molar erupts
at a rate of 590 μm/week, its root elongates at a rate of
Although there are occasional statements to the contrary 540 μm/week and alveolar bone apposition at the fundus
such as, the crevicular epithelium in rats is keratinized,[7] occurs at a rate of 54 μm/week and at the alveolar crest,
the only significant difference in gingival tissue structure at 160 μm/week.[8]
between rats is in the relationship between the oral
gingival epithelium and the junctional epithelium. In the Sicher and Weinmann [9] calculated the rate of distal
rat as the gingival epithelium bends apically and joins the molar drift to be 60–80 μm/week and concluded that the
coronal portion of junctional epithelium at buccal or continuous occlusal distal buccal movement of rat molars
lingual aspects of the molars, it often produces a stratum is the physiological expression of adaptive changes required
granulosum and a stratum corneum, the most superficial by growth changes of the jaws and by rapid occlusal wear.
cells are in desmosomal contact with the nondifferentiating This physiological, age‑related drifting of erupting rat
and nonkeratinizing cells of the junctional epithelium.[7] molars in the buccal‑distal direction has, at present, become
Nevertheless, the junctional epithelium is the pathway a fascinating rat model for studying the dynamics of bone
for the influx of foreign substances and the pathway for remodeling. With the use of stereological methods, we
inflammatory cell exudation in the rat as it is in the human. determine the exact remodeling cycle and also the bone
balance. A period of 1.5 days is required for resorption,
AGE CHANGES IN RAT 3.5 days for reversal, and 1 day for bone deposition: the
exact volume of bone resorbed on the mesial side of the
Age‑dependent phenomena in rat include a series of finely tooth is deposited on the distal side. The molars erupt early
tuned and interrelated tissue changes including growth of in life in the growing jaws; continuous vertical eruption
the jaws, wear of the occlusal surfaces, continuous eruption is not only compensating for attrition but correlated to
of the teeth, and apposition of cementum and bone, the growth of the jaws in height. The molars drift distally
etc. These changes concomitantly result with increasing through life in correlation with the growth of the maxilla
postnatal age in a shifting of the molars in three‑dimensional and the mandible in length at their posterior end.[10]
space, i.e., in the vertical (apical‑occlusal) as well as in the
horizontal (mesial‑distal and buccal‑lingual) planes and thus Belting et al. 1953[10] using sections cut in the mesiodistal
in a continues change of tooth position as it relates to the plane found that the distance between the CEJ and the
bony socket, the alveolar process and the entire jaw. alveolar bone crest increases with age, more so at lingual
and distal than at buccal and mesial surfaces, but the
Hoffman and Schour[8] were the first to document many width of the supraalveolar interdental space and of the
of these phenomena and reported that first mandibular entire interdental bony septum becomes greatly reduced
molar,[1] the height of the anatomic crown decreases as a with age. While continuing (Belting et al.) to erupt in an
result of attrition from 1.3 to 0.7 mm with the most rapid occlusal direction throughout the life of the animal, the
attrition taking place within the first 100 days of postnatal molar teeth tilt mesially while migrating distally and also
life,[2] the length of the roots increases from 0.4 to about tilt lingually while shifting slightly in a buccal direction.
3.7 mm, with most of this elongation resulting from Accompanying these movements is a shift of the junctional
apposition of cellular cementum,[3] the cementoenamel epithelium in the apical direction, which in the normal
junction (CEJ), which is located at the alveolar bone crest course of aging covers coronal portions of root cementum
at about 35 days of age, continues to move in an occlusal in germ‑free/conventional rats.[10]
direction more rapidly than bone is deposited at the alveolar
crest, resulting in an increasing distance of up to 0.8 mm.[4] PERIODONTAL DISEASE IN RATS
The distance between the root apices and the bone in which
the roots are embedded increases with age as well, reflecting One of the most successful approaches to studying
an occlusal drift of the entire tooth. As this drift occurs, oral disease in rats appears to be the utilization of the
bone is deposited at the fundus of the alveolus [Figure 10]. gnotobiotic or germ‑free rat. Gnotobiotic rats of the
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Sprague Dawley strain have been used to demonstrate degrees of severity, these lesions affect both interdental
the ability of various filamentous bacteria to form plaque and inter‑radicular spaces. They are characterized by deep
and induce periodontal disease in the absence of other crater‑like pockets filled with large bacterial masses which
bacteria.[11] are often attached to the root surfaces, varying amounts of
impacted hair, extensive alveolar bone resorption, and 50%
Several Gram‑positive species of bacteria isolated from or more denudation of the molar roots. In final stages, the
the human oral cavity were used as monocontaminations teeth become extremely loose and eventually exfoliate. In
in rats, causing periodontal destruction in 84 days. few animals, the entire alveolar process carrying the molars
may become completely degraded.
When gnotobiotic rats were monoinfected with a
Gram‑negative anaerobic rod isolated from a localized JP In spite of a statement to the contrary, periodontitis does
patient[12] or Eikenella corrodents, plaque adhering to the not occur in germ‑free Sprague Dawley, White Lobound
tooth surface was not formed. Once initiated, bone resorption the CDF Fisher rats, all of which, even under conventional
occurred continuously rather than sporadically as in humans. conditions, are periodontal disease‑resistant animals.
In germ‑free rats, however, there is a considerable amount of When silk ligature is tied around the mandibular molars of
impacted hair and bedding material between the teeth whose germfree rats, the gingival tissue becomes displaced but do
role in the disease process remains unclear. Lesions induced not react in any way except for an enhanced transmigration
by Gram‑negative bacteria showed minimal inflammation. of polymorphonuclear leukocytes a similar transmigration
The computed tomography infiltrate contained primarily through the junctional epithelium also occurs in untreated
neutrophils, few lymphocytes, and no plasma cells. Thus, germ‑free control animals.[14]
the destructive process in response to Gram‑negative
bacteria can occur in the absence of a cell‑mediated immune A similar response is obtained when stainless steel wire
response which is not similar to humans.[12] ligatures are applied to the maxillary molars of conventional
rats systemically treated with either tetracycline or
Periodontal disease in rats is different from that of humans. cortisone. Experimentally, induced chronic traumatic injury
After inoculation of microorganisms into germ‑free rats, of the gingival tissues does not lead to periodontitis in
periodontal destruction occurs very rapidly, so there is no germ‑free animals.[15]
need for inducing disease with ligatures. The rat is relatively
resistant to periodontal disease and is therefore used mostly CONCLUSION
for oral microflora research. Another difference between
the rat and human periodontal disease is that, instead of The modern era of periodontal research began in the mid
the lesion extending along the root surface as in man, the and late 1960s with documentation of the fact that gingivitis
most apical extent of the lesion is located along the central and periodontitis in humans are caused by bacteria. Since
part of the interdental tissues. Bone loss could occur that time, information has been accumulating at an
without apical migration of the junctional epithelium.[13] astounding rate.
The gingival response involved is an acute, not a chronic,
immune infiltrate. The diversity among animal species in susceptibility,
progression, and features of periodntitis provides rich
Periodontitis occurs spontaneously in selected strains of research possibilities and opportunities. On the other
inbred animals such as a particular disease susceptible hand, this diversity necessitates that the questions
strains of rice rat. However, disease is diet dependent.[1] asked be defined with precision and the animal to be
used selected with great care. Human periodontitis can
The disease prone rats develop rampant periodontal lesions be dissected into several components with regard to
within their 1st year of postnatal life. Gupta and Shaw 1956[5] research. Excellent animal models do exist for some
stated that the earliest evidence of abnormalities in the of these components and in many cases, the unusual
periodontium was noted in 16‑day‑old rats whose second features of the disease in a particular species make it
molars were only partially erupted. Marginal gingivitis was especially useful.
accompanied by edema and ulceration, with the formation
of deep pockets that often were filled with food debris and Because rat has been the most widely used rodent in
hair, a higher frequency and greater severity of abnormalities periodontal research, features of its normal periodontium,
was noted in the mandible than in the maxilla. With varying in particular, the dentogingival area and the physiological
74 International Journal of Oral Health Sciences | Volume 7 | Issue 2 | July-December 2017
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age‑dependent changes in the molar regions are especially Laboratory Animals. 6th ed. Wiley-Blackwell;1987. p. 309‑30.
5. Gupta OP, Shaw JH. Periodontal disease in the rice rat. I. Anatomic
well documented and understood.
and histologic findings. Oral Surg 1956;9:592‑603.
6. Listgarten MA, Mayo HE, Tremblay R. Development of dental plaque
Animal research and its value to human experience remain on epoxy resin crowns in man. A light and electron microscopic study.
controversial. Regardless of how much data can be J Periodontol 1975;46:10‑26.
presented, it is impossible to expect different species to 7. Thilander H. Periodontal disease in white rat, experimental studies
with special reference to some etiologic and pathogenetic features.
respond identically or even similarly to the same challenge Trans R Sch Dent Stockh Umea 1961;6:1‑99.
except within very narrow limits. Animal data can provide 8. Hoffman MM, Schour I. Quantitative studies in the development of
us with models of biologic trends before proceeding to the rat molar. II Alveolar bone, cementum and eruption. Am J Orthod
1940;26:854‑74.
human application. 9. Sicher H, Weinmann JP. Bone growth and physiologic tooth movement.
Am J Orthod 1944;30:109‑32.
Financial support and sponsorship 10. Belting CM, Schour I, Weinmann JP, Shepro MJ. Age changes in the
Nil. periodontal tissues of the rat molar. J Dent Res 1953;32:332‑53.
11. Socransky SS, Hubersak C, Propas D. Induction of periodontal
Conflicts of interest destruction in gnotobiotic rats by a human oral strain of Actinomyces
naeslundii. Arch Oral Biol 1970;15:993‑5.
There are no conflicts of interest. 12. Irving JT, Newman MG, Socransky SS, Heely JD. Histological changes
in experimental periodontal disease in rats mono‑infected with a
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