Tanaka M, Ejiri S, Kohno S, Ozawa H
Department of Removable Prosthodontics, Niigata University, Faculty of Dentistry, Japan.
J Dent Res. 2000 Nov;79(11):1907-13. doi: 10.1177/00220345000790111601.
The effects of estrogen deficiency on the mandible have been indicated; however, there have been only a few reports on the mandibular condyle. To clarify the region-specific changes of condyles following estrogen deficiency, we histomorphometrically studied the anterior and posterior regions of condyles in sham-operated (Sham) and ovariectomized (Ovx) female Fischer rats, since it has been reported that rat occlusal force loads mainly onto the anterior part of the condyle. The anterior and posterior regions of condyles showed significantly different bone dynamics. The bone volume in the anterior region of the Sham group increased to 79.9% with aging, but that of the posterior region remained at ca. 60%. In the Ovx group, the bone volume of the posterior region significantly declined to 42.7% until 60 days post-ovariectomy, although no changes occurred in the anterior region. As compared with the Sham counterparts, both regions of the Ovx group showed high bone turnover and revealed significantly low bone volume at 60 days (p < 0.01). Regional differences between anterior and posterior regions were more emphasized in the Ovx than in the Sham group. The osteoclast number and amount of eroded surface in the Ovx were higher in the posterior than in the anterior region, with significance at 30 and/or 60 days (p < 0.05). The mineralized surface at 14 days and the bone formation rate at 60 days in the Ovx posterior region were significantly lower than those in the Ovx anterior region (p < 0.05). Consequently, a net bone loss occurred in the posterior region of the mandibular condyle in ovariectomized rats, owing to region specificity and estrogen deficiency.
雌激素缺乏对下颌骨的影响已得到证实;然而,关于下颌髁突的报道却很少。为了阐明雌激素缺乏后髁突的区域特异性变化,我们采用组织形态计量学方法研究了假手术(Sham)和去卵巢(Ovx)雌性Fischer大鼠髁突的前后区域,因为据报道大鼠的咬合力主要作用于髁突的前部。髁突的前后区域显示出明显不同的骨动力学。Sham组前部区域的骨体积随年龄增长增加到79.9%,而后部区域的骨体积保持在约60%。在Ovx组中,后部区域的骨体积在去卵巢后60天显著下降至42.7%,而前部区域没有变化。与Sham组相比,Ovx组的两个区域在60天时均显示出高骨转换率且骨体积显著降低(p < 0.01)。Ovx组中前后区域的差异比Sham组更明显。Ovx组后部区域的破骨细胞数量和侵蚀表面面积均高于前部区域,在30天和/或60天时具有显著性差异(p < 0.05)。Ovx组后部区域在14天时的矿化表面和60天时的骨形成率均显著低于前部区域(p < 0.05)。因此,由于区域特异性和雌激素缺乏,去卵巢大鼠下颌髁突的后部区域出现了净骨丢失。