Chen Jin-wu, Wang Mei-qing, Liu Xiao-dong
Department of Oral Anatomy and Physiology, College of Stomatology, Fourth Military Medical University, Xian 710032, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2003 Mar;38(2):103-5.
To investigate whether the gradually induced disordered occlusion can induce degenerative changes in rabbit TMJ.
27 male New Zealand Rabbits, age of 5 months were divided equally and randomly into three groups: Group A: One premolar in upper dentition at one side and another premolar in lower dentition at the other side were pulled to move medially to the anterior intrinsic space by an orthodontic string to cause the corresponding premolars not to occlude with the opposites coincidently. Group B: the sham-operating controls, all animals were treated similar to those in Group A but without pulling. At the age of 6, 7 and 8 months, three rabbits of each group were killed by deeply anaesthetizing and bilateral condyles of TMJs were excised, sectioned and stained with HE.
There was no significant histological difference in condylar cartilage between Group B and C. The cartilage of TMJs condyle in Group A was found with significant degenerative changes that increased with age. The thickness of cartilage of anterior and intermediate part of condyles decreased, the disturbance of continuation of hypertrophic layer appeared and part of hypertrophic layer was locally replaced by fibrous tissue. While the thickness of cartilage of posterior part of condyle increased obviously with a significant increase of the proportion of immature chondrocytes.
The gradually induced disorder occlusion may lead to degenerative changes in rabbit condyle.
研究逐渐诱导的咬合紊乱是否能诱发兔颞下颌关节的退行性改变。
将27只5月龄雄性新西兰兔平均随机分为三组:A组:用正畸线将一侧上颌牙列中的一颗前磨牙和另一侧下颌牙列中的另一颗前磨牙向内侧拉至前方固有间隙,使相应的前磨牙不与对颌牙正常咬合。B组:假手术对照组,所有动物的处理方式与A组相似,但不进行牵拉。在6、7、8月龄时,每组各处死3只兔子,深度麻醉后切除双侧颞下颌关节髁突,切片并进行苏木精-伊红(HE)染色。
B组和C组髁突软骨在组织学上无显著差异。A组颞下颌关节髁突软骨出现明显的退行性改变,且随年龄增长而加重。髁突前部和中部软骨厚度减小,肥大层连续性紊乱,部分肥大层被纤维组织局部取代。而髁突后部软骨厚度明显增加,未成熟软骨细胞比例显著升高。
逐渐诱导的咬合紊乱可能导致兔髁突发生退行性改变。