Ramirez-Yañez G O, Daley T J, Symons A L, Young W G
Department of Oral Biology and Pathology, School of Dentistry, The University of Queensland, QLD, Australia.
Arch Oral Biol. 2004 May;49(5):393-400. doi: 10.1016/j.archoralbio.2003.11.005.
The effect of altered occlusion on the mandibular condylar cartilage remains unclear.
This study investigated the effect of unilateral incisor disocclusion on cartilage thickness, on mitotic activity and on chondrocytes maturation and differentiation in the mandibular condylar cartilage of rats.
The upper and lower left incisors were trimmed 2mm every second day in five rats. In other five rats, the incisor occlusion was not altered. Condylar tissues from both sides of each mandible were processed and stained for Herovici's stain and immunohistochemistry for bromodeoxyuridine (BrdU), transforming growth factor-beta1 (TGF-beta1), alkaline phosphatase (ALP) and osteocalcin (OCN). Measurements of cartilage thickness and the numbers of immunopositive cells for each antibody were analysed by one-way analysis of variance (ANOVA).
No significant differences were observed in cartilage thickness after 7 days of unilateral incisor disocclusion. However, the numbers of immunopositive cells for BrdU as a marker of DNA synthesising cells, TGF-beta1 as a marker of chondrocytes differentiation, and ALP and OCN as markers of chondrocytes maturation, were significant higher in the cartilage cells on both sides when incisor occlusion was unilaterally altered. Interestingly, alkaline phosphatase was highly expressed on the condylar side of incisor disocclusion, whereas osteocalcin was highly expressed on the side opposite to the incisor disocclusion.
It is demonstrated that after 7 days, unilateral incisor disocclusion affects the mandibular condylar cartilage at the cellular level by increasing the mitotic activity and by accelerating chondrocytes maturation. Chondrocytes maturation appears more accelerated on the side opposite to incisor disocclusion.
咬合改变对下颌髁突软骨的影响尚不清楚。
本研究调查单侧切牙开合对大鼠下颌髁突软骨厚度、有丝分裂活性以及软骨细胞成熟和分化的影响。
每隔一天将五只大鼠的左上、下切牙修剪2毫米。另外五只大鼠的切牙咬合未改变。对每只下颌骨两侧的髁突组织进行处理,并用赫罗维奇氏染色法以及针对溴脱氧尿苷(BrdU)、转化生长因子-β1(TGF-β1)、碱性磷酸酶(ALP)和骨钙素(OCN)的免疫组织化学方法进行染色。通过单因素方差分析(ANOVA)分析软骨厚度以及每种抗体免疫阳性细胞的数量。
单侧切牙开合7天后,软骨厚度未观察到显著差异。然而,当单侧改变切牙咬合时,作为DNA合成细胞标志物的BrdU、作为软骨细胞分化标志物的TGF-β1以及作为软骨细胞成熟标志物的ALP和OCN的免疫阳性细胞数量在两侧软骨细胞中均显著更高。有趣的是,碱性磷酸酶在切牙开合侧的髁突上高表达,而骨钙素在切牙开合对侧高表达。
结果表明,7天后,单侧切牙开合通过增加有丝分裂活性和加速软骨细胞成熟,在细胞水平上影响下颌髁突软骨。软骨细胞成熟在切牙开合对侧似乎加速更明显。