Mine Keisuke, Kanno Zuisei, Muramoto Takeshi, Soma Kunimichi
Orthodontic Science, Department of Orofacial Development and Function, Division of Oral Health Science, Graduate School, Tokyo Medical and Dental University, Japan.
Angle Orthod. 2005 Jul;75(4):637-44. doi: 10.1043/0003-3219(2005)75[637:OFPPHO]2.0.CO;2.
The process of healing periodontal ligaments (PDL) after transplantation has been widely examined, but the mechanism for preventing dentoalveolar ankylosis is still unclear. In this study, we focused on the role of mechanical stimuli in preventing ankylosis using an animal model of tooth transplantation assessed by histologic observation and evaluation of proliferating PDL cells. Five-week-old Sprague-Dawley male rats were divided into occluded and nonoccluded groups. The right maxillary first molars were replanted in both groups, and histologic observations were carried out after one or two weeks. The proliferative activity of PDL cells was also examined by assessing the distribution of 5-bromo-2'-deoxyuridine (BrdU). After two weeks in the nonoccluded group, ankylosis was clearly detected and PDL stricture was obvious, whereas no severe bone or root resorption was observed. On the other hand, the occluded group showed an enlarged and thickened PDL with extensive root resorption, but no ankylosis. Based on these findings, the replanted teeth were given a one-week healing period and then occlusion recovery was assessed, which resulted in decreased ankylosis and root resorption. The proliferative activity of PDL cells in the occluded group was generally higher than in the nonoccluded group. The activity of PDL cells in the recovery group was also higher than that of the nonoccluded group. These results suggest that occlusal stimuli promoted the regeneration of the PDL and prevented dentoalveolar ankylosis, whereas excessive initial force might cause severe root and bone resorption.
牙周韧带(PDL)移植后的愈合过程已得到广泛研究,但预防牙骨质粘连的机制仍不清楚。在本研究中,我们使用牙齿移植动物模型,通过组织学观察和增殖性PDL细胞评估,重点研究了机械刺激在预防粘连中的作用。将5周龄的Sprague-Dawley雄性大鼠分为咬合组和非咬合组。两组均将右上颌第一磨牙再植,并在1周或2周后进行组织学观察。还通过评估5-溴-2'-脱氧尿苷(BrdU)的分布来检测PDL细胞的增殖活性。非咬合组在2周后,明显检测到粘连,PDL狭窄明显,而未观察到严重的骨或牙根吸收。另一方面,咬合组的PDL增宽增厚,伴有广泛的牙根吸收,但未出现粘连。基于这些发现,对再植牙给予1周的愈合期,然后评估咬合恢复情况,结果粘连和牙根吸收减少。咬合组PDL细胞的增殖活性通常高于非咬合组。恢复组PDL细胞的活性也高于非咬合组。这些结果表明,咬合刺激促进了PDL的再生并预防了牙骨质粘连,而过大的初始力可能导致严重的牙根和骨吸收。