Sencimen M, Aydintug Y S, Ortakoglu K, Karslioglu Y, Gunhan O, Gunaydin Y
Gülhane Military Medical Academy, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
Int J Oral Maxillofac Surg. 2007 Mar;36(3):235-42. doi: 10.1016/j.ijom.2006.08.016. Epub 2006 Dec 4.
The aim of this study was to compare histomorphometrically the new bone tissue obtained using two different distraction methods, and evaluate these two methods in terms of their advantages and disadvantages. In 36 New Zealand adult male rabbits, divided into two groups, a gradual distraction was performed using a device placed on the lateral surface of the mandibular corpus. In one group osteotomy was not performed and osteogenesis by periosteal distraction (OPD) only was used. In the other group, conventional distraction osteogenesis (DO) was performed. After a 7-day latent phase, the same distraction protocol was applied to both groups. Each group of rabbits was further divided into three sub-groups killed on the 15th, 30th and 60th days of the consolidation period, and histological analysis was performed. The mean extent of newly formed bone tissue was 14.4 mm2 in the OPD groups and 25.4 mm2 in the DO groups. When compared statistically, there were significant differences between all the DO and OPD sub-groups. The newly formed bone tissue obtained by OPD was rich in interstitial fatty tissue. These results indicate that bone tissue newly formed by OPD is not suitable for occlusal forces.
本研究的目的是通过组织形态计量学比较使用两种不同牵张方法获得的新骨组织,并从优缺点方面评估这两种方法。在36只成年新西兰雄性兔中,将其分为两组,使用放置在下颌骨体外侧表面的装置进行渐进性牵张。一组不进行截骨术,仅采用骨膜牵张成骨(OPD)。另一组进行传统的牵张成骨(DO)。经过7天的潜伏期后,对两组应用相同的牵张方案。每组兔子进一步分为三个亚组,分别在巩固期的第15天、第30天和第60天处死,并进行组织学分析。OPD组新形成骨组织的平均范围为14.4平方毫米,DO组为25.4平方毫米。经统计学比较,所有DO和OPD亚组之间存在显著差异。OPD获得的新形成骨组织富含间质脂肪组织。这些结果表明,OPD新形成的骨组织不适合承受咬合力量。