Elsubeihi Emad S, Heersche Johan N M
Dental Centre, Tawam Hospital in Affiliation with Johns Hopkins Medicine, Al-Ain, Abu Dhabi, UAE.
Eur J Prosthodont Restor Dent. 2009 Mar;17(1):9-21.
We investigated the effect of ovariectomy (OVX) on bone changes in the edentulous and dentate mandibles and compared these to changes in tibiae and femorae using dual energy x-ray absorptiometry (DEXA) and histomorphometric measurements. One hundred and fifteen female rats had their molars and the incisor on one side of the mandible extracted at six months of age and allowed to heal for 4 months. At 10 months of age, animals were divided into an experimental group, which underwent bilateral ovariectomy, and a control group of intact animals. Sixteen OVX and sixteen control animals were sacrificed at 6-weeks, and at 6- and 9-months post-OVX. In addition 12 animals were sacrificed at the time of OVX to act as an internal control group. Bone mineral density measurements (BMD) using DEXA and bone volume measurements on undecalcified sections evaluated under backscattered electron microscopy were investigated in the edentulous and dentate mandibles as well as in tibiae and femorae. At 6-weeks post-OVX, there were no significant differences between the edentulous mandibles, dentate mandibles, tibiae and femorae of OVX and control groups. At 6 months post-OVX, BMD and cancellous bone volume were significantly decreased in the edentulous mandibles (-15.9%; -21.8%), proximal tibiae (-15.6%; -38.5%) and proximalfemorae (-9.7%; -39.6%) of OVX group as compared to the control group. At 9 months post-OVX, BMD and cancellous bone volume were further decreased in the edentulous mandibles (-17.2%; -24%), proximal tibiae (-16.1%; -58.9%) and proximal femorae (-10.3%; -49.9%) of the OVX group as compared to the control group. On the other hand, OVX had no effect on the BMD and cancellous bone volume of the dentate mandibles at 6-weeks and at 6- and 9-months post-OVX. These results show that loss of bone mass in the edentulous mandible of OVX animals is similar to that occurring in the tibiae and femorae, while lack of a significant effect of OVX on bone mass in the dentate mandible suggests that functional loading related to biting force prevented bone loss in the dentate mandible.
我们研究了卵巢切除术(OVX)对无牙颌和有牙颌下颌骨骨变化的影响,并使用双能X线吸收法(DEXA)和组织形态计量学测量方法将这些变化与胫骨和股骨的变化进行了比较。115只雌性大鼠在6个月大时拔除了一侧下颌骨的磨牙和切牙,并让其愈合4个月。在10个月大时,将动物分为实验组(接受双侧卵巢切除术)和完整动物对照组。在OVX后6周、6个月和9个月时,分别处死16只OVX动物和16只对照动物。此外,在OVX时处死12只动物作为内部对照组。在无牙颌和有牙颌下颌骨以及胫骨和股骨中,使用DEXA进行骨密度测量(BMD),并在背散射电子显微镜下对未脱钙切片进行骨体积测量。在OVX后6周,OVX组和对照组的无牙颌下颌骨、有牙颌下颌骨、胫骨和股骨之间没有显著差异。在OVX后6个月,与对照组相比,OVX组无牙颌下颌骨(-15.9%;-21.8%)、胫骨近端(-15.6%;-38.5%)和股骨近端(-9.7%;-39.6%)的BMD和松质骨体积显著降低。在OVX后9个月,与对照组相比,OVX组无牙颌下颌骨(-17.2%;-24%)、胫骨近端(-16.1%;-58.9%)和股骨近端(-10.3%;-49.9%)的BMD和松质骨体积进一步降低。另一方面,在OVX后6周、6个月和9个月时,OVX对有牙颌下颌骨的BMD和松质骨体积没有影响。这些结果表明,OVX动物无牙颌下颌骨的骨质流失与胫骨和股骨中发生的情况相似,而OVX对有牙颌下颌骨骨量没有显著影响,这表明与咬合力相关的功能负荷可防止有牙颌下颌骨的骨质流失。