Department of Pediatric Dentistry, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, China Department of Osteology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
J Periodontal Res. 2010 Dec;45(6):714-9. doi: 10.1111/j.1600-0765.2010.01290.x.
Nicotine reportedly is a risk factor for periodontitis, but accurate data regarding nicotine-induced alveolar bone loss is lacking. The aim of this study was to quantitatively assess alveolar bone loss in ligature- and nicotine-induced periodontitis in rats using micro-computerized tomography (micro-CT).
Thirty-six adult male rats were treated by placing silk ligatures around the cervixes of the right second maxillary molar; the contralateral tooth was untreated. After ligation, the animals were randomly divided into three groups: group A received intraperitoneal injections of saline solution, group B received 0.83 mg of nicotine/kg/d, and group C received 1.67 mg of nicotine/kg/d. Six animals in each group were killed on days 14 and 28 after ligature placement, and then micro-CT examinations were conducted.
In all groups, bone mineral density (BMD), bone volume fraction (BVF), trabecular number (Tb.N) and trabecular thickness (Tb.Th) values of the ligated sides were significantly lower than those of the unligated sides (p < 0.001), whereas alveolar bone height loss (ABHL) and trabecular separation (Tb.Sp) of the ligated sides were significantly higher than those of the unligated sides (p < 0.001). Compared with the control group, nicotine administration increased the ABHL value and decreased the BMD, BVF and Tb.Th values of both sides in a dose-dependent manner (p < 0.05).
Our results confirmed that ligature could cause significant loss in the trabecula of alveolar bone, and daily administration of nicotine resulted in further bone loss and microstructure deterioration.
有报道称,尼古丁是牙周炎的一个风险因素,但关于尼古丁诱导的牙槽骨丢失的确切数据尚缺乏。本研究旨在使用微计算机断层扫描(micro-CT)定量评估结扎和尼古丁诱导的大鼠牙周炎中的牙槽骨丢失。
36 只成年雄性大鼠将丝线结扎于右侧第二上颌磨牙的颈部;对侧牙齿不结扎。结扎后,动物随机分为三组:A 组腹腔注射生理盐水,B 组注射 0.83mg/kg/d 的尼古丁,C 组注射 1.67mg/kg/d 的尼古丁。每组 6 只动物分别于结扎后 14 天和 28 天处死,然后进行 micro-CT 检查。
所有组结扎侧的骨密度(BMD)、骨体积分数(BVF)、骨小梁数量(Tb.N)和骨小梁厚度(Tb.Th)值均明显低于未结扎侧(p<0.001),而结扎侧的牙槽骨高度丢失(ABHL)和骨小梁间隔(Tb.Sp)值明显高于未结扎侧(p<0.001)。与对照组相比,尼古丁给药以剂量依赖的方式增加了双侧的 ABHL 值,并降低了 BMD、BVF 和 Tb.Th 值(p<0.05)。
我们的结果证实结扎可导致牙槽骨小梁显著丢失,而每日给予尼古丁可导致进一步的骨丢失和微结构恶化。