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牙齿萌出、咬合与牙槽骨吸收之间的关系:对大鼠切牙根切除后面对牙釉质的牙槽骨进行骨重塑的组织化学和细胞学研究。

Relationships between tooth eruption, occlusion and alveolar bone resorption: histochemical and cytological studies of bone remodeling on rat incisor alveolar bone facing the enamel after root resection.

作者信息

Irie K, Ozawa H

机构信息

Department of Oral Anatomy, Niigata University School of Dentistry, Japan.

出版信息

Arch Histol Cytol. 1990 Dec;53(5):511-22. doi: 10.1679/aohc.53.511.

Abstract

The labial side of rat incisor alveolar bone facing the enamel is continuously resorbed as the result of compressive force produced by the occlusion and eruption of incisors. In order to clarify the relationship between this mechanical compressive force and the bone cells involved in bone remodeling, we examined morphological changes occurring in the alveolar bone once the compressive force was eliminated by the removal of the proliferative odontogenic base (root resection according to Berkovitz and Thomas, 1969). After root resection, the incisor migrated halfway along the socket. On the crestal part where incisor still existed, active osteoclasts were prominent on the bone surface, and flattened mononuclear cells lay close upon active osteoclasts. Sinusoidal blood vessels or capillaries were observed at short distances from the bone surface. On the basal part where socket was vacant, osteoblasts lined up on the newly formed bone, and the osteogenic cell layer lay on the osteoblasts. Between the two parts, which correspond to the reversal phase proposed by Baron (1977), osteoblastic cells with developed cell organelles increased in number and the distance between blood vessels and bone surface increased. Osteoclasts reduced their activities, and osteoblastic cells often wedged themselves between the osteoclasts and bone surface. These findings indicate that the elimination of compressive force mediated by incisors leads to the activation of osteoblastic cells and inactivation of osteoclasts, which results in a conversion from bone resorption to bone formation. Thus, osteoblastic cells may play an important role in controlling osteoclastic activity in conversion from bone resorption to bone formation, partly by a direct effect and partly by controlling the access of blood vessels to the bone surface.

摘要

由于切牙的咬合和萌出所产生的压力,大鼠切牙牙槽骨面向牙釉质的唇侧会持续被吸收。为了阐明这种机械压力与参与骨重塑的骨细胞之间的关系,我们通过去除增殖性牙源性基底(根据Berkovitz和Thomas,1969年进行牙根切除)来消除压力后,检查了牙槽骨中发生的形态学变化。牙根切除后,切牙沿牙槽窝迁移了一半距离。在切牙仍存在的嵴部,骨表面活跃的破骨细胞很突出,扁平的单核细胞紧贴在活跃的破骨细胞上。在距骨表面短距离处观察到窦状血管或毛细血管。在牙槽窝为空的基部,成骨细胞排列在新形成的骨上,成骨细胞层位于成骨细胞之上。在这两个部分之间,对应于Baron(1977年)提出的转化期,细胞器发达的成骨细胞数量增加,血管与骨表面之间的距离增大。破骨细胞活性降低,成骨细胞常常楔入破骨细胞与骨表面之间。这些发现表明,由切牙介导的压力消除导致成骨细胞活化和破骨细胞失活,从而导致从骨吸收向骨形成的转变。因此,成骨细胞可能在从骨吸收向骨形成的转变中控制破骨细胞活性方面发挥重要作用,部分是通过直接作用,部分是通过控制血管与骨表面的接触。

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