Hualien Armed Forces General Hospital, 163, Jia-Li Road, Jia-Li Village, Sinchen Township, Hualien County 971, Taiwan, ROC.
Arch Oral Biol. 2011 Jan;56(1):79-89. doi: 10.1016/j.archoralbio.2010.08.013. Epub 2010 Sep 19.
this study investigated the effects of growth and tooth loading on the structural adaptation of the developing alveolar bone adjacent to the tooth root as the tooth erupted into function. Growth and occlusal function were expected to lead to increased alveolar bone density. Meanwhile, the supporting alveolar bone was expected to develop a dominant trabecular orientation (anisotropy) only after occlusal loading.
minipigs with erupting and occluding mandibular first molars (M(1)'s) were used to study the effects of growth and occlusal function on developing alveolar bone structure through comparison of alveolar bone surrounding M(1)'s. A second minipig model with one side upper opponent teeth extracted prior to occlusal contact with the M(1) was raised until the non-extraction side M(1)'s developed full occlusal contact. The comparisons between extraction and non-extraction side M(1) alveolar bone were used to emphasize the impact of occlusal loading on alveolar bone structure. Specimens were scanned on a Scanco Medical μCT 20 at a 22μm voxel resolution for structural analysis.
with growth and occlusal function a distinct alveolar bone proper tended to develop immediately adjacent to the tooth root. The cancellous bone had thicker but fewer and more separated trabeculae after growth or occlusal loading. On the other hand, occlusal function did not lead to increased alveolar structural anisotropy.
during tooth eruption, growth and masticatory loads effect structural change in alveolar bone. The impact of occlusal function on cancellous bone anisotropy may need a more extensive period of time to demonstrate.
本研究旨在探讨牙齿生长和牙负载对牙根周围牙槽骨结构适应性的影响,因为牙齿在进入功能状态时会萌出。生长和咬合功能有望增加牙槽骨密度。同时,只有在咬合负载后,支持牙槽骨才有望发展出主导的小梁取向(各向异性)。
使用正在萌出和咬合的下颌第一磨牙(M1)的小型猪模型,通过比较 M1 周围的牙槽骨,研究生长和咬合功能对发育中牙槽骨结构的影响。另一个小型猪模型在 M1 与上牙接触咬合之前,一侧的上牙被拔除,直到非拔牙侧 M1 完全接触咬合。拔牙侧和非拔牙侧 M1 牙槽骨的比较用于强调咬合负载对牙槽骨结构的影响。标本在 Scanco Medical μCT 20 上以 22μm 体素分辨率进行扫描,用于结构分析。
随着生长和咬合功能的发展,牙齿根部周围会形成明显的牙槽骨固有层。在生长或咬合负载后,松质骨的小梁更厚,但更少且更分离。另一方面,咬合功能并没有导致牙槽骨结构各向异性的增加。
在牙齿萌出过程中,生长和咀嚼负荷会影响牙槽骨的结构变化。咬合功能对松质骨各向异性的影响可能需要更长的时间才能显现。