Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Oral Dis. 2012 Jan;18(1):48-54. doi: 10.1111/j.1601-0825.2011.01850.x. Epub 2011 Sep 6.
In the current era, various pharmacological agents exist for osteoporosis management, and synthetic parathyroid hormone (PTH) (Teriparatide, Forteo) is one of the treatment options. Depending on the timing of administration, PTH has a unique ability to cause both bone apposition and bone resorption. This review focuses on the effects of PTH on the bone, specifically the jaw bones mandible and maxilla. The article briefly describes the fundamental mechanism of PTH action at the molecular level, as well as in experimental animals and in humans. It differentiates intermittent administration of PTH, especially at doses tolerated by humans that increase bone strength and prevent bone fractures, from continuous use that may lead to bone loss. In particular, it shows how intermittent administration of PTH can play a significant role in periodontal repair and implant success via stimulation of bone mineral content especially in the pre-alveolar region.
在当前时代,存在各种用于骨质疏松症管理的药理学制剂,而合成甲状旁腺激素(PTH)(特立帕肽、福善美)是治疗选择之一。根据给药时间的不同,PTH 具有独特的促进骨形成和骨吸收的能力。本综述重点介绍 PTH 对骨骼的影响,特别是下颌骨和上颌骨。文章简要描述了 PTH 在分子水平、实验动物和人类中的基本作用机制。它区分了 PTH 的间歇性给药,特别是在人类可耐受的剂量下,可增加骨强度并预防骨折,与连续使用可能导致骨丢失的情况。特别是,它表明间歇性给药 PTH 如何通过刺激牙槽前区域的骨矿物质含量,特别是在牙槽前区域,在牙周修复和种植体成功中发挥重要作用。