Choi D Y, Sun K H, Won S Y, Lee J G, Hu K S, Kim K D, Kim H J
Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Center, Yonsei University College of Dentistry, Seoul, South Korea.
Surg Radiol Anat. 2012 Aug;34(6):519-26. doi: 10.1007/s00276-012-0943-x. Epub 2012 Feb 22.
During mastication, mechanical pressure from the dentition is transmitted to the trabecular bone of the mandible. The occlusal forces, which could thus affect condylar growth, vary with tooth loss, age, and sex. The trabecular bone of the mandibular condyle is denser in dentate subjects than in edentate subjects. However, since the different tooth groups (incisor, premolar, and molar) have different functions, they could exert different effects on the mandibular condyle. The aim of this study was to elucidate the bone quantity of the Korean mandibular condyle according to the presence of teeth using micro-computed tomography (micro-CT), thereby clarifying the influences of tooth presence on the condylar microstructure.
Thirty-one sides were scanned and reconstructed into a 3D structure using a micro-CT system. The specimen was sectioned vertically, passing through the medial and lateral poles of the mandibular condyle (P0) to enable measurement of the trabecular bone ratio. Likewise, three additional images, parallel with P0, were acquired. Mean and standard deviation values were calculated, and the t test, one-way ANOVA and post hoc analysis were performed to examine the differences among each group, classified according to the presence of teeth and according to sex.
The density of the trabecular bone of the mandibular condyle was significantly associated with the presence of the molars, but not the incisors or premolars. There were significant differences between sexes.
The present study has provided data regarding the bone quantity of the trabeculae of the mandibular condyle according to the presence or absence of teeth.
在咀嚼过程中,来自牙列的机械压力传递至下颌骨的小梁骨。因此,可能影响髁突生长的咬合力会因牙齿缺失、年龄和性别而有所不同。有牙受试者下颌髁突的小梁骨比无牙受试者更致密。然而,由于不同的牙组(切牙、前磨牙和磨牙)具有不同的功能,它们可能对下颌髁突产生不同的影响。本研究的目的是使用微型计算机断层扫描(micro-CT)阐明韩国人下颌髁突根据牙齿存在情况的骨量,从而明确牙齿存在对髁突微观结构的影响。
使用微型计算机断层扫描系统对31侧进行扫描并重建为三维结构。将标本垂直切开,穿过下颌髁突的内侧和外侧极(P0),以便测量小梁骨比例。同样,获取另外三张与P0平行的图像。计算平均值和标准差,并进行t检验、单因素方差分析和事后分析,以检验根据牙齿存在情况和性别分类的各组之间的差异。
下颌髁突小梁骨的密度与磨牙的存在显著相关,但与切牙或前磨牙无关。性别之间存在显著差异。
本研究提供了关于下颌髁突小梁骨根据有无牙齿情况的骨量数据。