Burn-Murdoch R A
Physiology Division, United Medical School, Guy's Hospital, London, England.
Arch Oral Biol. 1990;35(10):801-6. doi: 10.1016/0003-9969(90)90004-t.
It is known that a single dose of cyclophosphamide (40 mg.kg-1 intraperitoneal) slows the eruption of unimpeded incisors but has no effect on impeded incisors. In this study incisors that were impeded when cyclophosphamide was given were subsequently made unimpeded. When they were unimpeded they erupted more slowly than the controls. Therefore the changes cyclophosphamide produces which slow eruption are formed in impeded incisors but have an effect only in unimpeded incisors. It has been reported that cyclophosphamide slows the eruption of resected incisors when it is given before the resection. In a second experiment cyclophosphamide was given after the resection and had no effect on eruption rates. It is suggested from these and earlier findings that cyclophosphamide slows eruption by imposing a maximum on the rate at which it can occur and that it does so through the changes it produces in the periodontal ligament. The periodontal changes make it harder for the tooth to move rather than altering the forces moving the tooth. This explanation of how cyclophosphamide slow eruption produces an alternative interpretation of some, but not all, of the findings that have been cited as evidence that there are two mechanisms of tooth eruption.
已知单次腹腔注射环磷酰胺(40毫克/千克)会减缓无阻生切牙的萌出,但对阻生切牙没有影响。在本研究中,给予环磷酰胺时处于阻生状态的切牙随后变为无阻生。当它们变为无阻生时,其萌出速度比对照组慢。因此,环磷酰胺产生的减缓萌出的变化是在阻生切牙中形成的,但仅在无阻生切牙中起作用。据报道,在切除手术前给予环磷酰胺会减缓切除后的切牙的萌出。在第二个实验中,在切除手术后给予环磷酰胺,对萌出速度没有影响。从这些以及早期的研究结果可以推测,环磷酰胺通过对切牙萌出所能达到的最大速度加以限制来减缓萌出,并且是通过其在牙周韧带中产生的变化来实现的。牙周组织的变化使牙齿移动更加困难,而不是改变移动牙齿的力量。这种关于环磷酰胺如何减缓萌出的解释,对一些(但不是全部)被引为牙齿萌出存在两种机制证据的研究结果给出了另一种解释。