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下颌骨力矢量方向改变后颞骨的组织形态计量学分析:兔的实验研究。

Histomorphometric analysis of the temporal bone after change of direction of force vector of mandible: an experimental study in rabbits.

机构信息

Service of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Porto Alegre, Brazil.

出版信息

J Appl Oral Sci. 2012 Sep-Oct;20(5):526-30. doi: 10.1590/s1678-77572012000500006.

Abstract

OBJECTIVES

The present study aimed at performing a histological evaluation of the response of temporal bone tissue to a change of direction of the force vector of the mandible in relation to the base of the skull.

MATERIAL AND METHODS

Adult rabbits were assigned into four groups with two control and four experimental animals in each group. experimental animals underwent surgery, which resulted in a change of direction of the force vector on the right temporomandibular joint. Samples were collected after 15, 30, 60 and 90 days for histological analysis.

RESULTS

In the two-way analysis of variance, the effect of group and time was statistically significant (p<0.001). Additionally, a statistically significant interaction between group and time was observed (p<0.001). Control animals showed normal growth and development of the temporal region. In the experimental group, the change in direction of the force vector of the mandible induced significant changes in the temporal bone, with a bone modeling process, which suggests growth of this cranial structure.

CONCLUSIONS

The methodology used in this experiment allows us to conclude that the change in direction of the force vector of the mandible in relation to the skull base induces remodeling and modeling processes in the temporal bone. The resumption of normal oral functions after bone healing of the mandibular fracture appears to increase cell activation in the remodeling and modeling of the temporal bone structure. The observation of areas of temporal bone modeling shows the relevance of further investigation on the correlation between the joint structures and craniofacial growth and development.

摘要

目的

本研究旨在对下颌骨力矢量方向改变与颅底关系时颞骨组织的反应进行组织学评价。

材料与方法

成年兔分为四组,每组 2 只对照动物和 4 只实验动物。实验动物行手术,导致右侧颞下颌关节力矢量方向发生改变。术后 15、30、60 和 90 天采集标本进行组织学分析。

结果

在双因素方差分析中,组间和时间的影响具有统计学意义(p<0.001)。此外,还观察到组间和时间之间存在显著的交互作用(p<0.001)。对照动物的颞区正常生长发育。实验组中,下颌骨力矢量方向的改变导致颞骨发生显著变化,骨改建过程提示该颅结构生长。

结论

本实验中使用的方法学可以得出结论,下颌骨相对于颅底力矢量方向的改变会引起颞骨的改建和塑造过程。下颌骨骨折愈合后恢复正常口腔功能似乎会增加颞骨结构改建和塑造过程中的细胞激活。观察到颞骨塑造区域表明需要进一步研究关节结构与颅面生长发育之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3881785/33290c3123b0/jaos-20-05-0526-g01.jpg

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