Department of Oral Medicine, School of Dentistry, Kyungpook National University, Daegu, South Korea.
Cell Tissue Res. 2014 Feb;355(2):355-63. doi: 10.1007/s00441-013-1754-z. Epub 2013 Dec 6.
Occlusal alignment is known clinically to have a widespread influence on the stomatognathic system, including the temporomandibular joint and masticatory muscles. However, while occlusion is still an important determinant of most dental treatments, the exact effect of occlusal alignment is unclear because of a lack of conclusive scientific evidence. In this study, a malocclusion model system is used to examine the cellular and histologic alterations in the contralateral condyle of mice after a malocclusion was induced by a build-up of resin on the left maxillary molars. A significant decrease in the thickness of the condylar cartilage was found in the 1-week experimental group, together with increased apoptosis and decreased proliferation in the condylar head, which included cartilage and subchondral bone. Additionally, the number of TRAP-positive osteoclasts and MPO- and F4/80-positive inflammatory cells in the subchondral bone were significantly higher in the 1-week experimental group. Unbalanced malocclusion caused increased bone remodeling, as evidenced by increased osteoclastic activity and inflammatory responses (macrophages and neutrophils, respectively). However, these alterations in the 1-week experimental group were subsequently attenuated and restored almost to the baseline at 3 weeks after the induction of the malocclusion.
咬合对齐在临床上被广泛认为对咀嚼系统有影响,包括颞下颌关节和咀嚼肌。然而,尽管咬合仍然是大多数牙科治疗的重要决定因素,但由于缺乏确凿的科学证据,咬合对齐的确切影响仍不清楚。在这项研究中,使用错牙合模型系统来研究在左侧上颌磨牙上堆积树脂诱导错牙合后,对侧髁突的细胞和组织学变化。在 1 周实验组中,髁突软骨的厚度明显减少,同时髁突头部的细胞凋亡增加,增殖减少,包括软骨和软骨下骨。此外,在软骨下骨中,TRAP 阳性破骨细胞和 MPO 和 F4/80 阳性炎症细胞的数量在 1 周实验组中明显增加。不平衡的错牙合导致骨重塑增加,表现为破骨细胞活性和炎症反应(分别为巨噬细胞和中性粒细胞)增加。然而,这些在 1 周实验组中的改变随后在诱导错牙合 3 周后减弱并几乎恢复到基线水平。