Tatli Ufuk, Ustün Yakup, Kürkçü Mehmet, Benlidayı Mehmet Emre
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Çukurova University, Saricam-Balcali, 01330 Adana, Turkey.
Private Practice in Oral and Maxillofacial Surgery, 01120 Adana, Turkey.
ScientificWorldJournal. 2014 Jan 21;2014:649026. doi: 10.1155/2014/649026. eCollection 2014.
The purpose of the present study is to evaluate the effects of systemically administered zoledronic acid (ZA) on the physiological bone remodeling and the microarchitectural parameters of the condylar part of TMJ in a rabbit model.
Thirty skeletally mature male New Zealand white rabbits were randomly divided into two groups. The experimental group was administered an intravenous, single dose of 0.1 mg/kg ZA diluted with 15 mL of saline in a 15-minute perfusion with an infusion pump. The control group was administered only saline infusion for 15 minutes. All rabbits were sacrificed on the 21st postoperative day. Radiodensitometric and histomorphometric examinations were performed on the harvested mandibular condyles. The data were analyzed statistically.
Radiodensitometric findings showed that ZA treatment resulted in a significant increase in the mineralization of mandibular condyle. This result was supported by the histomorphometric findings.
The present study has revealed that a temporary delay in the physiological bone remodeling using single dose of ZA increases bone mineral content and makes the microarchitecture of the mandibular condyle more compact. These effects may be regarded as base data and considered in numerous clinical situations including TMJ.
本研究旨在评估在兔模型中全身应用唑来膦酸(ZA)对颞下颌关节髁突部分的生理性骨重塑及微观结构参数的影响。
30只骨骼成熟的雄性新西兰白兔被随机分为两组。实验组通过输液泵在15分钟内静脉注射单剂量0.1mg/kg ZA,用15mL生理盐水稀释。对照组仅输注生理盐水15分钟。所有兔子在术后第21天处死。对收获的下颌髁突进行放射密度测定和组织形态计量学检查。对数据进行统计学分析。
放射密度测定结果显示,ZA治疗导致下颌髁突矿化显著增加。这一结果得到了组织形态计量学结果的支持。
本研究表明,单次应用ZA暂时延迟生理性骨重塑可增加骨矿物质含量,并使下颌髁突的微观结构更致密。这些效应可被视为基础数据,并在包括颞下颌关节在内的众多临床情况中加以考虑。