Rothbarth Cláudia Pires, Bradaschia-Correa Vivian, Ferreira Lorraine Braga, Arana-Chavez Victor Elias
Department of Biomaterials and Oral Biology, University of São Paulo School of Dentistry, São Paulo, Brazil; Department of Dentistry, Federal University of Pará, Belém, Brazil.
Dent Traumatol. 2014 Dec;30(6):415-22. doi: 10.1111/edt.12116. Epub 2014 Jun 2.
The bisphosphonate alendronate (ALN) was employed with the aim of investigating its effects on dental and periodontal tissues after lateral luxation of developing molars.
Twenty-one-day-old Wistar rats had their second upper molars laterally luxated. Daily 2.5 mg kg(-1) ALN injections started at the day of the luxation; controls received sterile saline solution. The teeth were analyzed 7, 14, and 21 days after the procedure. On the days cited, the maxillae were fixed, decalcified, and embedded in paraffin or Spurr resin. The paraffin sections were stained with H&E, incubated for TRAP histochemistry or immunolabeled for osteopontin (OPN). Spurr ultrathin sections were examined in a transmission electron microscope.
After 21 days, the root apex of luxated molars without ALN was wide open and disorganized and also covered by an irregular layer of cellular cementum, which was not observed in ALN-treated animals. Ankylosis sites were observed in ALN rats in both luxated and non-luxated teeth. The TRAP-positive osteoclasts were more numerous in ALN group, despite their latent ultrastructural appearance without the presence of resorption apparatus compared to controls. OPN immunolabeling revealed a thick immunopositive line in the dentin that must be resultant from the moment of the luxation, while ALN-treated specimens did not present alterations in dentin.
The present findings indicate that alendronate inhibits some alterations in dentin and cementum formation induced by dental trauma.
使用双膦酸盐阿仑膦酸钠(ALN),旨在研究其对正在发育的磨牙侧向脱位后牙齿及牙周组织的影响。
对21日龄的Wistar大鼠的上颌第二磨牙进行侧向脱位。脱位当天开始每日注射2.5 mg/kg的ALN;对照组注射无菌生理盐水。在手术后7天、14天和21天对牙齿进行分析。在上述日期,将上颌骨固定、脱钙,然后包埋于石蜡或Spurr树脂中。石蜡切片用苏木精和伊红染色,进行抗酒石酸酸性磷酸酶(TRAP)组织化学孵育或进行骨桥蛋白(OPN)免疫标记。Spurr超薄切片在透射电子显微镜下检查。
21天后,未用ALN处理的脱位磨牙根尖孔开放且结构紊乱,还覆盖有一层不规则的细胞性牙骨质,而在接受ALN治疗的动物中未观察到这种情况。在接受ALN治疗的大鼠中,脱位和未脱位的牙齿均观察到了骨粘连部位。尽管与对照组相比,ALN组的TRAP阳性破骨细胞在超微结构上未出现吸收装置,但数量更多。OPN免疫标记显示,牙本质中有一条粗大的免疫阳性线,这一定是脱位时形成的,而接受ALN治疗的标本牙本质未出现改变。
目前的研究结果表明,阿仑膦酸钠可抑制牙外伤诱导的牙本质和牙骨质形成中的某些改变。