Yang Hoon Joo, Hwang Soon Jung
Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 110-768, Republic of Korea.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 110-768, Republic of Korea.
J Craniomaxillofac Surg. 2014 Dec;42(8):1632-8. doi: 10.1016/j.jcms.2014.05.004. Epub 2014 May 16.
The purpose of this study was to investigate bony changes in the mandibular condyle when the surface not normally subjected to masticatory forces was subjected to functional loading using a unilateral surgical experiment. Fifteen male New Zealand white rabbits, divided into two groups, were used. Oblique vertical body osteotomies of the mandible and counterclockwise rotation (CCWR) of the proximal segment (PS) [six with 1 mm (group I), six with 3 mm (group II)] were performed on the right side. Osseous changes of condyles were analyzed using micro-computed tomography and histological evaluation four weeks postoperatively. The comparison was performed between condyles on the right and left sides. Since the left condyle (control) might be affected by the operation on the right side, the results were also compared with the healthy control (group III, n = 3, 6 condyles). CCWR of the PS led to osteoporotic changes of the condyle including significantly reduced bone volume and bone mineral density (p < 0.05), thin and small number of trabeculae (p < 0.05). In addition, thinning of condylar cartilage and reduced density of cartilaginous cells were observed. However, these changes were not affected by the amount of CCWR of the PS.
本研究的目的是通过一项单侧手术实验,研究在下颌髁突正常情况下未承受咀嚼力的表面受到功能负荷时的骨质变化。使用了15只雄性新西兰白兔,分为两组。在右侧进行下颌骨的斜垂直体截骨术和近端节段(PS)的逆时针旋转(CCWR)[6只旋转1毫米(I组),6只旋转3毫米(II组)]。术后四周使用微型计算机断层扫描和组织学评估分析髁突的骨质变化。对右侧和左侧髁突进行比较。由于左侧髁突(对照)可能受到右侧手术的影响,结果还与健康对照(III组,n = 3,6个髁突)进行了比较。PS的CCWR导致髁突骨质疏松性变化,包括骨体积和骨矿物质密度显著降低(p < 0.05),小梁变薄且数量减少(p < 0.05)。此外,观察到髁突软骨变薄和软骨细胞密度降低。然而,这些变化不受PS的CCWR量的影响。