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[由于拔除前牙导致的牙槽骨上下颌变化的比较]

[A comparison between the upper and lower jaws of the alveolar bone changes due to the extraction of frontal teeth].

作者信息

Tanaka K

出版信息

Shika Kiso Igakkai Zasshi. 1989 Apr;31(2):148-83. doi: 10.2330/joralbiosci1965.31.148.

DOI:10.2330/joralbiosci1965.31.148
PMID:2519262
Abstract

The present study was designed to compare the process of structural changes which appeared in the alveolar bone and cortical bone of the frontal maxilla and mandible after extraction of the incisors. Twelve adult dogs whose upper and lower incisors on the same side were extracted at the same time were kept for 29-181 days. The dogs were injected continuously with tetracycline during the first half of the experimental period and with calcein during the latter half. Labio-palatal and labio-lingual longitudinal ground sections were first micro-radiographed and, then, examined by fluorescence microscopy. From a montage of fluorescence micrograms, color tracings of the labelling sites were made on thin plastic sheets. The two images of the control and experimental sides were precisely compared The structural changes which appeared in all the parts of the alveolar bone and cortical bone after extraction of the incisors were more prominent in the maxilla than in the mandible. New bone formation in the extraction socket appeared and was completed earlier in the maxilla than in the mandible. Secondary internal remodelling of the alveolar bone proper and the newly formed bone in the extraction socket progressed more quickly in the maxilla than in the mandible. The remodelling of cortical bone and the resorption of the alveolar crest was made very actively in the upper labial side, whereas these process very slight in the upper palatal side and in the lower labial and lingual sides, so that the contour of the frontal maxilla, especially in its labial side, was more prominently deformed than the mandible.

摘要

本研究旨在比较拔除切牙后上颌前部和下颌牙槽骨及皮质骨中出现的结构变化过程。同时拔除12只成年犬同一侧的上下切牙,并饲养29 - 181天。在实验期的前半段,给犬连续注射四环素,后半段注射钙黄绿素。首先对唇腭侧和唇舌侧纵向磨片进行显微放射照相,然后用荧光显微镜检查。从荧光显微照片的蒙太奇图中,在薄塑料片上绘制标记部位的彩色追踪图。精确比较对照侧和实验侧的两张图像。拔除切牙后,上颌牙槽骨和皮质骨各部位出现的结构变化比下颌更明显。拔牙窝内新骨形成在上颌比下颌出现得早且完成得早。上颌牙槽骨本体和拔牙窝内新形成骨的继发性内部重塑比下颌进展更快。上颌唇侧皮质骨的重塑和牙槽嵴的吸收非常活跃,而上颌腭侧以及下颌唇侧和舌侧这些过程非常轻微,因此上颌前部的轮廓,尤其是唇侧,比下颌更明显地变形。

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