Bollen A M, Makinen K K, Makinen P L, Carlson D S
Department of Biologic and Materials Sciences, University of Michigan, School of Dentistry, Ann Arbor 48109.
Arch Oral Biol. 1989;34(4):267-73. doi: 10.1016/0003-9969(89)90067-8.
The effect of chronic mandibular protrusion on the collagenolytic and phosphatase activity of several mandibular bone sites and the condylar cartilage was evaluated. Ninety-three male Sprague-Dawley rats were equally divided into two experimental and one control group. One experimental group wore a protrusive appliance for 2 weeks, the other for 4 weeks. All animals were killed at 59 days of age. Collagenolytic, alkaline and cid phosphatase activities were determined in the condylar cartilage, the subchondral bone and condylar neck, and in the gonial angle and coronoid process. In the cartilage and subchondral bone, the protrusive appliance caused a reduction in collagenolytic and alkaline phosphatase activity. In the condylar neck, it caused a large increase in collagenolytic activity and a decrease in alkaline phosphatase activity in both experimental groups. In the gonial angle and coronoid process, the appliance increased the collagenolytic activity only in the 2-week group. In the 4-week group, the alkaline phosphatase and collagenolytic activities were not different from the activities in those tissues in the control animals. Thus a protrusive appliance induced quantitative changes in enzyme activities in condylar cartilage and mandibular bone. The increase in collagenolytic activity (representing increased bone resorption) occurred typically in areas of muscle attachment and might have been the result of the neuromuscular changes induced by the protrusive appliance. The recovery to normal values of collagenolytic activity in the coronoid process and gonial angle of the 4-week group suggests that at these sites the muscles (and subperiosteal bone) might have adapted to their new biomechanical environment after the longer period of appliance wear.
评估慢性下颌前突对下颌骨多个部位及髁突软骨胶原分解酶活性和磷酸酶活性的影响。将93只雄性Sprague-Dawley大鼠平均分为两个实验组和一个对照组。一个实验组佩戴前突矫治器2周,另一个实验组佩戴4周。所有动物在59日龄时处死。测定髁突软骨、软骨下骨和髁突颈部以及下颌角和冠突的胶原分解酶、碱性磷酸酶和酸性磷酸酶活性。在前突矫治器作用下,软骨和软骨下骨的胶原分解酶活性和碱性磷酸酶活性降低。在髁突颈部,两个实验组的胶原分解酶活性大幅增加,碱性磷酸酶活性降低。在下颌角和冠突,矫治器仅在佩戴2周的组中增加了胶原分解酶活性。在佩戴4周的组中,碱性磷酸酶和胶原分解酶活性与对照组动物相应组织中的活性无差异。因此,前突矫治器可引起髁突软骨和下颌骨酶活性的定量变化。胶原分解酶活性增加(代表骨吸收增加)通常发生在肌肉附着部位,可能是由前突矫治器引起的神经肌肉变化导致的。佩戴4周组的冠突和下颌角胶原分解酶活性恢复至正常值,这表明在佩戴矫治器较长时间后,这些部位的肌肉(和骨膜下骨)可能已适应了新的生物力学环境。