Tsuchiya T, Mega H, Sato T, Takeuchi M, Kurihara S, Miura F
Nihon Kyosei Shika Gakkai Zasshi. 1989 Dec;48(6):614-22.
In an orthodontic point of view, it is said that necrotic tissues cause a standstill of tooth movement until they disappear and that term of the standstill is related to the size of the necrotic tissues. Although remodeling processes of a periodontal membrane in compressed area were reported as series of phenomena like degeneration, coagulative necrosis, calcification and histiolysis, there is no direct evidence that the necrotic tissue is really calcified. The purpose of this study is to clarify histologically whether the necrotic tissues in the periodontal membrane are calcified or not and to know when appearance and disappearance of the calcification occur during an experimental tooth movement. Twenty eight rats were used for this study. For the experimental tooth movement, the orthodontic elastics were inserted into the interproximal space between the maxillary right 1st and 2nd molars during 1, 2, 3, 5, 7 and 14 days respectively (Waldo's method). The periodontal tissues were observed on undecalcified sections by vital staining in which oxytetracycline (3 mg/kg), alizarin red (8 mg/kg) and calcein (0.8 mg/kg) were applied as well as by contact micro radiography (CMR). Findings were as follows: 1) After 2 days of tooth movement, a part of the periodontal membrane in compressed area showed fluorescence by vital staining and was radiopaque by CMR. This means that the necrotic tissues are really calcified at least after 2 days of experimental tooth movement. 2) After 7-14 days no calcified tissue could be found in the periodontal membrane. The calcified tissues may disappear under processes of resorption in this area.(ABSTRACT TRUNCATED AT 250 WORDS)
从正畸学角度来看,据说坏死组织会导致牙齿移动停滞,直至其消失,且停滞期与坏死组织的大小有关。尽管有报道称受压区域牙周膜的重塑过程呈现为一系列现象,如变性、凝固性坏死、钙化和组织溶解,但尚无直接证据表明坏死组织真的发生了钙化。本研究的目的是从组织学上阐明牙周膜中的坏死组织是否发生钙化,并了解在实验性牙齿移动过程中钙化何时出现和消失。本研究使用了28只大鼠。为进行实验性牙齿移动,分别在第1、2、3、5、7和14天,将正畸弹力圈插入上颌右侧第一和第二磨牙之间的邻间隙(沃尔多法)。通过活体染色(应用土霉素(3mg/kg)、茜素红(8mg/kg)和钙黄绿素(0.8mg/kg))以及接触式显微放射摄影(CMR)观察未脱钙切片上的牙周组织。结果如下:1)牙齿移动2天后,受压区域的部分牙周膜在活体染色下呈现荧光,在CMR下表现为不透射线。这意味着至少在实验性牙齿移动2天后,坏死组织确实发生了钙化。2)7 - 14天后,在牙周膜中未发现钙化组织。钙化组织可能在该区域的吸收过程中消失。(摘要截断于250字)