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牙周纤维代谢改变对正畸牙齿移动的影响。一项实验研究。

Effect of metabolic alteration of periodontal fibers on orthodontic tooth movement. An experimental study.

作者信息

Heller I J, Nanda R

出版信息

Am J Orthod. 1979 Mar;75(3):239-58. doi: 10.1016/0002-9416(79)90272-0.

DOI:10.1016/0002-9416(79)90272-0
PMID:285607
Abstract

In the present study orthodontic force was applied to the molars of rats treated with the lathyrogen beta-aminopropionitrile (BAPN). New bone formation was measured at two alveolar locations after 9 days of force application. Observation resulted in the following conclusions: 1. New alveolar bone formation in response to orthodontic force in BAPN-treated rats statistically exceeded corresponding bone formation in control animals when measured at two tension sites in the periodontal ligament. 2. BAPN administration produced disorganization of the collagenous fibers of the periodontium of experimental animals. Multiple eosinophilic cell-free areas were found distributed throughout the radicular portions of affected periodontal ligaments. Normal ligament function architecture was disrupted in treated animals. The areas of periodontium surrounding orthodontically treated teeth exhibited relatively normal organization under these conditions, while the periodontium of adjacent nonorthodontically treated teeth was markedly disorganized. Orthodontic stimulation of the periodontium of BAPN-treated rats may have disrupted the formation of eosinophilic cell-free areas characteristically seen in the periodontium of the experimental group. 3. The present results suggest that the typical histologic response to orthodontic force application can occur in the presence of a chemically and physically altered periodontium. The quantitative data collected infer that fiber tension on the alveolus may not be absolutely necessary to stimulate bone formation. Distortion of the alveolus related to force application may be a more important factor initiating bone response. However, the fibers of the periodontium may play a passive role in transferring orthodontic force to the alveolus.

摘要

在本研究中,对用致跛因子β-氨基丙腈(BAPN)处理的大鼠臼齿施加正畸力。在施加力9天后,在两个牙槽位置测量新骨形成。观察结果得出以下结论:1. 当在牙周膜的两个张力部位测量时,BAPN处理的大鼠对正畸力产生的新牙槽骨形成在统计学上超过对照动物的相应骨形成。2. 给予BAPN导致实验动物牙周膜胶原纤维紊乱。在受影响的牙周膜的根部分布有多个嗜酸性无细胞区。处理动物的正常韧带功能结构被破坏。在这些条件下,正畸治疗牙齿周围的牙周组织表现出相对正常的组织结构,而相邻未正畸治疗牙齿的牙周组织则明显紊乱。对BAPN处理的大鼠牙周组织的正畸刺激可能破坏了实验组牙周组织中特征性出现的嗜酸性无细胞区的形成。3. 目前的结果表明,在化学和物理改变的牙周组织存在的情况下,对正畸力施加的典型组织学反应可能会发生。收集的定量数据推断,牙槽上的纤维张力可能不是刺激骨形成的绝对必要条件。与力施加相关的牙槽变形可能是引发骨反应的更重要因素。然而,牙周膜的纤维在将正畸力传递到牙槽方面可能起被动作用。

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