Vargas-Sanchez Paula Katherine, Moro Marcella Goetz, Santos Fabio André Dos, Anbinder Ana Lia, Kreich Eliane, Moraes Renata Mendonça, Padilha Lauryellen, Kusiak Caroline, Scomparin Dionizia Xavier, Franco Gilson Cesar Nobre
Universidade Estadual de Ponta Grossa, Departamento de Odontologia, Ponta Grossa, PR, Brasil.
Univ Estadual Paulista, Departamento de Biociências e Diagnóstico Oral, São José dos Campos, SP, Brasil.
J Appl Oral Sci. 2017 Sep-Oct;25(5):490-497. doi: 10.1590/1678-7757-2016-0517.
Periodontal research involves the use of animal models to better understand the biological processes of periodontal diseases and the potential of new or existing therapies. Currently, ligature-induced periodontitis in rats is the main model used in periodontal research, in this model, alveolar bone loss (ABL) is the main parameter evaluated by radiographic, morphometric, and histological techniques. Interestingly, although these methodologies are widely used, it is not totally clarified neither the kinetics of ABL over the induction time nor the agreement degree (repeatability and reproducibility) of these techniques.
To characterize ABL kinetics at 0, 3, 7, 15, 30, and 60 days after ABL induction by ligature and to evaluate the intra- (repeatability) and inter-examiner (reproducibility) agreement and the correlation among the radiographic, morphometric, and histological methodologies.
60 male Wistar rats with induced ABL were randomly divided into 6 experimental groups (n = 10 animals/group). After 0, 3, 7, 15, 30, and 60 days, the animals were euthanized and their hemimandibles were removed for ABL determination using radiographic, morphometric and histological techniques.
Radiographic and morphometric/linear techniques allowed the detection of statistically significant ABL on the third day, while histological and morphometric/area techniques could only detect ABL after the seventh day (ANOVA/Tukey, p<0.05). After the fifteenth day, except for histological analysis, the ABL was stabilized. Concerning the agreement of the methodologies, Bland Altman's test (intra and inter-examiner evaluations) showed no difference among the measurements (p>0.05). In addition, high correlations (Pearson's test, r2>0.9, p<0.05) were observed.
The results indicated that the minimum time for ABL induction could vary from 3 to 7 days, according to the chosen analysis methodology. Agreement and correlation data support the comparison of results between studies with same induction time.
牙周病研究涉及使用动物模型,以更好地了解牙周疾病的生物学过程以及新的或现有的治疗方法的潜力。目前,大鼠结扎诱导性牙周炎是牙周病研究中使用的主要模型,在此模型中,牙槽骨丧失(ABL)是通过影像学、形态学和组织学技术评估的主要参数。有趣的是,尽管这些方法被广泛使用,但ABL在诱导时间内的动力学以及这些技术的一致性程度(重复性和再现性)均未完全阐明。
表征结扎诱导ABL后0、3、7、15、30和60天的ABL动力学,并评估测量者内(重复性)和测量者间(再现性)的一致性以及影像学、形态学和组织学方法之间的相关性。
60只诱导ABL的雄性Wistar大鼠被随机分为6个实验组(每组n = 10只动物)。在0、3、7、15、30和60天后,将动物安乐死并取出其半侧下颌骨,使用影像学、形态学和组织学技术测定ABL。
影像学和形态学/线性技术在第三天可检测到具有统计学意义的ABL,而组织学和形态学/面积技术仅在第七天后才能检测到ABL(方差分析/土耳其检验,p<0.05)。在第15天后,除组织学分析外,ABL趋于稳定。关于方法的一致性,Bland Altman检验(测量者内和测量者间评估)显示测量结果之间无差异(p>0.05)。此外,观察到高度相关性(Pearson检验,r2>0.9,p<0.05)。
结果表明,根据所选分析方法,ABL诱导的最短时间可能在3至7天之间变化。一致性和相关性数据支持相同诱导时间的研究之间结果的比较。