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衰老、性别及性腺功能减退对下颌骨密度的影响。

Effects of aging, gender, and hypogonadism on mandibular bone density.

作者信息

Armada Luciana, de Castro Brasil Sabrina, Armada-Dias Luci, Bezerra Juciléia, Pereira Rosa M R, Takayama Lilian, Moreira Morais Dos Santos Rachel, Gonçalves Lucio S, Nascimento-Saba Celly C A

机构信息

Department of Endodontics, Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.

Department of Physiological Sciences, Federal University of São Carlos, São Carlos, Brazil.

出版信息

J Investig Clin Dent. 2018 May;9(2):e12310. doi: 10.1111/jicd.12310. Epub 2018 Jan 1.

Abstract

AIM

The aim of the present study was to evaluate how aging, sex, and hypogonadism influence mandibular bone density with and without the benefits of hormone treatment.

METHODS

Three-month old Wistar rats were randomly assigned to three experimental groups, with eights animals per group: controls, castrated (orchiectomized [ORX], ovariectomized [OVX]) and castrated with hormonal treatment (ORX + testosterone, OVX + estradiol benzoate). Females were previously evaluated by vaginal cytology. The corporal mass was verified weekly, and after three experimental periods (90, 120, and 150 days), the animals were killed. Blood was collected, and bones underwent densitometric and biomechanical analyses.

RESULTS

After castration, the male rats demonstrated low gain in body weight compared to females (P < .05). Male and female castrated animals presented serum concentrations of sex steroid hormones lower than the control group (P < .05). Bone mineral density and biomechanical properties of the L4 vertebrae and femur were reduced earlier in females than in males (P < .05). However, mandibles were affected only in the male rats at the most chronic experimental period.

CONCLUSION

Hypogonadism promotes alterations in the mandible over chronic periods, especially in males, and these alterations could be minimized by hormone treatment.

摘要

目的

本研究旨在评估衰老、性别和性腺功能减退如何影响下颌骨密度,以及激素治疗是否有益。

方法

将3个月大的Wistar大鼠随机分为三个实验组,每组8只动物:对照组、去势组(睾丸切除[ORX]、卵巢切除[OVX])和激素治疗去势组(ORX + 睾酮、OVX + 苯甲酸雌二醇)。雌性大鼠预先通过阴道细胞学进行评估。每周测量体重,在三个实验期(90、120和150天)后,处死动物。采集血液,对骨骼进行骨密度和生物力学分析。

结果

去势后,雄性大鼠体重增加低于雌性大鼠(P <.05)。雄性和雌性去势动物的血清性类固醇激素浓度低于对照组(P <.05)。雌性大鼠L4椎体和股骨的骨矿物质密度和生物力学性能比雄性大鼠更早降低(P <.05)。然而,在最长期的实验期,下颌骨仅在雄性大鼠中受到影响。

结论

性腺功能减退在长期会促进下颌骨改变,尤其是在雄性大鼠中,而激素治疗可将这些改变最小化。

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