Sensory innervation of the periodontal ligament in the incisor and molar of the monkey, Macaca fuscata. An immunohistochemical study for neurofilament protein and glia-specific S-100 protein.

Nervous elements in the periodontal ligament of the monkey, Macaca fuscata were investigated by means of immunohistochemistry for neurofilament protein (NFP) and S-100 protein. Thick nerve bundles with NFP-immunoreactivity entered the periodontal ligament through slits at the bottom of the alveolar socket, whereas thinner bundles, also NFP-immunoreactive, penetrated the ligament from the lateral wall of the alveolar socket. The NFP-immunopositive nerve fibers were densely distributed around the root apex in both incisors and molars. In the upper incisors, another dense distribution of NFP-positive nerves was found in the apical half of the lingual periodontal ligament and in the coronal half of the labial periodontal ligament. The periodontal nerve fibers in the incisors ramified in a dendritic fashion, terminating as free nerve endings within the periodontal ligament. Immunostaining for S-100 protein demonstrated the Schwann sheaths of nerves which showed the same distribution pattern as that of the NFP-immunopositive fibers in the periodontal ligament of the incisors. In molars, immunostaining for NFP and S-100 showed that nerves were numerous in the apical region of the periodontal ligament. However, NFP-immunopositive nerves were fewer than the S-100-positive nervous elements in the apical region in molars. This discrepancy suggests the presence of NFP-immunonegative nerves. Immunostaining for S-100 is thus useful for demonstration of neural elements in the periodontal ligament of molars. The S-100-immunoreactive neural elements in the periodontal ligament were more numerous in incisors than in molars. In addition to the free nerve endings, a small population of coiled nerve endings was observed in the periodontal ligament of molars. Most of the nerve fibers and cell bodies in the trigeminal ganglion showed NFP-immunoreactivity, whereas all in the mesencephalic nucleus of the trigeminal nerve were negative in NFP-reaction. This finding suggests that the periodontal ligament of molars receives a dual innervation from the trigeminal ganglion and mesencephalic nucleus.