Nguyen Ngan G K, Nishiyama Akira, Shimada Masahiko
Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.
J Oral Sci. 2020;62(1):70-74. doi: 10.2334/josnusd.19-0093.
The aim of this study was to establish an experimental rat model of temporomandibular joint (TMJ) anterior disc displacement (ADD). A pilot study was conducted to determine the most appropriate surgical protocol. In the main experiment, 40 rats were used. Twenty-four rats were subjected to ADD in the right TMJ, and subsequently thereafter six, nine, and nine rats were sacrificed at 1, 4, and 8 weeks, respectively, for gross evaluation. Twelve rats that underwent a sham operation were equally divided and sacrificed at each of the above time points. Four non-treated control rats were sacrificed at the beginning of the study. TMJ blocks were harvested for radiological and histological assessment. Gross examination showed that 14 rats in the ADD group (58.3%) had anterior displacement of the TMJ disc. In the ADD joints, posterior condylar cartilage thickness decreased during the follow-up period; however, there was no significant difference between the sham-treated and ADD joints, or among the follow-up time points (P > 0.05). The anterior condylar cartilage exhibited obvious qualitative alterations. Radiologic signs of osteoarthrosis appeared after ADD surgery, but this became attenuated with time. The model investigated in this study successfully induced ADD in rats, and should be useful for assessment of progressive changes in the TMJ following ADD.
本研究的目的是建立颞下颌关节(TMJ)前盘移位(ADD)的实验大鼠模型。进行了一项初步研究以确定最合适的手术方案。在主要实验中,使用了40只大鼠。24只大鼠右侧TMJ发生ADD,随后分别在1、4和8周处死6只、9只和9只大鼠进行大体评估。12只接受假手术的大鼠在上述每个时间点平均分组并处死。4只未处理的对照大鼠在研究开始时处死。采集TMJ块进行放射学和组织学评估。大体检查显示,ADD组14只大鼠(58.3%)出现TMJ盘前移位。在ADD关节中,随访期间髁突后软骨厚度降低;然而,假手术组和ADD关节之间或随访时间点之间无显著差异(P>0.05)。髁突前软骨表现出明显的定性改变。ADD手术后出现骨关节炎的放射学征象,但随时间推移而减轻。本研究中研究的模型成功地在大鼠中诱导了ADD,并且应该有助于评估ADD后TMJ的进展性变化。