Depts. Orthodontics & Oral Health Sciences, University of Washington, School of Dentistry, Seattle, WA, USA; Dept. Pediatric Dentistry, Jacobi Medical Center, Bronx, NY, USA.
Depts. Orthodontics & Oral Health Sciences, University of Washington, School of Dentistry, Seattle, WA, USA; Dept. Stomatology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong, University School of Medicine, Shanghai, China.
J Biomech. 2020 May 7;104:109716. doi: 10.1016/j.jbiomech.2020.109716. Epub 2020 Feb 28.
Mobility is a fundamental characteristic of mammalian teeth, and has been widely used to determine individual tooth prognosis. However, the direction and extent of tooth movement under functional loads are unknown. This study investigated maxillary molar mobility, alveolar bending, and periodontal space (PDL) fluid pressure during mastication and masseter muscle contraction in young pigs, along with PDL space measurements. Twelve three-month-old farm pigs were instrumented with some or all of the following: (1) ultrasonic crystals, one implanted into the pulp chamber of a deciduous maxillary molar and additional crystals glued onto its buccal and palatal alveolar plates; (2) rosette strain gauges affixed to the buccal and palatal of alveolar ridges; (3) a pressure transducer inserted into palatal alveolar bone facing the PDL. Tooth mobility, alveolar bending, and fluid pressure were simultaneously recorded during unrestrained feeding and subsequent masseter muscle stimulation. The PDL widths were measured using micro-CT. The results indicate that during the power stroke of mastication, (1) the molar displaced buccally and apically (192 ± 95 µm) regardless of the side of chewing; (2) compressive bone strain was greater on the buccal than on the palatal alveolar plate; and (3) PDL pressure increased during the power strok (3.63 ± 0.80 kPa). Masseter contraction produced similar results but with generally lower values. The PDL widths were larger than the range of tooth mobility, and showed no correlation with the mobility. Thus occlusal function causes buccal tipping and intrusion of maxillary molars with concomitant compression of the buccal alveolar plate and raised pressure within the PDL space.
牙齿的移动性是哺乳动物牙齿的基本特征,已被广泛用于确定单个牙齿的预后。然而,在功能负荷下牙齿的移动方向和程度尚不清楚。本研究旨在探究年轻猪在咀嚼和咀嚼肌收缩时上颌磨牙的活动性、牙槽弯曲和牙周间隙(PDL)流体压力,以及 PDL 空间测量。十二头三个月大的农场猪被植入以下一种或多种仪器:(1)超声晶体,一个植入到乳切牙的牙髓腔,以及另外的晶体粘贴到其颊侧和腭侧牙槽板上;(2)粘贴到牙槽嵴颊侧和腭侧的花状应变计;(3)一个插入到面对 PDL 的腭侧牙槽骨的压力传感器。在不受约束的进食期间以及随后的咀嚼肌刺激期间,同时记录牙齿活动性、牙槽弯曲和流体压力。使用 micro-CT 测量 PDL 宽度。结果表明,在咀嚼的力作用阶段,(1)磨牙无论咀嚼侧如何都向颊侧和舌侧(192 ± 95 µm)移动;(2)颊侧牙槽板的压缩骨应变大于腭侧;(3)PDL 压力在力作用阶段增加(3.63 ± 0.80 kPa)。咀嚼肌收缩产生了类似的结果,但数值通常较低。PDL 宽度大于牙齿移动性的范围,并且与移动性没有相关性。因此,咬合功能导致上颌磨牙颊向倾斜和内倾,同时压缩颊侧牙槽板并增加 PDL 空间内的压力。