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监测大鼠中未对颌磨牙的年轻恒牙与成年恒牙的过度萌出模式。

Monitoring Overeruption Pattern of Young vs Adult Unopposed Molars in the Rat.

出版信息

Int J Prosthodont. 2020 Nov/Dec;33(6):663-670. doi: 10.11607/ijp.6644.

Abstract

PURPOSE

To investigate the overeruption of unopposed molars and the adaptation of alveolar bone height in young and adult rats.

MATERIALS AND METHODS

A total of 56 4-week-old (young) and 26-week-old (adult) male Wistar rats were followed up longitudinally. In each age group (n = 28), 16 rats were included in the experimental subgroup, in which all the maxillary right molars were extracted, and 12 rats were included in the control subgroup. All rats were scanned at regular intervals with in vivo microcomputed tomography for a 12-week period, and the eruption rate of the mandibular first molars and the surrounding bone were measured, with the reference point at the mandibular canal. The molar categories were unopposed right molars and overloaded left molars in the experimental group and control molars in the control group.

RESULTS

The young unopposed molars had the highest mean eruption rate (172 ± 67 μm/day). The overeruption was most marked during the first 3 weeks postextraction, thereafter gradually returning to a level comparable to controls (12.9 ± 6.8 μm/day). The overloaded adult molars did not erupt during the experimental period. Alveolar bone height also increased in young unopposed molars, but at a slower pace than overeruption, causing an increase in clinical crown height.

CONCLUSION

Unopposed young molars overerupt at a higher pace than adult molars during the first weeks postextraction. The alveolar bone grows in response to the tooth eruption but to a lesser extent, which leads to a constant increase in clinical crown height at the same rate in young and adult rats. The increase of clinical crown height was 4.5-fold higher in young unopposed molars compared to control molars.

摘要

目的

研究无抗衡磨牙的过度萌出和牙槽骨高度在年轻和成年大鼠中的适应性。

材料与方法

共对 56 只 4 周龄(年轻)和 26 周龄(成年)雄性 Wistar 大鼠进行了纵向随访。在每个年龄组(n=28)中,16 只大鼠被纳入实验组,其中所有上颌右侧磨牙均被拔除,12 只大鼠被纳入对照组。所有大鼠均在 12 周的时间内定期进行活体 microCT 扫描,测量下颌第一磨牙及其周围骨骼的萌出率,参考点为下颌管。实验组的磨牙类别为无抗衡的右侧磨牙和超负荷的左侧磨牙,对照组为正常磨牙。

结果

年轻的无抗衡磨牙具有最高的平均萌出率(172±67μm/天)。在拔牙后最初的 3 周内,过度萌出最为明显,此后逐渐恢复到与对照组相当的水平(12.9±6.8μm/天)。在实验期间,成年超负荷磨牙未萌出。年轻的无抗衡磨牙牙槽骨高度也增加,但速度比过度萌出慢,导致临床牙冠高度增加。

结论

在拔牙后的最初几周内,年轻的无抗衡磨牙比成年磨牙以更高的速度过度萌出。牙槽骨随着牙齿萌出而生长,但程度较小,导致年轻和成年大鼠的临床牙冠高度以相同的速度持续增加。与对照组相比,年轻的无抗衡磨牙的临床牙冠高度增加了 4.5 倍。

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