Garcia A, Saffar J L
Laboratoire de Physiopathologie Osseuse, Faculté de Chirurgie Dentaire, Université René Descartes, Arnoux, Montrouge.
J Biol Buccale. 1987 Sep;15(3):189-97.
This work was undertaken to study at middle term (5 months) the behaviour of radicular grafts implanted in newly formed sockets. In some of the grafts, the remnants of the periodontal membrane were carefully preserved in a wet medium while in the others the root surface was curetted and dried. Preservation of the periodontal tissues allowed the organization of a periodontal space. This new periodontal ligament was occasionally functional with fibres in continuity from cementum to bone. Generally it was not functional with the fibres laying parallel to cementum and bone surfaces. Early "surface resorption" of the root was prevented as well as ankylosis leading to replacement of root with bone. The extent of ankylosis was reduced. It was localized to the buccal and lingual aspects of the roots where the periodontal ligament was disorganized during the extraction procedure. In the non preserved roots, ankylosis was almost total. Roots were in part replaced with bone. At 5 months, this process was still in progress.
本研究旨在中期(5个月)观察植入新形成牙槽窝的牙根移植物的行为。在一些移植物中,牙周膜残余物在湿润介质中被小心保存,而在其他移植物中,根面被刮治并干燥。牙周组织的保存使得牙周间隙得以形成。这种新的牙周韧带偶尔具有功能,纤维从牙骨质连续至骨。一般来说,其纤维与牙骨质和骨表面平行排列时不具有功能。牙根的早期“表面吸收”以及导致牙根被骨替代的骨粘连均得到预防。骨粘连的程度降低。其局限于牙根的颊侧和舌侧,这些部位在拔牙过程中牙周韧带被破坏。在未保存的牙根中,骨粘连几乎是完全的。牙根部分被骨替代。在5个月时,这个过程仍在进行中。