Department of Orthodontics, University of Witten/Herdecke, Alfred-Herrhausen Str. 45, 58455, Witten, Germany.
Department of Oral and Maxillofacial Surgery, University Hospital of Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Head Face Med. 2022 Nov 11;18(1):33. doi: 10.1186/s13005-022-00338-x.
The evaluation of bone remodelling and dental root resorption can be performed by histological techniques or micro-computed tomography (micro-CT). The present study aimed to evaluate the relationship between these two procedures in the context of cleft repair in a rat model.
The reconstructed maxillae and the orthodontically-moved first molar of 12 rats were analysed for correlations between the histological and radiological findings retrospectively. The alveolar cleft repairs were performed using bone autografts or (human) xenografts. Four weeks after the operation, the intervention of the first molar protraction was initiated and lasted for eight weeks. The newly formed bone and the root resorption lacunae were determined via histology. In the micro-CT analysis, the average change of bone mineral density (BMD), bone volume fraction (BV/TV), trabecular thickness and trabecular separation of the jaw, as well as the volume of the root resorptions were determined. The Pearson correlation coefficient was applied to study the associations between groups.
Positive correlations were found only between the newly formed bone (histology) and BMD changes (micro-CT) in the autograft group (r = 0.812, 95% CI: 0.001 to 0.979, p = 0.05). The relationship of newly formed bone and BV/TV was similar but not statistically significant (r = 0.691, 95% CI: -0.274 to 0.963, p = 0.013). Regarding root resorption, no significant correlations were found.
Due to the lack of correlation between histological and radiological findings of bone remodelling and the development of root resorptions, both methods should be combined in this cleft model in rats for a comprehensive analysis.
骨重建和牙根吸收的评估可以通过组织学技术或微计算机断层扫描(micro-CT)进行。本研究旨在评估在大鼠腭裂修复模型中这两种方法之间的关系。
回顾性分析了 12 只大鼠的重建上颌骨和正畸移动的第一磨牙,以评估组织学和影像学结果之间的相关性。牙槽裂修复采用自体骨或(人)异种骨移植。术后 4 周开始第一磨牙牵引干预,持续 8 周。通过组织学确定新形成的骨和牙根吸收腔。在 micro-CT 分析中,确定了颌骨的骨密度(BMD)、骨体积分数(BV/TV)、骨小梁厚度和骨小梁分离的平均变化以及牙根吸收的体积。应用 Pearson 相关系数研究组间的相关性。
仅在自体移植物组中,新形成的骨(组织学)与 BMD 变化(micro-CT)之间存在正相关(r=0.812,95%CI:0.001 至 0.979,p=0.05)。新形成的骨与 BV/TV 的关系相似,但无统计学意义(r=0.691,95%CI:-0.274 至 0.963,p=0.013)。关于牙根吸收,未发现显著相关性。
由于骨重建和牙根吸收的组织学和影像学发现之间缺乏相关性,因此在该大鼠腭裂模型中应将这两种方法结合起来进行综合分析。