Lindhe J, Ericsson I
J Periodontol. 1982 Sep;53(9):562-7. doi: 10.1902/jop.1982.53.9.562.
The aim of the present investigation in dogs was to analyze the effect on periodontal disease induced by a combination of ligatures and jiggling trauma, when the jiggling forces are eliminated. The experiment was performed in six dogs. On Day 0 a phase of periodontal tissue breakdown was initiated around the mandibular fourth premolars (4P; P4) by placing plaque retention ligatures around the necks of the teeth. The ligatures were changed once a month during a 90-day period. On Day 90 the ligatures were removed. On Day 0 trauma from occlusion (jiggling) was also produced in the 4P and P4 region. On Day 90 the jiggling trauma was removed from the 4P-region (test) while it was maintained in the P4-region (control). Tooth mobility measurements and radiographic examinations were carried out on experimental Days 0, 30, 60, 90, 180, and 360. One dog was sacrificed on Day 90 and the remaining five on day 360. Following sacrifice, tissue sections comprising 1M, 4P, 3P, P3, P4, M1 were obtained and subjected to microscopic analysis. Removal of the jiggling trauma from the test teeth resulted in a markedly decreased tooth mobility, but the loss of connective tissue attachment on Day 360 was similar in the test and control sites. This means that although the control teeth had an increased mobility and a widened periodontal ligament space, the height of the remaining periodontal tissue support was similar in the test and control tooth regions.
本项针对犬类的研究旨在分析当消除颤动创伤时,结扎与颤动创伤相结合对牙周病的影响。实验在六只犬身上进行。在第0天,通过在牙齿颈部放置菌斑滞留结扎丝,在下颌第四前磨牙(4P;P4)周围启动牙周组织破坏阶段。在90天的时间里,每月更换一次结扎丝。在第90天移除结扎丝。在第0天,4P和P4区域也产生了咬合创伤(颤动)。在第90天,4P区域(试验组)的颤动创伤被消除,而P4区域(对照组)的颤动创伤仍保留。在实验的第0、30、60、90、180和360天进行牙齿松动度测量和影像学检查。一只犬在第90天处死,其余五只在第360天处死。处死后,获取包括1M、4P、3P、P3、P4、M1的组织切片并进行显微镜分析。试验牙齿消除颤动创伤后,牙齿松动度明显降低,但在第360天,试验组和对照组部位的结缔组织附着丧失情况相似。这意味着,尽管对照牙齿的松动度增加且牙周膜间隙增宽,但试验组和对照组牙齿区域剩余牙周组织支持的高度相似。