Sela J, Jaffe A
Acta Anat (Basel). 1977;97(3):241-7. doi: 10.1159/000144740.
Bone remodelling of post-extraction socket was studied in the past by various methods. In the present work, the process was studied with the scanning electron microscope (SEM). The SEM is essential for a three-dimensional description, particularly when hard tissues are involved. Initiation of healing on the first week was characterized by formation of delicate spongy bone. The trabeculae were distributed in a centrifugal pattern around the interradicular bone. Socket healing on the second week consisted of thickened, regularly distributed trabeculae. This was accompanied by resorption and flattening of the peri-socket sharp ridges. The third and fourth weeks were characterized by small bone marrow spaces and a gradual transformation of the trabecular bone to one of cortical-compact nature. The typical characteristics of resorbing, resting and forming surfaces were detected in all phases of socket healing. Two major patterns of ossification could be shown: Firstly, calcification of collagen bundles in osteoblastic lacunae. Concentrations of such lacunae were related to periosteal activity and were also found in areas most probably occupied previously by blood vessels. Another pattern of mineralization was in the form of globular calcospherites and is reminiscent of calcification of ground substance.
过去曾通过各种方法研究拔牙后牙槽窝的骨重塑。在本研究中,使用扫描电子显微镜(SEM)对该过程进行了研究。SEM对于三维描述至关重要,尤其是在涉及硬组织时。愈合开始的第一周,其特征是形成了精细的海绵状骨。小梁以离心模式分布在根间骨周围。第二周的牙槽窝愈合表现为小梁增厚且分布规则。同时伴有牙槽窝周围锐利嵴的吸收和平坦化。第三周和第四周的特征是骨髓腔较小,小梁骨逐渐转变为皮质致密性质的骨。在牙槽窝愈合的各个阶段均检测到吸收、静止和形成表面的典型特征。可以显示出两种主要的骨化模式:首先,成骨细胞陷窝内胶原束的钙化。这种陷窝的集中与骨膜活动有关,并且在最有可能先前被血管占据的区域也有发现。另一种矿化模式呈球状钙球晶形式,让人联想到基质的钙化。