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下牙槽神经和血管完全切断后豚鼠牙列的变化。

Changes in the dentition of the guinea pig following total section of the inferior alveolar nerve and vessels.

作者信息

Isotupa K, Rönning O

出版信息

Acta Anat (Basel). 1977;98(1):71-6. doi: 10.1159/000144780.

Abstract

The inferior alveolar nerve was cut or the vessels entering the mandibular canal were damaged in 39 guinea pigs at 10 days of age. Possible changes in the incisors were recorded during a 100-day observation period whereafter the animals were killed and the skulls freed of soft tissues; at this time, 35 skulls were found suitable for further examination. The changes in the mandibular incisors on the operated side became observable 30-40 days post-operatively as discolourization, a 'trauma line' around the tooth, narrowing of the tooth or total loss of it's visible part. In the guinea pigs with the nerve cut (group A), such signs of maldevelopment were seen in 5 out of 19 animals, whereas the corresponding figure for the animals with the damaged vessels (group B) was 14/16. All incisors in group A and 13 out of 14 in group B recovered from the state of maldevelopment; one animal in group B showed complete loss of the incisor. The molar region was examined only from the cleaned skulls. In group A, the first molar was deformed in two animals; in group B, seven animals displayed either maldevelopment of the first molar or the first and second molar or complete loss of the first molar. No malformation of the third molar was observed. With two exceptions, the deformation or loss of molars occurred in combination with incisor maldevelopment. The malformations were considered to result from a disturbed blood supply. In group A, the dental changes may perhaps be ascribed to a short-term interference with the blood supply during the operation. The variable results in group B seem to imply that the mandibular teeth receive at least part of their blood supply from vessels besides those entering the mandibular canal. The innervation appears to have a subordinate role in the restoring of the morphology of continuously erupting teeth.

摘要

在39只10日龄豚鼠中,切断其下牙槽神经或损伤进入下颌管的血管。在100天的观察期内记录切牙可能出现的变化,之后处死动物并清除颅骨上的软组织;此时,发现35个颅骨适合进一步检查。术后30 - 40天,手术侧下颌切牙出现变色、牙齿周围的“创伤线”、牙齿变窄或可见部分完全缺失等变化。在切断神经的豚鼠组(A组)中,19只动物中有5只出现了这种发育不良的迹象,而血管受损的动物组(B组)相应数字为14/16。A组所有切牙以及B组14颗切牙中的13颗从发育不良状态恢复;B组中有一只动物的切牙完全缺失。仅从清理后的颅骨检查磨牙区。A组中,两只动物的第一磨牙变形;B组中,七只动物出现第一磨牙或第一、第二磨牙发育不良或第一磨牙完全缺失的情况。未观察到第三磨牙畸形。除两例外,磨牙的变形或缺失与切牙发育不良同时出现。这些畸形被认为是由血液供应紊乱导致的。在A组中,牙齿变化可能归因于手术期间对血液供应的短期干扰。B组结果的差异似乎意味着下颌牙齿至少部分血液供应来自进入下颌管之外的血管。在不断萌出的牙齿形态恢复过程中,神经支配似乎起次要作用。

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