[Ultrastructural study of bone cells and matrix incident in experimental periodontitis].

H Kokatsu
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Abstract

The purpose of this study was to examine the process of bone destruction and also to examine the ultrastructural features of the cells and the resorbed sites of bone matrix in experimental periodontitis. To induce the periodontitis, a defect was prepared with a endodontic reamer in the proximal surfaces of the upper 1st and 2nd molars of rats. The process of the bone resorption was examined histopathologically once a week for 3 weeks. Transmission Electron Microscopy (TEM) and Scanning Electron Microscopy (SEM) were used to examine the cells and the bone matrix using the specimens taken 2 or 3 weeks after the start of the experiment. The alveolar bone resorptions of interdental areas were observed 2 weeks after starting the experiment and it continued to progress longitudinally. After 3 weeks, concave bone loss appeared on the buccal surfaces of the bone. The resorbed bone surface revealed by TEM typical osteoclasts, macrophages and mononuclear cells resorbing collagen fibrils. These cells resorbing collagen fibrils which worked with the osteoclasts appeared frequently in resorbed sites. Numerous osteoblasts appeared on the resorbed area. However, judging from their undeveloped organelles, their function seemed to remain inactive and unproductive. SEM showed many resorbed lacunae in the alveolar bone in interdental areas and the differences in the ultrastructural features of the resorption lacunae were distinctive. These findings suggest that the massive and rapid bone resorption in experimental periodontitis is the result of increased osteoclastic activity and depressed osteoblastic activity. The different ultrastructural features of each lacunae were results of the resorbing stage.
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实验性牙周炎骨细胞和基质的超微结构研究。
本研究旨在探讨实验性牙周炎的骨破坏过程、细胞超微结构特征及骨基质的吸收部位。采用牙髓扩孔器在大鼠上颌第一磨牙和第二磨牙近端表面制备缺损,诱导牙周炎的发生。每周一次对骨吸收过程进行组织病理学检查,连续3周。采用透射电镜(TEM)和扫描电镜(SEM)对实验开始后2周或3周的标本进行细胞和骨基质的观察。实验开始2周后观察牙间区牙槽骨吸收情况,牙间区牙槽骨吸收继续纵向发展。3周后,骨颊面出现凹形骨质流失。透射电镜显示被吸收的骨表面,典型的破骨细胞、巨噬细胞和单核细胞吸收胶原原纤维。这些与破骨细胞一起吸收胶原原纤维的细胞经常出现在被吸收的部位。吸收区出现大量成骨细胞。然而,从它们未发育的细胞器来看,它们的功能似乎仍然是不活跃的和非生产性的。扫描电镜显示牙间区牙槽骨有大量的吸收腔隙,吸收腔隙的超微结构特征差异明显。这些结果表明,实验性牙周炎的大量和快速骨吸收是破骨细胞活性增加和成骨细胞活性降低的结果。各陷窝的超微结构特征不同是吸收阶段的结果。
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