[Observation on calcification of necrotic tissue in pressure side of periodontal membrane incident to experimental tooth movement].

T Tsuchiya, H Mega, T Sato, M Takeuchi, S Kurihara, F Miura
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Abstract

In an orthodontic point of view, it is said that necrotic tissues cause a standstill of tooth movement until they disappear and that term of the standstill is related to the size of the necrotic tissues. Although remodeling processes of a periodontal membrane in compressed area were reported as series of phenomena like degeneration, coagulative necrosis, calcification and histiolysis, there is no direct evidence that the necrotic tissue is really calcified. The purpose of this study is to clarify histologically whether the necrotic tissues in the periodontal membrane are calcified or not and to know when appearance and disappearance of the calcification occur during an experimental tooth movement. Twenty eight rats were used for this study. For the experimental tooth movement, the orthodontic elastics were inserted into the interproximal space between the maxillary right 1st and 2nd molars during 1, 2, 3, 5, 7 and 14 days respectively (Waldo's method). The periodontal tissues were observed on undecalcified sections by vital staining in which oxytetracycline (3 mg/kg), alizarin red (8 mg/kg) and calcein (0.8 mg/kg) were applied as well as by contact micro radiography (CMR). Findings were as follows: 1) After 2 days of tooth movement, a part of the periodontal membrane in compressed area showed fluorescence by vital staining and was radiopaque by CMR. This means that the necrotic tissues are really calcified at least after 2 days of experimental tooth movement. 2) After 7-14 days no calcified tissue could be found in the periodontal membrane. The calcified tissues may disappear under processes of resorption in this area.(ABSTRACT TRUNCATED AT 250 WORDS)

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[实验性牙齿移动引起牙周膜受压侧坏死组织钙化的观察]。
从正畸学的观点来看,坏死组织会导致牙齿运动停滞,直到它们消失,而停滞的时间与坏死组织的大小有关。虽然有文献报道牙周膜受压区重塑过程表现为退变、凝固性坏死、钙化、组织溶解等一系列现象,但尚无直接证据表明坏死组织确实发生钙化。本研究的目的是从组织学上阐明牙周膜坏死组织是否钙化,以及在实验性牙齿运动中钙化的出现和消失的时间。本研究使用了28只大鼠。实验牙移动时,分别于第1、2、3、5、7、14天(Waldo法)将正畸弹性体插入上颌右侧第一、第二磨牙近端间隙。应用土霉素(3mg /kg)、茜素红(8mg /kg)和钙黄素(0.8 mg/kg)对未钙化切片进行活体染色和接触显微放射照相(CMR)观察牙周组织。结果如下:1)牙齿移动2 d后,牙周膜受压区部分生命染色显示荧光,CMR显示不透射线。这意味着坏死组织至少在实验牙齿移动2天后确实钙化了。2) 7 ~ 14 d后,牙周膜未见钙化组织。钙化组织可在吸收过程中消失。(摘要删节250字)
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