Effect of diabetes mellitus on cementum periodontal interface in Streptozotocin-induced diabetic rat model

Medhat Ahmed El-Zainy , Ahmed Mahmoud Halawa , Fatma Adel Saad
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引用次数: 3

Abstract

Objective

Diabetes Mellitus is well known to be associated with several oral complications. Thus, this study investigated the effect of diabetes on the cementum-periodontal interface by light and scanning electron microscopy.

Methodology

This investigation was carried out on twenty eight male albino rats weighing from 200 to 220 gm; rats were divided into two groups: group I (control): fourteen animals received intraperitoneal single dose of 1 ml Citrate buffer, group II (diabetic): fourteen animals that were rendered diabetic by intraperitoneal single dose of streptozotocin 40 mg/kg body weight dissolved in 1 ml Citrate buffer and sacrificed 3 weeks after detection of diabetes. Plasma glucose level >300 mg/dl confirmed diabetes after 3 days. Half of lower jaws specimens were processed for H&E examination by light microscopy of cementum-periodontal interface. From the other half of specimens; extracted mandibular first molars were examined by SEM for changes of cementum surfaces.

Results

Comparing to control group, diabetic rats showed periodontal fibers disorganization and degeneration with loss of Sharpey's fibers attachments. Increased cementoid, resorptive areas of both cementum surface and alveolar bone were evident in addition to the alterations of bone trabeculae.

Conclusions

Diabetes mellitus was associated with variable deleterious effects on periodontium. The histological and scanning electron microscopy changes were most obviously on PDL and least on cementum.

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糖尿病对链脲佐菌素诱导的糖尿病大鼠牙骨质牙周界面的影响
目的糖尿病与多种口腔并发症有关。因此,本研究通过光镜和扫描电镜观察糖尿病对牙骨质-牙周界面的影响。方法雄性白化大鼠28只,体重200 ~ 220 gm;将大鼠分为两组:ⅰ组(对照组):14只动物腹腔注射单剂量1 ml柠檬酸缓冲液;ⅱ组(糖尿病):14只动物腹腔注射单剂量链脲佐菌素40 mg/kg体重溶解于1 ml柠檬酸缓冲液中致糖尿病,检测出糖尿病后3周死亡。血糖水平>300 mg/dl 3天后确诊为糖尿病。一半下颌骨标本经牙骨质-牙周界面光镜进行H&E检查。另一半标本;用扫描电镜观察拔除的下颌第一磨牙牙骨质表面的变化。结果与对照组比较,糖尿病大鼠牙周纤维组织紊乱、变性,Sharpey’s纤维附着物丧失。骨水泥样体增加,骨水泥表面和牙槽骨的吸收面积明显增加,骨小梁也发生改变。结论糖尿病对牙周组织有多种不良影响。组织学和扫描电镜的变化最明显的是PDL,骨质最少。
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