[使用口腔内x线摄影设备测量仓鼠牙槽骨的基础研究]。

Ou Daigaku shigakushi Pub Date : 1990-07-01
H Segawa
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引用次数: 0

摘要

实验性牙周炎骨吸收的形态测量主要是通过牺牲动物后的x线摄影或通过切除颌骨制备的组织病理学标本的显微镜来进行的。这两种方法都被认为是有效的检查方法。然而,这些是涉及标本切除的横断面手术,用于评估从可逆到不可逆的症状变化(这是牙周病的特征),或用于跟踪衰老过程,需要应用标准放射摄影和正确解释所获得图像的方法。作者设计了一种仪器,可以对单个动物进行现场放射学评估,这在传统的牙周骨吸收形态测量分析中没有被考虑。使用这种仪器,将软x射线胶片放入口腔并用软x射线放映机照射即可获得x射线图。作为该仪器实用性的基础研究,作者评估了软组织放射成像的最佳条件、测量的准确性和骨测量的方法。实验在仓鼠下颌牙槽骨中诱导骨吸收,用该仪器按标准程序每日对病变变化进行x线摄影,并尝试用长度测量法和密度测量法测量。实验结果如下:1)设计的口腔内仪器可对仓鼠下颌磨牙区两侧进行x线摄影。该装置主要由一个胶片盒、一个开口和一个固定部分组成。通过固定部分调节投射角度,使软x射线始终垂直投射在膜表面,通过微调整开口和角度调整校准,使软x射线膜附着在仓鼠下颌磨牙区域。该仪器放大倍率为0.43%,放大后的图像与标准品的相关系数为0.998。(2)聚焦胶片距离为30 cm时的放射照相条件。考虑到图像质量和对仓鼠的应激,加速度电位为40 kV,电流为2.5 mA,投影时间为20秒被认为是最佳的。3)钯作为密度测量的参考材料,可操作性强,最大厚度为0.1 mm,适用于估算仓鼠下颌骨的矿物质含量。4)通过连续标准软x线图像的长度测量法和密度测量法对仓鼠下颌牙槽区进行形态测量,骨吸收量依次为饲粮+接种组、饲粮组和对照组。对照组双侧牙槽区生长在出生后23周(约165天)达到高峰,此后在牙槽骨顶端出现骨吸收,可能是由于衰老所致。
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[Fundamental study of alveolar bone measurements in the hamster using an apparatus for intraoral radiography].

Morphometry of bone resorption in experimental periodontitis is performed primarily by radiography after sacrificing the animal or by microscopy of histopathologic specimens prepared from resected jaw bones. Both techniques are recognized as effective examinations. However, these are cross-sectional procedures involving resection of specimens, and for evaluation of changes in symptoms from reversible to irreversible, which are characteristic of periodontal diseases, or for follow-up of the aging process, application of standard radiography and a method to properly interpret the images obtained are needed. The author designed an apparatus that allows in site radiographic evaluation of individual animals, which has not been considered in conventional morphometric analyses of periodontal bone resorption. With this apparatus, radiograms are obtained by placing a soft X-ray film in the oral cavity and exposing it with a soft X-ray projector. As a fundamental study of the usefulness of this apparatus, author evaluated the optimal conditions of radiography for imaging of soft tissues, the accuracy of the measurements, and the method for bone measurement. Experimental bone resorption was induced in the mandibular alveolar bone of the hamster, the changing lesion was radiographed daily with this apparatus by the standard procedure, and measurements were attempted by the length measuring method and densitometry method. The following results were obtained: 1) The intraoral apparatus was designed to allow radiography of both sides of the mandibular molar regions of the hamster. The apparatus consisted basically of a film cartridge, an opening, and a fixing portion. The projection angle can be adjusted by the fixing portion so that soft X-ray is always projected orthoradially on the surface of the film, and the soft X-ray film can be kept attached to the hamster mandibular molar region by microadjustment of the opening and the calibrations for angle adjustment. With this apparatus, the percent enlargement was minute at 0.43%, and the reproduced image showed a correlation of 0.998 with the standard. (2) The radiographic conditions of a focus-film distance of 30 cm. acceleration potential of 40 kV, current of 2.5 mA, and projection time of 20 sec. were considered to be optimal in hamsters with regard to the quality of the image and stress to the animals. 3) Palladium used as a reference for densitometry was highly manipulatable with a maximum thickness of 0.1 mm and was appropriate for estimation of the mineral content of the hamster mandibular bone. 4) According to morphometry of the hamster lower jaw alveolar region by the length measuring method and the densitometry method in serial standard soft X-ray images, bone absorption was greater in the order of the diet + inoculation group, diet group and control group in a decreasing order. In the control group, the growth of the bilateral alveolar region reached a peak 23 weeks (about 165 days) after birth, and bone resorption probably due to aging was thereafter observed at the apex of the alveolar bone.

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