[猫牙槽段截骨术后牙周器官感受器再生的实验研究]。

Shika gakuho. Dental science reports Pub Date : 1990-04-01
S Miyake
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引用次数: 0

摘要

本研究证实了猫牙周韧带神经纤维及其末梢的电生理和形态学特征。牙槽节段截骨复位组和牙槽节段移动组两组牙槽节段截骨后牙周神经再生。通过对下颌犬齿施加各种刺激,记录下牙槽下神经牙周支的反应变化,进行电生理研究。形态学观察方面,采用银染色和组织化学方法观察神经纤维及其末梢的变化。结果1。正常猫的快速适应反应和慢速适应反应均可获得。潜伏期短,0.45±0.07 msec,平均传导速度约30m/sec。在10Hz到250Hz范围内,振动刺激表现出1:1的响应,在刺激过程中没有观察到振幅的下降。压力刺激引起的连续振幅较小。2. 分布于牙周韧带的神经纤维与牙髓神经一起从底部进入,并穿过骨窝侧壁的一些孔。几乎没有观察到与牙龈相关的神经纤维分布在颈椎区域。3.游离神经末梢和包封神经末梢均出现在牙周膜内。多数游离神经末梢在根尖2/3处尤其多,类型简单而尖锐,少数为凹凸状、纺锤状或棒状。后一种类型在颈1/3尤其多,尤其是在犬齿和第三门牙之间的区域。4. 两组均可在截骨术后4周记录神经动作电位。复位组平均传导速度为6.16 +/- 0.63 m/sec,移动组平均传导速度为5.41 +/- 0.15 m/sec。截骨6周后平均传导速度迅速恢复,复位组达到15.85 +/- 1.81 m/sec,活动节段组达到13.71 +/- 1.91 m/sec。此后逐渐增加;截骨48周后,复位组为21.60 m/sec,活动节段组为20.00 m/sec。复位组再生率为71.3%,移动组再生率为66.0%。5. 两组患者截骨4周后快速适应反应均已恢复;截骨6周后慢适应反应明显。(摘要删节为400字)
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[An experimental study on regeneration of periodontal mecanoreceptors after alveolar segmental osteotomy in the cat].

This study demonstrates the electrophysiological and morphological characteristics of the nerve fibers and its endings in the cat periodontal ligament. Furthermore, it shows regeneration of periodontal nerves after alveolar segmental osteotomy of two groups: the repositioned group and the group in which the segment was moved. Electrophysiological investigation were made by applying various stimuli to the mandibular canine and recording changes in response from the canine periodontal branch of the inferior alveolar nerve. For the sake of morphological investigations, changes in the nerve fiber and its endings were observed by means of the silver stain and histochemical method. Results 1. Both fast-adapting and slow-adapting responses were obtained from normal cats. Latency was short 0.45 +/- 0.07 msec, and mean conduction velocity was about 30m/sec. Vibratory stimulation demonstrated a 1:1 response from 10Hz to 250Hz, with no decrease in amplitude observed during stimulation. Pressure stimulation caused a small-continuous amplitude. 2. Nerve fibers distributed in the periodontal ligament entered from the bottom, together with the pulpal nerve and through some holes in the lateral wall of the bony socket. Scarcely, nerve fibers relating with those running from the gingiva were observed in the cervical region. 3. Both free nerve endings and encapsulated endings occurred in the periodontal membrane. Most free nerve endings were especially numerous in the apical 2/3 and these types were simple and sharp, though a few of them were bumplike, spindlelike or clublike. These latter types were especially numerous in the cervical 1/3, and especially in the area between the canine and the third incisor. 4. In both groups, it was possible to record nerve action potential 4 weeks after the osteotomy. Mean conduction velocity was 6.16 +/- 0.63 m/sec in the repositioned group and 5.41 +/- 0.15 m/sec in the moved-segment group. Mean conduction velocity recovered rapidly 6 weeks after osteotomy to reach 15.85 +/- 1.81 m/sec in the repositioned group and 13.71 +/- 1.91 m/sec in the moved-segment group. Thereafter increase was gradual; 48 weeks after osteotomy, the values were 21.60 m/sec for the repositioned group and 20.00 m/sec for the moved-segment group. Regeneration rates were 71.3% for the repositioned group and 66.0% for the moved-segment group. 5. In both group, fast-adapting responses had recovered 4 weeks after the osteotomy; and slow-adapting responses were clearly recorded 6 weeks after the osteotomy.(ABSTRACT TRUNCATED AT 400 WORDS)

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