[拔除前牙后上下颌牙槽骨变化的比较]。

K Tanaka
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引用次数: 4

摘要

本研究旨在比较前上颌和下颌骨牙槽骨和皮质骨在拔除门牙后的结构变化过程。同时拔除同侧上、下切牙的成年犬12只,保存29 ~ 181天。实验前半期连续注射四环素,后半期连续注射钙黄蛋白。首先对阴唇-腭和阴唇-舌纵向地面切片进行显微放射照相,然后用荧光显微镜检查。根据荧光微克的蒙太奇,在薄塑料片上对标记位点进行颜色描记。对照侧和实验侧的两幅图像进行了精确比较,结果显示,拔除切牙后,上颌牙槽骨和皮质骨各部位的结构变化较下颌骨明显。在拔牙槽中,上颌比下颌骨更早出现和完成新骨形成。上颌牙槽骨和拔牙槽内新生骨的二次内重建进展比下颌骨快。上唇侧皮质骨的重塑和牙槽嵴的吸收非常活跃,而上腭侧、下唇侧和舌侧的这些过程非常轻微,因此,上颌骨的轮廓,特别是在其唇侧,比下颌骨变形更明显。
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[A comparison between the upper and lower jaws of the alveolar bone changes due to the extraction of frontal teeth].

The present study was designed to compare the process of structural changes which appeared in the alveolar bone and cortical bone of the frontal maxilla and mandible after extraction of the incisors. Twelve adult dogs whose upper and lower incisors on the same side were extracted at the same time were kept for 29-181 days. The dogs were injected continuously with tetracycline during the first half of the experimental period and with calcein during the latter half. Labio-palatal and labio-lingual longitudinal ground sections were first micro-radiographed and, then, examined by fluorescence microscopy. From a montage of fluorescence micrograms, color tracings of the labelling sites were made on thin plastic sheets. The two images of the control and experimental sides were precisely compared The structural changes which appeared in all the parts of the alveolar bone and cortical bone after extraction of the incisors were more prominent in the maxilla than in the mandible. New bone formation in the extraction socket appeared and was completed earlier in the maxilla than in the mandible. Secondary internal remodelling of the alveolar bone proper and the newly formed bone in the extraction socket progressed more quickly in the maxilla than in the mandible. The remodelling of cortical bone and the resorption of the alveolar crest was made very actively in the upper labial side, whereas these process very slight in the upper palatal side and in the lower labial and lingual sides, so that the contour of the frontal maxilla, especially in its labial side, was more prominently deformed than the mandible.

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