大鼠关节髁在连续下颌骨突进期间和之后的变化:组织形态学研究

Wissam Alhamadi, F. Saleh, A. Madwar
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摘要

本研究的目的是观察固定功能矫治器在大鼠下颌骨连续前进过程中及后髁突的组织学变化。材料与方法:选用4周龄雄性Sprague-Dawley大鼠54只,体重100-120gm,试验期3个月;对照组(A=24只)和试验组(B=30只)。A组和B组再分为A1、A2、A3等3组;(b1, b2, b3)各组采食自由,在相同环境条件下饲养。仅B1组、B2组、B3组采用固定功能矫治器(固定功能矫治器)与门牙固定固定斜咬合平面固定固定,实现下颌前移,a组仍为对照组。在第一个月结束时,只有b1组(全职佩戴者)和A1组被处死,而B2组和B3组继续作为半天佩戴者(保留期)被处死,直到第二个月结束时,B2组和A2组被处死。剩余大鼠(B3组)在整个第3个月不使用器械(留置期后),于第3个月末处死,与对照组(A3组)同处死。所有结疤动物均取半颅骨标本切开解剖,并做组织病理学检查。结果:与a组相比,B组大鼠髁突后缘细胞增生明显增多,未见正常骨化。大鼠在治疗的最后一周和保留期表现出明显的髁突骨化和较高的成骨细胞活性,并且咬跳器治疗加速了下颌髁突的生长,并在一定的保留期后稳定在一定范围内。结论:使用固定功能矫治器可以加速下颌髁突的变化,增加下颌主动前进过程中发现的成骨。
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Rat Articular Condyle Changes During and After Continuous Mandibular Advancement: A Histomorphometric Study
The purpose of this study was to investigate the histological changes in rat mandibular condyle during and after continuous mandibular advancement by using a fixed functional appliance. Materials and methods: Fifty-four male Sprague-Dawley rats (4–weeks-old), weight (100-120gm) were used for three month experimental period; control group (A=24 rats) and experimental group (B=30 rats). Group A and Group B were subdivided into 3 equal groups respectively (A1, A2, A3); (B1, B2, B3). All groups were fed ad libitum and were kept under the same environmental condition. Only group (B1, B2, B3) were subjected to a full time orthodontic inclined bite plane cemented to the incisors (fixed functional appliance) to advance the mandible, while group A still as a control group. At the end of the 1st month only group B1as a (full-time wearer)and A1 were sacrificed, while groups B2 and B3 continue as a half-day-wearer, retention period) till the end of the 2nd month, when group B2 and A2 were sacrificed. Remaining rats (Group B3) stayed without appliance, post retention period) during whole 3rd month were sacrificed at the end of third month with control (A3). Specimens of hemi-cranium for all scarified animals were cut and dissected, histopathological examination had been done. Results: An abundant cellular proliferation expressed at posterior border of the condylar cartilage in group B than in group A. Cellular proliferation without proper ossification was noticed on the condyles of young rats of group A. However, rats revealed a significant Condylar ossification and higher osteoblastic activity towards the last week of treatment and retention period with the mandibular Condylar growth was accelerated by bite-jumping appliance treatment and stable within limits after a certain period of retention. Conclusion:Mandibular Condylar changes were accelerated by using fixed functional appliances that increased osteogenesis noticed during active mandibular advancement.
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