[S E M]慢性周缘性牙周炎牙周韧带血管结构的研究。

K Kai
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引用次数: 0

摘要

本研究采用微腐蚀性树脂铸型,对严重活动、深袋形成伴牙槽骨化脓和骨质流失的犬下颚门牙牙周血管的变化进行了研究。在蛋白酶溶解软组织的作用下,牙槽骨留下树脂铸型标本,进行扫描电镜检查。结果如下:1。龈内上皮血管原呈扁平网状结构,慢性炎症使其构象发生改变,变为肾小球样袢。2. 牙颈周围牙周韧带血管未见明显改变。3.牙周韧带部分血管消失,结合咬合提示发生了咬合损伤。4. 牙周血管消失的牙槽骨表面呈扁平无定形。与此形成鲜明对比的是,血管所在的牙槽骨表面出现了吸收过程。5. 因此,牙周组织的损伤不仅仅是由慢性炎症引起的,而伴随的咬合损伤应该是主要的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[S E M study of vascular architecture of periodontal ligament under chronic marginal periodontitis].

The present study was carried out by fabrication of microcorrosive resin cast to investigate the vascular changes of periodontium of dogs' mandibular incisors with severe mobility and deep pocket formation concomitant with suppuration and alveolar bone loss. With aid of the dissolution of soft tissues by protease, alveolar bone remained left with resin cast of specimen, which then was referred for scanning electron microscopic examination. Results were as follows: 1. The vasculature of inner gingival epithelium which originally appeared as a flat, mesh-like network underwent a conformational change and turned out to be a vasculature with glomerulus-like loops due to chronic inflammation. 2. No remarkable change was ever identified in vasculature of periodontal ligament surrounding cervix of tooth. 3. Certain parts of vasculature of periodontal ligament disappeared, which combining with the occlusion indicated the occurrence of occlusal trauma. 4. Exposed alveolar bone surface where the periodontal vasculature disappeared showed an amorphous, flat surface. Quite contrast to this, the surface of alveolar bone on which the vasculature is located appeared undergoing a resorptive process. 5. Accordingly, the damage occurred in periodontium was not merely due to chronic inflammation but to the accompanying occlusal trauma which was supposed to be a predominant factor.

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