Ìåäèöèíà./ Ìîðôîëîãèÿ
Yuldashev A.A.
Department of Pediatric
dentistry, Tashkent medical academy, Uzbekistan
BONE
RECONSTRUCTION OF ALVEOLAR RIDGE OF UPPER JAW IN ANIMALS: EXPERIMENTAL STUDY
Purpose of the research: To study
morphological changes in the regeneration process in a zone of defect of the
upper jaw of animals when using autogenous bone graft and umbilical cord.
Material and methods. The umbilical amnion
is a membrane consisting of a gentle network of fibers; it is outside covered
with the amnionic shell represented by an ectodermal amnionic epithelium. The
existence of the undifferentiated cells leads to the transformation of an
amnionic epithelium in cells of the operated area.
In the experiment
made by us 14 non-thoroughbred rabbits were used at the age of 3-4 months with
an average weight of 2,0-2,5 kg. In all the animals standard osteal defects
were reproduced in the field of the alveolar process of the upper jaw. The
membrane was fixed without a seam; it was covered with mucous and periosteal
flaps. Then mucous and periosteal flaps stacked in place and took in polyglycolide seams.
Results: The results of the
microscopic research showed that, on the 14th day of the experiment it becomes
perceptible that the differentiation of the preliminary connective-tissue
callosity into a preliminary osteal callus occurs gradually and begins on the
side of the periosteal surface of the osteal defect and the autogenous bone. On
the 21st day of the experiment it was revealed that, on the part of the
preliminary osteal callus, there is a thickening of fascicles of the
coarse-fibered osteoid, an accumulation of exhaust in them, and an emergence of
additional beams between fascicles. Later, between the separate beams forming
the primary system of bone regenerators, there appear transversal
intersections. On the 30th day of the experiment, full attachment of the cord
and the periosteum to the external surface of the autogenous bone graft became
perceptible.
Conclusion: The formation of the
final osteal tissue from the coarse-fibered spongiform osteal callus takes
place through the massive resorption of chaotic soft old structures by the
osteoclasts and their replacement by new structures ordered with the formation
of haversian channels, which are filled with vessels and a soft
cellular-fibrous tissue, or so-called fibrous marrow. During the reparative
regeneration the cord is exposed to a loosening, a resorption and merge to the
surrounding neogenic connective-tissue callosity formed by the periosteum.