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Abstract
Mechanical testing of the periodontal ligament requires a practical experimental model. Bovine teeth are
advantageous in terms of size and availability, but information is lacking as to the anatomy and histology of their
periodontium. The aim of this study, therefore, was to characterize the anatomy and histology of the attachment
apparatus in fully erupted bovine mandibular first molars. A total of 13 teeth were processed for the production
of undecalcified ground sections and decalcified semi-thin sections, for NaOH maceration, and for polarized light
microscopy. Histomorphometric measurements relevant to the mechanical behavior of the periodontal ligament
included width, number, size and area fraction of blood vessels and fractal analysis of the two hard–soft tissue
interfaces. The histological and histomorphometric analyses were performed at four different root depths and at
six circumferential locations around the distal and mesial roots. The variety of techniques applied provided a
comprehensive view of the tissue architecture of the bovine periodontal ligament. Marked regional variations were
observed in width, surface geometry of the two bordering hard tissues (cementum and alveolar bone), structural
organization of the principal periodontal ligament connective tissue fibers, size, number and numerical density of
blood vessels in the periodontal ligament. No predictable pattern was observed, except for a statistically significant
increase in the area fraction of blood vessels from apical to coronal. The periodontal ligament width was up to three
times wider in bovine teeth than in human teeth. The fractal analyses were in agreement with the histological
observations showing frequent signs of remodeling activity in the alveolar bone – a finding which may be related
to the magnitude and direction of occlusal forces in ruminants. Although samples from the apical root portion are
not suitable for biomechanical testing, all other levels in the buccal and lingual aspects of the mesial and distal
roots may be considered. The bucco-mesial aspect of the distal root appears to be the most suitable location.
Key words biomechanical testing; bovine; histology; periodontal ligament.
of undecalcified ground sections. Briefly, the specimens first molars as described above, the tissue slabs were
were rinsed in running tap water, dehydrated in ascending fixed for 72 h in 1% glutaraldehyde and 1% (para)formal-
concentrations of ethanol, and embedded in methylmetha- dehyde, buffered with 0.08 M sodium cacodylate (pH 7.4).
crylate. The embedded tissue blocks were then split horizontally Following a brief wash in 0.1 M sodium cacodylate buffer
into approximately thirty 200-μm-thick sections per root using with 5% sucrose, pH 7.4, the tissue samples were exposed
a slow-speed diamond saw (Varicut® VC-50, Leco, Munich, to a decalcifying solution containing 4.13% disodium
Germany). For the histological and histometric analyses, ethylenediamine tetraacetic acid (EDTA). Decalcification
four sections per root were selected, i.e. one section per was performed at 4 °C room temperature for 3 months
root level. Sections that contained enamel (which in bovine with constant stirring. The solution was changed twice
teeth extends apical to the alveolar crest) and those that weekly. Following decalcification, the tissue slabs were cut
were located too far apically were excluded. Thus, for each with a razor blade into approximately 50 slices per tooth
root, four sections approximately the same distance from in a corono-apical and vestibulo-oral direction. Following
each another and devoid of artifacts were produced, resulting extensive washes in wash buffer solution, 10 slices were
in a total of 64 sections. After mounting the sections onto processed for tissue maceration with NaOH, a procedure
opaque acrylic glass slabs, they were ground to a final that removes cells and noncollagenous extracellular
thickness of about 100 μm, polished (Knuth-Rotor-3, Struers, matrix constituents but preserves collagen structure
Rodovre/Copenhagen, Denmark) and surface stained with and position (Kuroiwa et al. 1992; Macchiarelli et al. 2002).
toluidine blue/McNeal (Schenk et al. 1984). The stained Tissue slices were immersed in 10% NaOH under con-
ground sections were observed in a Leica M8 stereolupe stant stirring for 4 days at room temperature. The NaOH
and a Leica Dialux EB (Leica Microsystems, Glattbrugg, solution was changed daily. Following extensive washes in
Switzerland). For polarized light microscopy, the ground wash buffer solution, the macerated and non-macerated
sections were mounted onto transparent acrylic glass slabs slices were dehydrated in increasing concentrations of
before viewing in the stereolupe. ethanol and embedded in LR White resin (Fluka, Buchs,
Switzerland). Semi-thin sections (1 μm thick) were pre-
pared using glass and diamond knives (Diatome, Biel,
Production of decalcified semi-thin sections
Switzerland) on a Reichert Ultracut E microtome (Leica),
Five molars were used for the production of semi-thin sec- stained with toluidine blue, and observed in a Leica Dialux
tions. Following horizontal sectioning of two mandibular 22 EB microscope.
Size, number and area fraction of blood vessels Periodontal ligament width
The histological slides were analyzed in a light microscope The PDL width was assessed in four teeth from two animals
(Olympus AX 70) at a magnification of 10×. For each of the for each root levels (a–d) and each regions (dd, db, dl, mm,
6 regions (dd, db, dl, mm, mb, ml) and root levels (a–d), mb, ml). Using the graphic software package, within each
a set of 7–14 pictures (depending on the width and ROI, a line was drawn through the periodontal ligament.
morphology of the PDL) was taken in digital format The length of the line was then converted to millimeters,
(640 × 512) to cover a 5 × 5 mm zone. Overlapping pictures and the PDL total surface calculated during the blood
of the total PDL surface were produced. Using a commercial vessel measurements was divided by the line length to
imaging software (PHOTOSHOP, Adobe Systems, San Jose, CA, yield the PDL width.
USA), the images obtained from each zone were then
assembled to picture the entire circumference of the PDL
Boundaries between PDL and bone and between PDL
(Fig. 3A). Next, all visible blood vessels (no less than 6 pixel
and cementum
in diameter) were filled with a white background color to
allow their detection in the subsequent automated steps The fractal dimensions of the two boundary tissues were
(Fig. 3B). The resulting images with white-filled blood assessed to quantify the tortuous windings of their paths.
vessels were then processed with a custom-made software The following expressions were used to obtain the fractal
(LABVIEW, National Instruments, Oak Ridge, TN, USA). After dimension of the selected specimens (Krappraff, 1986;
the operator had manually declared a PDL area between Borodich, 1997):
the alveolar bone and the root surface as the region of
interest (ROI), using threshold-based routines, the soft- L(ε) = Kε1−D (1)
ware calculated both the surface (in pixels) of the ROI and
the total surface of the blood vessels. With the aid of a L(ε) is the length of the line obtained when using the
standard gauge, it was determined that 1 mm corre- measuring unit (or scale) ε. K and D are parameters. L(ε) is
sponded to 770.3 pixels in our system. Hence the program experimentally obtained by
eventually provided the PDL and the blood vessel areas
([px2] [mm2]), the blood vessel area fraction (percent of L(ε) = εN(ε) (2)
blood vessel total surface vs. PDL surface), the number of
blood vessels contained in the ROI and the numerical where N(ε) is the number of times that the unit ε fits into
density (number of blood vessels/PDL area [mm−2]). Last, de measured curve.
the diameters of all blood vessels were extracted from the The real length L of the curve is thus defined as
image. Since the cross-sections of the blood vessels did not
appear as a perfect circles but mostly as ellipses (many L = limε→0 L(ε) (3)
blood vessels are not exactly normal in the transverse
section), it was decided to set the diameters to the small It has been empirically determined that the numbers
axes of the ellipses. N(ε) satisfy the law
N(ε) = KεD (4) thickness and density varied according to site. Irrespective
of the root depth, the buccal and lingual bone of the
from which relation (1) can be derived. alveolar process consisted of thick cortical bone plates,
The exponent D in equation (1) is referred to as the fractal whereas the interdental bone septum was extremely thin,
dimension of the line. When D ≈ 1 the boundary is smooth, sometimes even non-existent. The interradicular bone
whereas for larger Ds the tortuousness of the border is increased. septum was trabecular and porous – the porosity increasing
D is experimentally determined by plotting L(ε) vs. ε on in the apical direction. The PDL contained a variable
logarithmic x- and y-scales and then measuring the slope number of large blood vessels (Fig. 3A) and was rich in cells
of the line obtained (slope = 1 – D). and fibers (Fig. 3B). The principal PDL fibers were anchored
In the present study, four different specimens per location as Sharpey’s fibers inside the alveolar bone (Fig. 4A,C) and
were examined. ε was taken equal to 1, 1/3, 1/9 and 1/27. the cementum (Fig. 4B,D). Tissue maceration prior to
These unit gauges were manually fitted to the intricacies embedding in LR White resulted in the removal of the
of the bone and cementum boundaries. The number of cells, leaving the collagen bundles intact (Fig. 4C,D). Due
times (N) that the gauge fitted the curve was recorded. to active or previously active remodeling activity, fiber
insertion into bone was not present at all sites (Fig. 5A,B).
In general, the morphology of the alveolar bone was
Results indicative of high bone turnover. In contrast, the remodeling
activity in the cementum appeared to be lower than in the
Descriptive histology
alveolar bone (Fig. 5A,B). Resorption lacunae were hardly
For all root levels, the distal root of the mandibular first detected along the cementum surface (Fig. 5C). Soft tissue
molar was wider than the mesial root (Fig. 2A,B). Both bone channels, however, were frequently observed in the
cementum, particularly in the apical root portion (Fig. 5D). the blood vessels were located in hard tissue indentations
These soft tissue channels contained blood vessels. The and a sizeable amount of the collagen fibers were oriented
presence of Howship’s lacunae without (Fig. 5E) and with in parallel bundles, particularly at wide PDL sites. (4) In
(Fig. 5F) new cementum deposition was indicative of some location ml (Fig. 6D), the cementum and bone contours,
remodeling activity in the deeper layers of the cementum. the number of blood vessels, and connective tissue fiber
Along the entire root length, the cementum was of a mixed orientation were variable. (5) In location mm (Fig. 6E), the
type, that is, containing lacunae with both cementocytes cementum contour was flat and the bone contour was a
and Sharpey’s fibers (Fig. 5B,E,F). little jagged. The number of blood vessels was variable
Figure 6 shows representative micrographs illustrating and many collagen fibers were functionally oriented. (6) In
the six locations investigated. All six revealed large variations location mb (Fig. 6F), the cementum and bone contours
in PDL width, area fraction of blood vessels, number of were essentially flat, the number of blood vessels was
blood vessels, amount and orientation of collagen fiber variable, and some of the collagen fibers were functionally
bundles, and surface contour of both alveolar bone and oriented.
cementum. A qualitative assessment of the six locations at
four different root depths showed the following: (1) In
Histomorphometry
location dl (Fig. 6A), the cementum and bone contours
were rather jagged and undermined. Blood vessels were Blood vessel surface
large and numerous; many of them were found in The area fraction of blood vessels is presented in Fig. 7.
indentations of the mineralized tissues. Some principal The lowest and highest absolute values for the area fraction
PDL fibers were functionally oriented. (2) In location dd of blood vessels were 7.0% and 34.2%, respectively, and
(Fig. 6B), the cementum and bone contours appeared in the values pooled per region varied from 11.9% (dl) to
variable configurations. Blood vessels were numerous but, 23.5% (dd). ANOVA and Scheffe’s analyses revealed a sig-
in comparison with location dl, fewer were functionally nificant (P < 0.05) difference between locations, that is,
oriented. (3) In location db (Fig. 6C), the cementum contour the more coronal the section, the larger the area fraction
was variable and the bone contour was often jagged. of blood vessels. The lowest and highest absolute numbers
Blood vessels were numerous where the PDL was thin and of blood vessels per mm2 were 26 and 112, respectively,
less numerous in zones where the PDL was thick. Many of and the data pooled per region ranged from 28.0 (dl) to
49.72 (ml). The blood vessel diameters at the buccal Fractal dimensions of the cementum and bone surfaces
locations were significantly greater (P < 0.05) than at all
The fractal dimensions of the cementum and bone con-
other locations, and the smallest blood vessels were found
tours are shown in Table 1. The fractal dimensions of the
at the lingual location of the distal root.
cementum and alveolar bone ranged from 1.01 to 1.10
and from 1.06 to 1.22, respectively. For all locations except
PDL width ‘dd’ the fractal dimensions of the bone contour were
higher than those of the cementum surface.
The PDL widths are presented in Fig. 8. The mean PDL
width for all 95 measurements was 551 ± 125 μ m
(mean ± SD) with the lowest and highest values meas- Polarized light microscopy
uring 221 μm and 785 μm, respectively. For all locations,
there was an increase of the PDL width from coronal to Polarized light microscopy was performed to better visualize
apical. the density and architecture of the PDL collagen fiber
Table 1 Fractal dimensions (D) for cementum and bone at the six should not be written as any ‘best fit’ function). Further,
peripheral locations for a given tissue type, the basic response should be modeled
within the equation system. Refinements pertaining to
Cementum Bone contour species should be obtained by adjusting tissue-specific
Location contour (#specimens)
parameters.
dL (4) 1.10 ± 0.05 1.22 ± 0.08
The drawback of this approach is that it discounts the
dd (4) 1.09 ± 0.06 1.06 ± 0.03 stabilizing effect of the vasculature and does not (as yet)
db (4) 1.08 ± 0.05 1.18 ± 0.05 establish a link between local tissue response and global
mL (4) 1.05 ± 0.02 1.07 ± 0.04 tooth movements. Both these issues have been discussed
mm (2) 1.01 ± 0.02 1.14 ± 0.04 in previous reports (Pini et al. 2002; Sanctuary et al. 2005;
mb (4) 1.01 ± 0.01 1.04 ± 0.01 Sanctuary et al. 2006).
pattern of resorptive activity could be deduced from the in the apical root portion, contained soft tissue channels
present material. When compared to bovines, human with blood vessels. This is in contrast to human teeth which
teeth have a lower incidence of remodeling activity. This are not known to present vascularized soft tissue channels
observation is probably related to different mastication inside the cementum (for a review, see Bosshardt, 2005). It
patterns as cattle are ruminant herbivores with extreme suggests that cementum in the apical root portion has
horizontal tooth displacements during grinding. Although more bone-like features in bovine than in human teeth.
most remodeling activity was observed in the alveolar The presence of blood vessels may enable more cementocytes
bone, the root cementum also showed histological signs of to survive in the deeper layers and/or to play a role in
moderate remodeling activity, albeit to a much lesser cementum remodeling.
degree than in the alveolar bone. The permanent eruption
of bovine molars results in the formation of thick layers of
Site-specific characteristics of the bovine attachment
cementum on the roots and the cervical portion of the
apparatus
crown (Ainamo, 1970). This continuous process, which
requires rapid cementum deposition, may contribute to In contrast to the surface-stained ground sections viewed
the high remodeling activity in the bovine periodontium. under bright field illumination, polarized light microscopy
An interesting finding was that the cementum, particularly allowed a more detailed visualization of the PDL connective
tissue fibers. These images demonstrated a high degree of width of the bovine teeth may have been caused by higher
randomness in terms of fiber density and orientation ranging functional loads in herbivores. In human teeth, the PDL is
from compact and highly organized architectures to always thinnest at the mid-level of the root (Schroeder,
rather low fiber density and organization. In the most 1986) whereas in the present study a consistent increase in
apical root segment, fiber density was lowest and its PDL width from coronal to apical was noted. This observation
architecture showed the least degree of structuring. implies that samples for biochemical testing should be
There was one site, however, which quite consistently extracted from similar root levels (although large differences
demonstrated a high degree of fiber organization. This were observed between animals as well).
site was located at the bucco-mesial aspect of the distal
root at levels b, c and d. Since the fibers are predictably
organized and the buccal bone plate is very thick, these
Conclusions
sites may be regarded as the most suitable locations for The present study provided the baseline information on
harvesting samples for mechanical testing. the tooth attachment apparatus in bovine mandibular first
A remarkable difference between the bovine mandibular molars which should assist in planning and conducting
first molar and human teeth is the distribution pattern of future biomechanical studies of the PDL. The histological
types of cementum. While the coronal half of human roots observations and the histomorphometric data indicate
is covered with acellular extrinsic fiber cementum, and that the morphology of the PDL is highly inhomogeneous
the apical root portion and the furcation is covered with around a given tooth and between teeth without pre-
cellular mixed stratified cementum, there was only one dictable pattern between sites and animals. While the
type of cementum found in bovine teeth, that is, a mixed most apical root portion is not recommended for harvesting
type consisting of embedded cells (i.e. cementocytes) and samples for biomechanical tests, the buccal and lingual
Sharpey’s fibers. This has implications on stress distribution aspects of the mesial and distal root – along with the bucco-
and dissipation around the roots as, due to its high mesial aspect of the distal root – appear to be the most
number of inserting Sharpey’s fibers, acellular extrinsic suitable locations.
fiber cementum is a major contributor to the attachment
function (Bosshardt & Selvig, 1997). In general, in the
Acknowledgments
bovine molar, there appears to be a lower but more homo-
geneous number of fibers inserting into the cementum The authors gratefully acknowledge the technical assistance of
Mrs M. Aeberhard and Mrs E. Wagner and the help of Professors
along the root.
J. Botsis and U. Belser. This study was supported by the Swiss
The maceration of the tissue samples removed cells National Science Foundation (grants no. 3252-068162.02/1 and
and parts of the noncollagenous proteins but leaving the 21-64562.01).
collagen structure intact. Thus far, the NaOH maceration
has been used to visualize fiber architecture in scanning
electron microscopy. To our knowledge, this is the first
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