ABSTRACT
Blood vessel features in periodontal pocket soft tissues may be significant in the pathogenesis and progression of chronic periodontitis. The aim of this study was to make a quantitative histological assessment of the vasculature in soft tissue biopsies from patients with chronic adult periodontitis and patients with healthy periodontal tissues. We have also investigated changes in tissue morphology at both the histological and ultrastructural level. Twelve interdental biopsies were obtained, 6 from chronic adult periodontitis patients and 6 from healthy volunteers. The specimens were sliced, fixed in 3% glutaraldehyde, postfixed in 1% buffered osmium tetroxide, dehydrated, and embeded in araldite. One micron semithin sections were differentially stained with a dichromatic technique. The number of blood vessels (BV) for sub-epithelial, superficial and deep connective tissue layers were then assessed. Only in the sub-epithelial connective tissue layer was there a significant increase in the number of blood vessels (95% Confidence interval [CI]) in the chronic adult periodontitis specimens when compared to healthy specimens. The results of this study seem to indicate that a dichromatic staining technique facilitates the identification and quantification of blood vessels in epoxy resin embedded specimens at light microscope level, and that there is an increase in the number of blood vessels in the chronic adult periodontitis lesions.
Subject(s)
Gingiva/blood supply , Periodontitis/pathology , Adult , Analysis of Variance , Case-Control Studies , Chronic Disease , Connective Tissue/blood supply , Endothelium, Vascular/pathology , Endothelium, Vascular/ultrastructure , Epithelial Attachment/blood supply , Female , Humans , Male , Microcirculation/pathology , Microcirculation/ultrastructure , Neovascularization, Pathologic , Neutrophils/ultrastructure , Tissue EmbeddingABSTRACT
Generally it is believed that one of the causes of vascular expansion is the increase in length of small capillaries, which in turn is attributed to an increase in the number of endothelial cells. In this report we suggest a new hypothesis for a different mechanism for the increased length of small capillaries, which excludes an increase in the number of endothelial cells. This hypothesis is based upon the possibility of a longitudinal expansion of blood vessels, and has been explained and justified through a series of mathematical examples.
