CHANGES IN THE CONTENT OF MACROELEMENTS IN THE BONE OF THE TEMPОROMANDIBULAR JOINT AT ITS DIABETIC DAMAGE

Authors

  • M. S. Hnatjuk I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • L. V. Rubas I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • L. V. Tatarchuk I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • R. I. Tsytsiura I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY

DOI:

https://doi.org/10.11603/mcch.2410-681X.2021.i3.12580

Keywords:

temporomandibular joint, diabetic arthropathy, macroelements, temporal bone, mandible

Abstract

Introduction. Joint damage in patients with diabetes is a fairly common complication. Peculiarities of the macroelements composition of the temporal bone and mandible and structural changes of the temporomandibular joint in diabetes have been insufficiently studied.

The aim of the study – to learn the features of the macroelements composition of the temporal bone and mandible at diabetic arthropathy of the temporomandibular joint.

Research Methods. Atomic absorption spectral analysis examined the content of macroelements (calcium, phosphorus, magnesium, sodium), the ratio of calcium to phosphorus in the temporal bone of the mandible of 45 laboratory adult white male rats, which were divided into 3 groups. Group 1 consisted of 15 intact almost healthy animals, group 2 – 15 rats with monthly diabetic arthropathy of the temporomandibular joint, group 3 – 15 animals with two-month specified pathology. Histological micronutrients were also made of the joint, temporal bone and mandible, on which the relative volumes of damaged chondrocytes and synoviocytes were determined, and the relative volumes of osteoblasts and osteoclasts in bone tissue. A correlation analysis was performed between the studied morphometric parameters and the content of macroelements. Diabetes mellitus was simulated by a single intraperitoneal injection of streptozotocin by Sigma at a dose of 50 mg/kg. Quantitative indicators were processed statistically.

Results and Discussion. It was established that in diabetic arthropathy of the temporomandibular joint the content of phosphorus, calcium and magnesium decreases disproportionately and unevenly, sodium content increases in the bone tissue of the temporal bone and mandible. It was found that the calcium content in the temporal bone in monthly diabetic arthropathy decreased by 4.8 %, and in the mandible – by 8.8 %, in two-month arthropathy, the studied indicators changed by 8.6 % and 11.6 %, respectively (p < 0.001, phosphorus – by 10 %, 15.4 %, 14.7 % and 18.9 %, respectively. The magnesium content in monthly diabetic arthropathy of the temporomandibular joint in the temporal bone decreased by 6.1 %. in the mandible – by 11.4 %, with a two-month course of simulated patho­logy – by 15.8 % and 21.8 %, respectively (p<0.001). The sodium content in the temporal bone and mandible under the studied experimental conditions increased. In simulated hyperglycemia, the Ca/P ratio varied significantly and depended on the duration of diabetic arthropathy and dominated in mandible.

Conclusions. Diabetic arthropathy of the temporomandibular joint leads to an uneven, disproportionate decrease in calcium, phosphorus, magnesium and an increase in sodium in the temporal bone and mandible. The most pronounced imbalance between the content of the studied macroelements was found in two-month diabetic arthropathy of the temporomandibular joint and in the mandible. Macroelements imbalance in the temporal bone and mandible in experimental diabetes mellitus affects the disruption of chondrogenesis, mineralization and osteogenesis.

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Published

2021-12-14

How to Cite

Hnatjuk, M. S., Rubas, L. V., Tatarchuk, L. V., & Tsytsiura, R. I. (2021). CHANGES IN THE CONTENT OF MACROELEMENTS IN THE BONE OF THE TEMPОROMANDIBULAR JOINT AT ITS DIABETIC DAMAGE. Medical and Clinical Chemistry, (3), 42–47. https://doi.org/10.11603/mcch.2410-681X.2021.i3.12580

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Section

ORIGINAL INVESTIGATIONS