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Abstract Background Tooth loss is closely related to cognitive impairment, especially affecting cognitive functions involving hippocampus. The most well‐known function of the hippocampus is learning and memory, and the mechanism behind is neuroplasticity, which strongly depends on the level of brain‐derived neurotrophic factor (BDNF). While research has delved into the possible mechanisms behind the loss of teeth leading to cognitive dysfunction, there are few studies on the plasticity of sensory neural pathway after tooth loss, and the changes in related indicators of synaptic plasticity still need to be further explored. Methods In this study, the bilateral maxillary molars were extracted in Sprague–Dawley rats of two age ranges (young and middle age) to establish occlusal support loss model; then, the spatial cognition was tested by Morris Water Maze (MWM). Quantitative real‐time PCR (qPCR) and Western Blotting (WB) were used to detect BDNF, AKT, and functional proteins (viz., PSD95 and NMDAR) of hippocampal synapses. Golgi staining was used to observe changes in ascending nerve pathway. IF was used to confirm the location of BDNF and AKT expressed in hippocampus. Results MWM showed that the spatial cognitive level of rats dropped after occlusal support loss. qPCR, WB, and IF suggested that the BDNF/AKT pathway was down‐regulated in the hippocampus. Golgi staining showed the neurons of ascending sensory pathway decreased in numbers. Conclusion Occlusal support loss caused plastic changes in ascending nerve pathway and induced cognitive impairment in rats by down‐regulating BDNF and synaptic plasticity.
Wang et al. (Sat,) studied this question.