Sobolewska E
Zakładu Protetyki Stomatologicznej, Pomorskiej Akademii Medycznej w Szczecinie.
Ann Acad Med Stetin. 1999;45:253-64.
The study takes up the issue of assessing rat tissue reaction to operatively inserted implants of different acrylic resin materials used in prosthetic dentistry. The materials subjected to analysis were polyacrylics: Vertex Soft, Vertex R.S., Vertex S.C., Superacryl and silicone material Molloplast B. The prolongation of life and the dynamic development of prosthetic treatment have caused removable dentures to be used longer and among more people. Polymerised acrylic resin material of these dentures is a potential pathogenic factor to the oral cavity mucosa which is in contact with it. As many as 20 to 70% of patients using removable acrylic dentures suffer from prosthetic stomatopathy. It is considered that the mucosa irritation may be caused by denture trauma, a mycotic infection or toxic action of some components of acrylic materials. Therefore the use of new generation acrylic materials in producing prosthetic dentures needs a precise assessment of undesirable local and systemic effects. A comparative analysis of the effect of correctly polymerised acrylic material on rat mucosa, parotid glands and lymphatic nodes was carried out. Systemic toxicity of these materials was assessed. Acrylic plates were prepared from the most often used acrylic resin materials in the Department of Prosthetic Dentistry PAM and a silicone material (these materials were polymerised precisely according to the producers instruction). Before implantation the plates underwent a thermodynamic analysis in order to ensure that the polymerisation process was carried out correctly and to determine thermal resistance of particular materials. Next sterile acrylic plates were implanted in rats under general anaesthesia. The animals were divided into 6 groups, 10 rats each. In four groups acrylic plates were implanted, in one group silicone material plates were implanted and it represented the comparative group, in one control group an incision of the buccal mucosa was made. The rats were observed during a period of 6 weeks, they were weighed every two weeks and no loss in body mass was noted (Tab. 1). After 6 weeks the rats were anaesthetised with ether and dissectioned. Biopsy specimens were taken from the buccal mucosa, porotid gland and lymphatic cervical nodes around the plates in order to make histological specimens. Blood samples were also taken to carry out blood cell counts and liver tests to determine eventual systemic toxicity of the studied acrylics. Histological specimens were stained with hematoxylin and eosin. In borne cases in order to precisely assess the intercellular substance other staining methods were used such as van Gieson, PAS and silvering of precollagen fibres on reticulum. Prepared specimens were assessed in a light microscope in magnification of 80 to 400. Basing on specimens of the control group an analysis of tissue reaction to the particular tested acrylic resin material was carried out. It was ascertained that the most irritative properties to the rat buccal mucosa were caused by self-cure acrylic material--Vertex S.C. This polymer caused in all rats in the tested group a reactive hypertrophy of cervical lymphatic nodes (Tab. 2 and Fig. 3). The least damaging effect on the surrounding tissues was caused by heat-cured acrylic resin material Superacryl (Fig. 4). The tested materials had no damaging effect on the rat parotid gland and did not have a toxic action on the internal organs.
该研究探讨了评估大鼠组织对口腔修复学中使用的不同丙烯酸树脂材料手术植入物的反应这一问题。接受分析的材料有聚丙烯酸酯类:Vertex Soft、Vertex R.S.、Vertex S.C.、Superacryl以及硅酮材料Molloplast B。假牙使用寿命的延长和修复治疗的动态发展使得可摘义齿的使用时间更长,使用人群也更多。这些假牙的聚合丙烯酸树脂材料对于与之接触的口腔黏膜而言是一个潜在的致病因素。多达20%至70%使用可摘丙烯酸假牙的患者患有义齿性口炎。人们认为黏膜刺激可能是由假牙创伤、真菌感染或丙烯酸材料某些成分的毒性作用引起的。因此,在生产假牙时使用新一代丙烯酸材料需要对不良的局部和全身影响进行精确评估。对正确聚合的丙烯酸材料对大鼠黏膜、腮腺和淋巴结的影响进行了比较分析。评估了这些材料的全身毒性。用口腔修复科最常用的丙烯酸树脂材料和一种硅酮材料制备了丙烯酸板(这些材料严格按照生产商的说明进行聚合)。在植入前,对板进行了热力学分析,以确保聚合过程正确进行,并确定特定材料的耐热性。接下来,在全身麻醉下将无菌丙烯酸板植入大鼠体内。将动物分为6组,每组10只大鼠。在4组中植入丙烯酸板,在一组中植入硅酮材料板作为对照组,在一个对照组中对颊黏膜进行切口。对大鼠进行了6周的观察,每两周称一次体重,未发现体重减轻(表1)。6周后,用乙醚麻醉大鼠并进行解剖。从颊黏膜、腮腺和板周围的颈淋巴结采集活检标本,以制作组织学标本。还采集了血样进行血细胞计数和肝脏检测,以确定所研究丙烯酸材料最终的全身毒性。组织学标本用苏木精和伊红染色。在某些情况下,为了精确评估细胞间质,还使用了其他染色方法,如范吉森染色、PAS染色以及网状纤维上的前胶原纤维镀银染色。制备的标本在放大80至400倍的光学显微镜下进行评估。基于对照组的标本,对特定测试丙烯酸树脂材料的组织反应进行了分析。已确定对大鼠颊黏膜刺激性最强的是自凝丙烯酸材料——Vertex S.C.。这种聚合物在测试组的所有大鼠中都导致了颈淋巴结的反应性肥大(表2和图3)。对周围组织损伤最小的是热固化丙烯酸树脂材料Superacryl(图4)。测试材料对大鼠腮腺没有损伤作用,对内脏也没有毒性作用。