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恒牙上前磨牙牙本质小管结构的研究:扫描电镜评估

Study of dentinal tubule architecture of permanent upper premolars: evaluation by SEM.

作者信息

Harrán Ponce E, Canalda Sahli C, Vilar Fernandez J A

机构信息

School of Dentistry, University of Barcelona, Barcelona, Spain.

出版信息

Aust Endod J. 2001 Aug;27(2):66-72. doi: 10.1111/j.1747-4477.2001.tb00343.x.

Abstract

Dentinal tubules are the means by which the pulp and mineralised tissues surrounding the dentine (enamel and cementum) communicate. Through these tubules external agents can damage the pulp and subsequently the periodontal ligament. Given the importance of dentinal tubules, the authors evaluated the numerical density, shape, and individual surface area of tubule openings and the percentage of dentine occupied by these. Eight permanent upper premolars were studied using scanning electron microscopy (SEM). In the crown, the external surface of the dentine was evaluated at the dentino-enamel junction and the internal surface at the pulp chamber wall. At the cervical, middle and apical thirds of the root, the external surface was evaluated at the cemento-dentinal junction and the internal surface at the root canal wall. The results showed that numerical density of tubule openings is significantly greater (p < 0.05) at the cervical third of the dentine, at its junction with the cementum and at the pulpal chamber wall, with respect to other areas evaluated. The individual surface area of each opening varied from 5.72 microns 2 in the dentine of the pulpal chamber wall to 0.97 micron 2 in the dentine of the apical third of the root canal wall. The percentage of area occupied by the dentinal tubules per mm2 of dentine was significantly higher (p < 0.01) at the internal dentinal surface as compared to the external. The shape of the tubule openings was found to be circular in the crown and became more irregular as the apical third of the root was approached.

摘要

牙本质小管是牙髓与牙本质周围矿化组织(牙釉质和牙骨质)之间进行交流的途径。通过这些小管,外界因素可损伤牙髓,进而损伤牙周韧带。鉴于牙本质小管的重要性,作者评估了小管开口的数量密度、形状、单个表面积以及这些开口在牙本质中所占的百分比。使用扫描电子显微镜(SEM)对8颗上颌恒前磨牙进行了研究。在牙冠部,在牙本质-牙釉质交界处评估牙本质的外表面,在牙髓腔壁评估内表面。在牙根的颈部、中部和根尖三分之一处,在牙骨质-牙本质交界处评估外表面,在根管壁评估内表面。结果显示,相对于其他评估区域,在牙本质颈部三分之一处、其与牙骨质的交界处以及牙髓腔壁处,小管开口的数量密度显著更高(p < 0.05)。每个开口的单个表面积从牙髓腔壁牙本质中的5.72平方微米到根管壁根尖三分之一处牙本质中的0.97平方微米不等。每平方毫米牙本质中牙本质小管所占面积的百分比在内侧牙本质表面显著高于外侧(p < 0.01)。发现小管开口在牙冠部呈圆形,随着接近根尖三分之一处变得更加不规则。

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