Jyväsjärvi E, Kniffki K D
Department of Physiology, University of Helsinki, Finland.
Proc Finn Dent Soc. 1992;88 Suppl 1:533-42.
The present investigation describes how intradental afferent C-fibers can be identified and characterized in the anaesthetized cat. Functional single fibers innervating the lower canine tooth were recorded from filaments split from the inferior alveolar nerve. Fibers responding to monopolar electrical stimulation of the tooth were classified as slowly and fast conducting according to their conduction velocity (c.v.). The axonal c.v. was determined for 31 slowly conducting fibers by electrical stimulation of the nerve. Sixty-eight percent of these proved to be C-fibers. The slowly conducting fibers had higher activation thresholds, smaller amplitudes and longer durations of the action potentials than the fast conducting fibers. Many of the fast but none of the slowly conducting fibers were repetitively activated by a single stimulus pulse. The highest frequency at which the fibers responded to every stimulus pulse was much lower for the slowly than for the fast conducting fibers. Most of the slowly conducting intradental fibers tested were activated by both hot and cold stimulation of the tooth, by pressure applied to the pulp chamber and by the application of KCl or bradykinin to the pulp. Eight C-fibers responded to mechanical stimulation of the pulp. For some fibers the response magnitude correlated with the stimulus intensity. Many slowly conducting intradental fibers developed an ongoing discharge after heat and pressure stimulation. The results indicate that there exists in the dental pulp of the cat afferent C-fibers that resemble polymodal C-nociceptors. They might be involved in the generation of the dull aching pain present in inflammatory conditions of the pulp. The activation of intradental C-fibers in pulpitis might result either from the elevated pressure and/or by sensitization of the C-fiber endings by inflammatory substances released.
本研究描述了如何在麻醉猫中识别和表征牙髓传入C纤维。从下牙槽神经分离出的细丝中记录支配下犬齿的功能性单纤维。根据其传导速度(c.v.),将对牙齿进行单极电刺激有反应的纤维分为慢传导纤维和快传导纤维。通过电刺激神经,测定了31根慢传导纤维的轴突传导速度。其中68%被证明是C纤维。与快传导纤维相比,慢传导纤维的激活阈值更高,动作电位的幅度更小,持续时间更长。许多快传导纤维但没有慢传导纤维被单个刺激脉冲重复激活。慢传导纤维对每个刺激脉冲的最高反应频率远低于快传导纤维。大多数测试的牙髓慢传导纤维在牙齿受到热刺激和冷刺激、对牙髓腔施加压力以及向牙髓施加氯化钾或缓激肽时都会被激活。8根C纤维对牙髓的机械刺激有反应。对于一些纤维,反应幅度与刺激强度相关。许多牙髓慢传导纤维在热刺激和压力刺激后出现持续放电。结果表明,猫牙髓中存在类似多模式C伤害感受器的传入C纤维。它们可能参与了牙髓炎症时出现的钝痛的产生。牙髓炎中牙髓C纤维的激活可能是由于压力升高和/或炎症物质释放使C纤维末梢致敏所致。