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乳牙牙骨质釉质界:扫描电镜形态学

Cementoenamel junction of deciduous teeth: SEM-morphology.

作者信息

Ceppi E, Dall'Oca S, Rimondini L, Pilloni A, Polimeni A

机构信息

Department of Periodontology, University of Rome La Sapienza, Italy.

出版信息

Eur J Paediatr Dent. 2006 Sep;7(3):131-4.

Abstract

AIM

The aim of this study was to investigate the cementoenamel junction of a group of 11 primary sound mandibular incisors extracted for orthodontic reasons.

MATERIALS AND METHODS

Eleven caries and defect-free human inferior deciduous incisors were extracted for orthodontic reasons and the cementoenamel junction was investigated by scanning electron microscopy (SEM). The types of tissue interrelations were classified in four possible categories: 1) cementum and enamel edge-to-edge, 2) cementum overlapped by enamel, 3) enamel overlapped by cementum, 4) presence of exposed dentin between enamel and cementum.

RESULTS

In our observations root cementum and enamel edge-to-edge interrelation was the most frequent feature observed in overall sample, root cementum overlapping enamel tissues was observed in more than one third of the cementoenamel junction area, exposed dentin was a rare observation. In few, small and rare areas enamel overlapped cementum. Further studies could determine statistical prevalence.

CONCLUSION

The cementoenamel junction of primary teeth differs from that of permanent teeth, the scarcity of gaps between cementum and enamel, the epithelial junction at the equator of the crown and the globosity of the crown are probable protective factors toward decay susceptibility.

摘要

目的

本研究旨在调查一组因正畸原因拔除的11颗健康乳牙下颌切牙的牙骨质釉质界。

材料与方法

选取11颗无龋坏和缺损的人类下颌乳切牙,因正畸原因拔除,采用扫描电子显微镜(SEM)对牙骨质釉质界进行研究。组织相互关系类型分为四类:1)牙骨质与釉质端端相接;2)牙骨质被釉质覆盖;3)釉质被牙骨质覆盖;4)牙釉质与牙骨质之间存在暴露的牙本质。

结果

在我们的观察中,牙根牙骨质与釉质端端相接的关系是整个样本中最常见的特征,在超过三分之一的牙骨质釉质界区域观察到牙根牙骨质覆盖釉质组织,暴露牙本质的情况很少见。在少数小的、罕见区域,釉质覆盖牙骨质。进一步研究可确定统计学患病率。

结论

乳牙的牙骨质釉质界与恒牙不同,牙骨质与釉质之间间隙稀少、牙冠赤道处的上皮连接以及牙冠的球形可能是对龋齿易感性的保护因素。

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