Senawongse Pisol, Otsuki Masayuki, Tagami Junji, Mjör Ivar A
Department of Operative Dentistry, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand.
Arch Oral Biol. 2008 Jan;53(1):14-9. doi: 10.1016/j.archoralbio.2007.07.010. Epub 2007 Sep 6.
Dentine is a vital tissue that can be changed by physiological and pathological condition. The purpose of this study was to clarify the morphology and permeability of dentine that changed by wearing process.
Twenty extracted human molars with enamel attrition and dentine was exposed and 20 intact human extracted third molars that had not reached occlusion were used. Ten teeth per each group were observed under light microscope (LM) and transmission electron microscope (TEM). Remaining 10 teeth per each group were subjected for evaluation of dentine permeability.
Under LM, the transparent dentine and reactionary dentine were found in the attrition group but were not found in the group unaffected by attrition. When the transparent dentine were examined under the TEM, it was found that dentinal tubules were partially or completely occluded by growth of peritubular dentine or by precipitation of needle-like or rhombohedral crystals in transparent dentine. In reactionary dentine, tubular dentine structures that were comparable to those in secondary physiologic dentine were observed whereas atubular dentine demonstrated occlusion of tubules by high mineral substances or by peritubular dentine under the TEM. Permeability of dentine from worn teeth was less than those from unoccluded teeth significantly.
Change in dentine by wear resulted in the formation of reactionary dentine and transparent dentine that illustrated various types and degrees of tubular occlusion. These decrease the dentine permeability.
牙本质是一种重要组织,会因生理和病理状况而发生变化。本研究的目的是阐明磨损过程中牙本质的形态和渗透性变化。
选取20颗牙釉质磨损且牙本质暴露的拔除人类磨牙以及20颗未萌出的完整拔除人类第三磨牙。每组10颗牙在光学显微镜(LM)和透射电子显微镜(TEM)下观察。每组剩余10颗牙用于评估牙本质渗透性。
在光学显微镜下,磨损组发现了透明牙本质和反应性牙本质,未受磨损组未发现。在透射电子显微镜下观察透明牙本质时,发现牙本质小管部分或完全被管周牙本质生长或透明牙本质中针状或菱形晶体沉淀所阻塞。在反应性牙本质中,观察到与继发性生理性牙本质中类似的管状牙本质结构,而在透射电子显微镜下,无管牙本质显示小管被高矿物质或管周牙本质阻塞。磨损牙齿的牙本质渗透性明显低于未萌出牙齿。
磨损导致牙本质变化,形成反应性牙本质和透明牙本质,表现出不同类型和程度的小管阻塞。这些变化降低了牙本质渗透性。