Schellenberg U, Krey G, Bosshardt D, Nair P N
Department of Oral Structural Biology, Dental Institute, University of Zurich, Switzerland.
J Endod. 1992 Mar;18(3):104-9. doi: 10.1016/s0099-2399(06)81308-7.
This study provides base line data on the density of dentinal tubules at the pulpal wall of permanent human premolars and third molars. A total of 125 healthy teeth removed for orthodontic (premolars) or other reasons (third molars) were used. After fixation the teeth were divided in the desired planes so as to obtain mesial/distal, vestibular/oral, and occlusal segments. The soft tissue was removed using 5% sodium hypochlorite (NaOCI) solution and the specimens were processed for scanning electron microscopy. Micrographs of standard magnification were taken from nine specific sites from the premolars and five from the third molars. The number of tubules present in an area representing 4000 microm2 was counted from each of the 780 micrographs, based on which the tubule density per mm2 for each tooth site was calculated. For the premolars the coronal dentin showed significantly higher tubule density than the radicular dentin. From the cementoenamel junction to mid-root level the average density of tubules declined by about one third to one half. At the level of the cementoenamel junction, the opposing mesial/distal and vestibular/oral sides showed a similar number of tubules per mm2. However, the number of tubules present on the vestibular/oral walls was significantly higher than those on the mesial/distal walls. The regional differences were less pronounced at the mid-root level of radicular dentin. For both the maxillary and mandibular third molars no significant regional difference in tubule density could be observed among the five sites examined. The mesial, distal, and occlusal walls of the mandibular third molar showed significantly greater tubule density than that of the respective walls of the maxillary third.
本研究提供了关于人类恒牙前磨牙和第三磨牙牙髓壁牙本质小管密度的基线数据。共使用了125颗因正畸(前磨牙)或其他原因(第三磨牙)拔除的健康牙齿。固定后,将牙齿沿所需平面切开,以获取近中/远中、前庭/口腔和咬合面部分。使用5%次氯酸钠(NaOCI)溶液去除软组织,并对标本进行扫描电子显微镜处理。从前磨牙的九个特定部位和第三磨牙的五个特定部位拍摄标准放大倍数的显微照片。从780张显微照片中的每一张中,计算代表4000平方微米区域内的小管数量,并据此计算每个牙齿部位每平方毫米的小管密度。对于前磨牙,冠部牙本质的小管密度显著高于根部牙本质。从牙骨质釉质界到牙根中部水平,小管的平均密度下降了约三分之一到二分之一。在牙骨质釉质界水平,相对的近中/远中侧和前庭/口腔侧每平方毫米的小管数量相似。然而,前庭/口腔壁上的小管数量明显高于近中/远中壁。在牙根牙本质的中部水平,区域差异不太明显。对于上颌和下颌第三磨牙,在所检查的五个部位之间未观察到小管密度的显著区域差异。下颌第三磨牙的近中、远中和咬合面壁的小管密度明显高于上颌第三磨牙相应壁的小管密度。