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模拟牙髓微循环对牙齿表面加热后牙髓内温度变化的影响。

Effect of simulated pulpal microcirculation on intrapulpal temperature changes following application of heat on tooth surfaces.

作者信息

Kodonas K, Gogos C, Tziafas D

机构信息

Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Int Endod J. 2009 Mar;42(3):247-52. doi: 10.1111/j.1365-2591.2008.01508.x.

Abstract

AIM

To evaluate ex vivo whether a simulated pulpal microcirculation inside a pulp chamber influenced intrapulpal temperature rise following application of heat on tooth surfaces.

METHODOLOGY

An ex vivo model that allowed the circulation of 37 degrees C warm water inside the pulp chamber of an extracted human tooth was designed. The experimental model resembled pulpal microcirculation. After application of specific thermal stimuli for 30 s to the external surface of 15 maxillary central incisors, lateral incisors and canines, temperature changes were measured in the pulp chamber. The Greenhouse-Geisser and Bonferroni tests were used for analysis of the data. The level of significance was set at 0.05.

RESULTS

Significant differences were found in all three groups of teeth between temperature measurements with or without intrapulpal water flow. Additionally, temperature changes resulting from the application of different stimuli to the group of lateral incisors were significantly greater compared with the other groups of teeth (P < 0.05).

CONCLUSIONS

The importance of the cooling effect of simulated pulp microcirculation in the thermal behaviour of the dentine was established. Thickness of tooth tissue influenced significantly pulp temperature rise ex vivo.

摘要

目的

在体外评估牙髓腔内模拟的牙髓微循环是否会影响在牙齿表面施加热量后牙髓内的温度升高。

方法

设计了一个体外模型,该模型可使37摄氏度的温水在拔除的人牙牙髓腔内循环。该实验模型类似于牙髓微循环。对15颗上颌中切牙、侧切牙和尖牙的外表面施加特定热刺激30秒后,测量牙髓腔内的温度变化。采用Greenhouse-Geisser检验和Bonferroni检验对数据进行分析。显著性水平设定为0.05。

结果

在有或无牙髓内水流的情况下进行温度测量时,所有三组牙齿均存在显著差异。此外,与其他组牙齿相比,对侧切牙组施加不同刺激所导致的温度变化显著更大(P < 0.05)。

结论

确定了模拟牙髓微循环的冷却作用在牙本质热行为中的重要性。牙齿组织的厚度在体外对牙髓温度升高有显著影响。

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