Edwall B, Gazelius B, Berg J O, Edwall L, Hellander K, Olgart L
Department of Pharmacology, Karolinska Institute, Stockholm, Sweden.
Acta Physiol Scand. 1987 Sep;131(1):81-91. doi: 10.1111/j.1748-1716.1987.tb08208.x.
Blood flow changes in the dental pulp of lower canine teeth of mature cats and incisors of mature rats were investigated with simultaneous laser Doppler flowmetry and local 125I-clearance (wash-out) during electrical sympathetic stimulation, efferent stimulation of n. alveolaris inferior (IAN) (cats) and i.a. infusions of substance P (SP) (cats). Stimulation (1-4 Hz, 4 V., 1.5 ms) of the cervical sympathetic trunk produced frequency-dependent decreases in both laser Doppler output and disappearance rate of iodine tracer from the dental pulp. For the effects of sympathetic stimulation, the correlation (r2) between the results obtained by the two methods was 0.89 (12 observations, six animals). Blood flow measurements by both methods were increased following i.a. infusions of SP (r2 = 0.64, six observations, three animals). However, upon stimulation of IAN (10 Hz 10 V, 5 ms) the laser Doppler flow values showed an increase while the local 125I clearance rate was unaffected or even decreased. The discrepancy between the results obtained following IAN stimulation indicates that the two methods reflect blood flow changes in different parts of the pulpal vascular bed and that the flow is unevenly distributed to these parts during antidromic IAN stimulation. The laser Doppler flowmetry seems to reflect the total blood flow in the coronal pulp and therefore this non-invasive method may be useful for monitoring blood flow changes in the tooth.
在成熟猫的下犬齿牙髓和成熟大鼠的切牙中,利用同步激光多普勒血流仪和局部¹²⁵I清除率(洗脱),在电交感神经刺激、下颌牙槽神经(IAN)传出刺激(猫)以及牙髓内注入P物质(SP)(猫)的过程中,研究了血流变化。刺激颈交感神经干(1 - 4 Hz,4 V,1.5 ms)会使激光多普勒输出以及牙髓中碘示踪剂的消失率出现频率依赖性降低。对于交感神经刺激的影响,两种方法所得结果之间的相关性(r²)为0.89(12次观察,6只动物)。牙髓内注入SP后,两种方法测得的血流量均增加(r² = 0.64,6次观察,3只动物)。然而,刺激IAN(10 Hz,10 V,5 ms)时,激光多普勒血流值增加,而局部¹²⁵I清除率未受影响甚至降低。IAN刺激后所得结果之间的差异表明,这两种方法反映的是牙髓血管床不同部位的血流变化,并且在IAN逆向刺激期间,血流在这些部位的分布并不均匀。激光多普勒血流仪似乎反映的是冠髓中的总血流量,因此这种非侵入性方法可能有助于监测牙齿中的血流变化。