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[上颌恒切牙牙根吸收的组织学研究]

[Histological study on root resorption of upper permanent incisor].

作者信息

Harada K, Arita K, Nishino M

出版信息

Shoni Shikagaku Zasshi. 1989;27(3):663-71.

PMID:2489879
Abstract

In the permanent tooth, physiological root resorption does not occur, but inflammatory resorption occurs due to the orthodontic force, ectopic eruption of neighboring tooth and others. In this study, the morphological and histological investigation of the root resorption of the upper permanent incisors caused by the ectopic eruption of the canine was carried out. The left central incisor and lateral incisor from a 12-year-old female were examined. The roots were resorbed almost completely, and in part the resorption extended into the enamel. The results were as follows: 1. In the resorbed dentine, two types of resorption lacuna were observed. One was in direct contact with resorption tissue and the other was repaired with cementum-like tissue. 2. In the resorption lacuna, no odontoclast was recognized. 3. The pulp tissue was normal and the internal resorption was not seen. 4. On the wall of the root canal connected with root resorption, a large amount of hard tissue was formed, and on the external surface of the root, secondary cementum was formed on the primary cementum. 5. Under the scanning electron microscope, the clear dentine tubules in the resorption lacuna, the shallow, unclear resorption lacuna with deposition of the hard tissue and the various steps between them were observed.

摘要

在恒牙中,不会发生生理性牙根吸收,但由于正畸力、邻牙异位萌出等原因会发生炎性吸收。在本研究中,对犬牙异位萌出导致的上颌恒切牙牙根吸收进行了形态学和组织学研究。检查了一名12岁女性的左中切牙和侧切牙。牙根几乎完全被吸收,部分吸收延伸至牙釉质。结果如下:1. 在吸收的牙本质中,观察到两种类型的吸收陷窝。一种与吸收组织直接接触,另一种被类牙骨质组织修复。2. 在吸收陷窝中,未识别出破牙细胞。3. 牙髓组织正常,未见内部吸收。4. 在与牙根吸收相连的根管壁上,形成了大量硬组织,在牙根外表面,在原发性牙骨质上形成了继发性牙骨质。5. 在扫描电子显微镜下,观察到吸收陷窝中清晰的牙本质小管、有硬组织沉积的浅而不清晰的吸收陷窝以及它们之间的各种阶段。

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