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不同牙科车针对实验性诱导小鼠牙髓炎的影响。

Effect of different dental burs for experimental induction of pulpitis in mice.

机构信息

Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, China.

Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, China.

出版信息

Arch Oral Biol. 2017 Nov;83:252-257. doi: 10.1016/j.archoralbio.2017.08.002. Epub 2017 Aug 11.

DOI:10.1016/j.archoralbio.2017.08.002
PMID:28829993
Abstract

OBJECTIVE

To evaluate the effect of using different dental burs on the development of pulpal inflammation after pulpal exposure in mice.

DESIGN

Eighty-eight CBL/6 mice were randomly assigned to group A (n=40), group B (n=40) and control group (n=8). The pulps of the maxillary first molars were occlusally exposed using ¼ round burs and polishing burs in group A and B respectively. Animals were sacrificed randomly at 0h, 4h, 8h, 12h and 24h after pulpal exposure. Micro-CT scanning was used to determine the success rate of sample preparation. Pulpal tissue changes were evaluated by histopathologic and immunohistochemical analyses.

RESULTS

The success rates of sample preparations were 85% in group A and 90% in group B. The mean maximum diameter of pulpal exposure area was 625.6±30.6μm in group A and 402.7±18.0μm in group B (p<0.05). In addition, the mean of the minimum remaining dentine thickness at the marked region of interest was 133.2±29.9μm in group A and 261.4±16.3μm in group B (p<0.05). Histopathologic staining demonstrated more signs of inflammation in both groups, as the duration of pulpal exposure increases. However, the rate of inflammatory progress was higher in group A, even spreading to the root pulp tissue within a few hours. For group B, the progress was relatively slow.

CONCLUSIONS

Pulpal exposure with different sizes of dental burs affects changes in the development of pulpal inflammation in mice.

摘要

目的

评价在磨牙牙髓暴露后使用不同牙科车针对牙髓炎症发展的影响。

设计

将 88 只 CBL/6 小鼠随机分为 A 组(n=40)、B 组(n=40)和对照组(n=8)。分别使用 1/4 圆形车针和抛光车针对 A 组和 B 组上颌第一磨牙的牙髓进行牙合面暴露。牙髓暴露后 0h、4h、8h、12h 和 24h 时随机处死动物。微 CT 扫描用于确定样品制备的成功率。通过组织病理学和免疫组织化学分析评估牙髓组织变化。

结果

A 组样本制备成功率为 85%,B 组为 90%。A 组牙髓暴露面积的最大直径平均值为 625.6±30.6μm,B 组为 402.7±18.0μm(p<0.05)。此外,A 组标记感兴趣区域的最小剩余牙本质厚度平均值为 133.2±29.9μm,B 组为 261.4±16.3μm(p<0.05)。组织病理学染色显示,随着牙髓暴露时间的延长,两组均有更多炎症迹象。然而,A 组的炎症进展速度更快,甚至在几小时内就扩散到根尖牙髓组织。对于 B 组,进展相对较慢。

结论

使用不同尺寸的牙科车针进行牙髓暴露会影响小鼠牙髓炎症发展的变化。

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