Howes R I
Acta Anat (Basel). 1977;97(2):151-65.
In order to determine the intrinsic (genetic) and extrinsic (functional) parts of the naturally ankylosed tooth, a qualitative study of the development and fate of tooth buds transplanted individually or within the premaxilla was carried out. These teeth were transplanted as autografts during crown formation. They were placed in either the anterior chamber of the eye or in a dorsal subcutaneous site. Most of the 163 transplants survived and were examined at intervals from 0 to 180 days by gross, histologic and microradiographic methods. Tooth buds transplanted with or without the premaxilla were capable of growth to normal size and shape. Lack of underlying bone with which to ankylose and lack of normal oral environment and function did not prevent formation of a normal-sized root area. The root area was composed of dentin and covered by a solid, undisrupted Hertwig's epithelial root sheath which appeared to mold the root. Calcified tissue formed on the outside surface of dentin only when the root sheath was accidentally torn during transplantation.
为了确定自然融合牙的内在(遗传)和外在(功能)部分,对单独移植或在上颌前部内移植的牙胚的发育和命运进行了定性研究。这些牙齿在牙冠形成期间作为自体移植进行移植。它们被放置在眼的前房或背部皮下部位。163例移植中大多数存活,并在0至180天期间通过大体、组织学和微放射照相方法进行检查。带或不带上颌前部移植的牙胚能够生长到正常大小和形状。缺乏与之融合的下方骨以及缺乏正常的口腔环境和功能并不能阻止正常大小的牙根区域的形成。牙根区域由牙本质组成,并被坚实、未中断的赫特维希上皮根鞘覆盖,该根鞘似乎塑造了牙根。仅当在移植过程中根鞘意外撕裂时,牙本质外表面才形成钙化组织。