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衰老和牙髓治疗对人牙本质热稳定性的影响。

Effect of ageing and endodontic treatment on the thermal stability of human dentin.

作者信息

Karteva Ekaterina, Manchorova Neshka, Petrova Nadia, Damyanov Zhelyazko, Vladimirov Stoyan

机构信息

Department of Operative Dentistry and Endodontics, Medical University - Plovdiv, Plovdiv, Bulgaria.

Institute of Mineralogy and Crystallography, Bulgarian Academy of Sciences, Sofia, Bulgaria.

出版信息

Biomed Mater Eng. 2019;30(2):145-156. doi: 10.3233/BME-191040.

Abstract

BACKGROUND

Human dentin is a highly calcified tissue of mesenchymal origin with a heterogeneous structure. Its morphology is constantly remodelled throughout the life span of the tooth, as well as under the influence of external stimuli.

OBJECTIVE

The aim of the present study was to obtain information about the thermal changes in the crown and root dentin specimens of vital and devitalized teeth.

METHODS

The investigated samples were divided into 6 groups, depending on the patients' age and dentin location (crown, root). An additional group of endodontically treated teeth was created. The methods of choice were were combined thermal analysis (DTA-TG(DTG)-MS and gas chromatography-mass spectrometry.

RESULTS

After heating up to 1200 °C, endo- and exothermal effects were observed. The effects' dynamic was the same for all samples. The differences were in the samples' weight after the experiment, with root dentin showing the greatest mass loss percentage.

CONCLUSIONS

The observed mass loss differences could be attributed to the presence of impurities in the dentin, as well as alterations in the collagen matrix. Ageing and endodontic treatment could catalyse the accumulation of such changes and affect the microstructure of the mineralized tissue.

摘要

背景

人牙本质是一种间充质来源的高度钙化组织,结构不均一。其形态在牙齿的整个生命周期中以及在外部刺激的影响下不断重塑。

目的

本研究的目的是获取有关活髓牙和失活牙髓牙的冠部和根部牙本质样本热变化的信息。

方法

根据患者年龄和牙本质位置(冠部、根部),将研究样本分为6组。另外设立一组经过牙髓治疗的牙齿。选择的方法是综合热分析(差示热分析-热重(微商热重)-质谱联用)和气相色谱-质谱联用。

结果

加热至1200℃后,观察到吸热和放热效应。所有样本效应的动态变化相同。差异在于实验后样本的重量,根部牙本质的质量损失百分比最大。

结论

观察到的质量损失差异可能归因于牙本质中杂质的存在以及胶原基质的改变。衰老和牙髓治疗可能会催化此类变化的积累并影响矿化组织的微观结构。

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