Clinic of Oral- and Maxillofacial Surgery, Translational Implantology, Medical Center Freiburg - Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Private Practice for Oral and Maxillofacial Surgery, Munich, Germany.
Clin Exp Dent Res. 2020 Jun;6(3):373-380. doi: 10.1002/cre2.283. Epub 2020 Mar 28.
Cryopreservation is discussed as a viable method of preserving teeth for determined autogenous tooth transplantation. Unchanged physical properties of hard tooth tissues are crucial for functional healing. Due to different thermal expansion coefficients of enamel and dentin or the crystallization process, the freezing process may lead to crack formation, which could adversely impact the long-term prognosis of the teeth.
Twenty third molars (n = 20) were frozen slowly using a conservative cryopreservation protocol and stored at -80°C (group 1) and -196°C (group 2). After a storage time of 2 weeks, the samples were thawed to a temperature of +36°C and embedded in polymethyl methacrylate blocks. Cyclic loading was carried out using a spherical steel test specimen with 50,000 mechanical load cycles, followed by load to failure testing for determination of critical load.
No significant difference in the first load drop could be detected during the load to failure test under different storage conditions. The values until fracture correlated very closely in contralateral tooth pairs, which emphasizes the importance of crown geometry in load to failure tests.
Conclusions: Cryopreservation, specifically the storage temperature, does not appear to have a significant effect on the physical properties of tooth transplants.
冷冻保存被认为是一种可行的方法,可以保存牙齿以备确定的自体牙移植。硬组织的物理性质不变对于功能愈合至关重要。由于釉质和牙本质的热膨胀系数不同或结晶过程,冷冻过程可能导致裂纹形成,这可能对牙齿的长期预后产生不利影响。
使用保守的冷冻保存方案将 20 颗第三磨牙(n=20)缓慢冷冻,并在-80°C(第 1 组)和-196°C(第 2 组)下储存。储存 2 周后,将样本解冻至+36°C,并嵌入聚甲基丙烯酸甲酯块中。使用具有 50,000 个机械负载循环的球形钢测试样本进行循环加载,然后进行负载至失效测试以确定临界负载。
在不同储存条件下进行的负载至失效测试中,第一次负载下降没有明显差异。在对侧牙对中,直至断裂的数值非常接近,这强调了牙冠几何形状在负载至失效测试中的重要性。
冷冻保存,特别是储存温度,似乎对牙移植的物理性质没有显著影响。