Vagner V D, Konev V P, Korshunov A S, Kuryatnikov K N, Surkova V O, Skurikhina A P, Bondar A A
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Omsk State Medical University, Omsk, Russia.
Stomatologiia (Mosk). 2020;99(6):7-12. doi: 10.17116/stomat2020990617.
To give a quantitative and qualitative characteristic of the structure of the enamel's mineral component structure of impacted teeth with or without connective tissue dysplasia in different periods of early postnatal human ontogenesis using densitometry and atomic force microscopy.
The study involved 120 males with and without connective tissue dysplasia (CTD), which were divided into 3 equal subgroups (60 people with CTD and 60 people without CTD), 20 people in each, according to age: 15-20, 21-30, 31-40 years old. Each of the examined was removed either 3.8 or 4.8 tooth. To study the inorganic component of tooth enamel, a densitometric assessment of enamel's optical density was carried out using computed tomography in the Kodak Dental Systems software (Trophy 2000) and preparation of thin sections of tooth samples 3.8 or 4.8 for atomic force microscopy (AFM) according to the methods of Omsk State Medical University.
The structure of tooth enamel in connective tissue dysplasia in the early postpartum period of ontogenesis is characterized by pronounced polymorphisms and an insufficient level of maturity. The ordering and orientation of the enamel prisms are disturbed due to insufficient packing density and a large distance between the enamel prisms at the age of 15-20, 21-30. The established changes indicate the incomplete nature of amelogenesis with connective tissue dysplasia at the indicated ages.
In case of connective tissue dysplasia in the early postnatal period of ontogenesis, an incomplete amelogenesis is observed. This process is manifested by lower values of the mineral component's optical density, low packing of enamel prisms, a large distance between enamel prisms and their irregular shape.
运用密度测定法和原子力显微镜,对出生后早期人类个体发育不同阶段中,有无结缔组织发育异常的阻生牙釉质矿物质成分结构进行定量和定性特征分析。
该研究纳入了120名有或无结缔组织发育异常(CTD)的男性,根据年龄分为3个相等的亚组(60名有CTD者和60名无CTD者),每组20人,年龄分别为15 - 20岁、21 - 30岁、31 - 40岁。每个受试者拔除3.8或4.8号牙。为研究牙釉质的无机成分,使用柯达牙科系统软件(Trophy 2000)中的计算机断层扫描对牙釉质的光密度进行密度测定评估,并按照鄂木斯克国立医科大学的方法制备3.8或4.8号牙样本的薄片用于原子力显微镜(AFM)检查。
在个体发育产后早期,结缔组织发育异常情况下的牙釉质结构具有明显的多态性且成熟度不足。在15 - 20岁、21 - 30岁时,由于堆积密度不足以及牙釉柱之间距离较大,牙釉柱的有序性和方向性受到干扰。所确定的变化表明在上述年龄时,伴有结缔组织发育异常的釉质形成过程不完全。
在个体发育产后早期出现结缔组织发育异常的情况下,观察到釉质形成不完全。这一过程表现为矿物质成分光密度值较低、牙釉柱堆积稀疏、牙釉柱之间距离较大以及其形状不规则。