Närhi M V, Hirvonen T
Department of Physiology, University of Kuopio, Finland.
Arch Oral Biol. 1987;32(11):781-6. doi: 10.1016/0003-9969(87)90003-3.
Responses of single nerve units from the canine and incisor pulps of anaesthetized beagles to CaCl2 (3.5 M, 4.9 M and saturated) and NaCl (2.5 M and 4.0 M) were recorded. The sensitivity of these nerve units to drilling and probing of dentine, and to drying with air blasts, was also studied. Twenty-one out of 22 units responded immediately, either with a few spikes or, sometimes, with a 2-5 s train of impulses, to hypertonic CaCl2 when applied to superficial dentine. Deep in dentine, CaCl2 induced immediately responses in 15 out of 21 units. There were responses to hypertonic NaCl in 15 out of 19 units, but only when applied deep in dentine. This firing had a latency of 15-300 s (mean 94 s) and continued until the solution was washed away. Units sensitive to CaCl2 also responded to drilling, probing and drying. When applied to the exposed pulp, CaCl2 never induced nerve activity, but hypertonic NaCl induced responses in all units tested (n = 19); the latencies were 0-300 s (mean 34 s). The mechanism of nerve activation in response to hypertonic CaCl2 is probably hydrodynamic, and common to several other stimuli as in drilling, probing and air drying. Responses to hypertonic NaCl may have been induced by a direct excitatory effect of Na+-ions on the nerve endings or axons in the pulp-dentine border.
记录了麻醉后的比格犬犬齿和切牙髓中单个神经单位对氯化钙(3.5M、4.9M和饱和溶液)和氯化钠(2.5M和4.0M)的反应。还研究了这些神经单位对牙本质钻孔和探查以及用气流吹干的敏感性。22个单位中有21个单位在高渗氯化钙应用于浅表牙本质时立即做出反应,反应形式为少数几个脉冲,有时为2 - 5秒的冲动串。在牙本质深层,21个单位中有15个单位对氯化钙立即产生反应。19个单位中有15个单位对高渗氯化钠有反应,但仅在应用于牙本质深层时出现。这种放电的潜伏期为15 - 300秒(平均94秒),并持续到溶液被冲洗掉。对氯化钙敏感的单位对钻孔、探查和吹干也有反应。当应用于暴露的牙髓时,氯化钙从未诱发神经活动,但高渗氯化钠在所有测试单位(n = 19)中均诱发反应;潜伏期为0 - 300秒(平均34秒)。对高渗氯化钙的神经激活机制可能是流体动力学的,并且与钻孔、探查和空气吹干等其他几种刺激相同。对高渗氯化钠的反应可能是由钠离子对牙髓 - 牙本质交界处神经末梢或轴突的直接兴奋作用所诱发的。