Veterinary Dental Services, Boxborough, Massachusetts, USA.
Specialty Oral Pathology for Animals, LLC, Geneseo, Illinois, USA.
J Vet Dent. 2022 Mar;39(1):21-33. doi: 10.1177/08987564211060387. Epub 2021 Nov 26.
Our prospective study analyzed clinical, radiographic, and histological characteristics of 102 intrinsically stained teeth. Sixty-nine dogs ranging from one to fifteen years of age were included in this study. Little more than half of the intrinsically stained teeth had no evidence of coronal injury (53.9%, 55/102). We found that most intrinsically stained teeth were histologically nonvital (87.6%, 85/97) and approximately 2/3 of these (57.7%, 56/97) had no histological endodontic or periodontal inflammation at the time of evaluation. Radiographic evidence of endodontic disease was present in 57% (58/102) of the intrinsically stained teeth. Radiographic evidence of periodontal disease was present in 48% (49/102) of intrinsically stained teeth and 28% (29/102) had radiographic evidence of tooth resorption. 18.6% (19/102) of intrinsically stained teeth were radiographically normal. Evidence of pulp necrosis was common in these intrinsically stained teeth, while only occasional teeth (12.4%, 12/97) had histologically confirmed pulpitis. All teeth with radiographic evidence of periapical lucency had pulp necrosis. Based on our histological findings, the majority of intrinsically stained teeth 87.6% are truly nonvital.
我们的前瞻性研究分析了 102 颗内源性染色牙的临床、放射学和组织学特征。本研究纳入了 69 只年龄在 1 至 15 岁之间的犬。超过一半的内源性染色牙没有牙冠损伤的证据(53.9%,55/102)。我们发现大多数内源性染色牙在组织学上是无活力的(87.6%,85/97),其中约 2/3(57.7%,56/97)在评估时没有组织学上的牙髓或牙周炎症。57%(58/102)的内源性染色牙有放射学证据表明存在牙髓疾病。48%(49/102)的内源性染色牙有放射学证据表明存在牙周疾病,28%(29/102)有牙吸收的放射学证据。18.6%(19/102)的内源性染色牙放射学上正常。这些内源性染色牙中牙髓坏死的证据很常见,而只有少数牙齿(12.4%,12/97)有组织学证实的牙髓炎。所有有根尖透光放射学证据的牙齿都有牙髓坏死。根据我们的组织学发现,大多数内源性染色牙(87.6%)确实是无活力的。