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犬牙外科拔出后牙髓的微观改变。

Microscopic Alterations of the Dental Pulp in Surgically Extracted Teeth of Dogs.

机构信息

Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Zoodonto Odontologia Veterinária, Belo Horizonte, Brazil.

出版信息

J Vet Dent. 2023 Sep;40(3):227-235. doi: 10.1177/08987564231156507. Epub 2023 Feb 22.

Abstract

Microscopic alterations in the dental pulp of dogs have not been extensively studied. The aim of this study was to investigate microscopic alterations of the dental pulp in dogs' teeth. One hundred and ten surgically extracted teeth (20 incisors, 23 canines, 28 premolars, and 39 molars) from 74 dogs, of different ages, with a history of chronic periodontitis (66 dogs), periapical abscesses (2 dogs), pulpitis (2 dogs), oral cavity neoplasms (2 dogs), dens invaginatus (1 dog), and dental fractures (1 dog) were included. Eight-one maxillary and 29 mandibular teeth were included. Coronal, radicular, and coronal plus radicular calculus were present in 28.2%, 17.3%, and 54.5% of the teeth, respectively. In total 78 teeth (71%) had pulp alterations, including fibrosis (26%), calcification (14%), necrosis associated with the absence of odontoblasts (14%), presence of predentin and dentin inside the cavity (8%), odontoblastic hyperplasia (3%), pigmentation (3%), pulpitis (2%), and pulp stones (1%). Forty-nine (60.5%) of the maxillary teeth and all of the mandibular teeth had pulp alterations. The premolars were most affected, and the molars least affected, by pulp alterations. Pulp fibrosis, calcification, and necrosis were observed in teeth irrespective of the distribution of dental calculus.

摘要

牙髓的微观改变尚未得到广泛研究。本研究旨在探讨犬牙牙髓的微观改变。从 74 只患有慢性牙周炎(66 只)、根尖脓肿(2 只)、牙髓炎(2 只)、口腔肿瘤(2 只)、牙内陷(1 只)和牙折(1 只)等不同年龄、有病史的犬中,共采集了 110 颗手术拔出的牙齿(20 颗切牙、23 颗尖牙、28 颗前磨牙和 39 颗磨牙)。其中包括 81 颗上颌牙和 29 颗下颌牙。牙冠、牙根和牙冠加牙根结石分别存在于 28.2%、17.3%和 54.5%的牙齿中。共有 78 颗牙齿(71%)有牙髓改变,包括纤维化(26%)、钙化(14%)、与成牙本质细胞消失相关的坏死(14%)、牙髓腔内存在前期牙本质和牙本质(8%)、成牙本质细胞增生(3%)、色素沉着(3%)、牙髓炎(2%)和牙髓结石(1%)。49 颗(60.5%)上颌牙和所有下颌牙都有牙髓改变。前磨牙受牙髓改变的影响最大,磨牙受影响最小。无论结石分布如何,都可以观察到牙髓纤维化、钙化和坏死。

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