Bishop M A
Department of Anatomy, Queen Mary and Westfield College, University of London, UK.
J Anat. 1995 Apr;186 ( Pt 2)(Pt 2):365-72.
The pulpal innervation of rabbit premolars and molars has been studied in transverse sections of perfusion-fixed, demineralised specimens using light microscopy and transmission electron microscopy. A mixed population of small myelinated and unmyelinated axons enters the apical foramen to supply the mesial and distal laminae of these continuously growing teeth. The nerve fibres are remote from the preodontoblasts and odontoblasts near the apical end, but in their passage to the occlusal end the pulp becomes progressively narrower and nerve fibres come to lie subjacent to the odontoblasts and postodontoblasts. Counts of myelinated fibres near the apical end and in the occlusal pulp suggested that the myelin is shed near the occlusal end. Most of the dentine in these teeth is tubular and migrates occlusally with supporting odontoblasts. Near the occlusal end, postodontoblasts deposit an atubular tissue which closes the pulpal ends of the tubules. Nearer the occlusal tip the pulpal contents degenerate and become embedded in the forming atubular tissue. Evidence of axon profiles was found near the occlusal end in the pulp, passing through the odontoblast layer and in the dentine tubules adjacent to odontoblast processes. However, many of the tubules contained an odontoblast process only and the atubular tissue was not innervated. Since innervated tubules eventually become closed by atubular tissue it is assumed that the nerve fibres retract from the tubules before their closure. In common with other teeth the function of the pulpal nerve supply is likely to be mostly nociceptive.(ABSTRACT TRUNCATED AT 250 WORDS)
利用光学显微镜和透射电子显微镜,对灌注固定、脱矿标本的横切片进行研究,以观察兔前磨牙和磨牙的牙髓神经支配情况。一群混合的有髓鞘和无髓鞘小轴突进入根尖孔,为这些不断生长的牙齿的近中片层和远中片层提供神经支配。在根尖附近,神经纤维远离前成牙本质细胞和成牙本质细胞,但在向咬合端延伸的过程中,牙髓逐渐变窄,神经纤维位于成牙本质细胞和后成牙本质细胞下方。对根尖附近和咬合牙髓中髓鞘纤维的计数表明,髓鞘在咬合端附近脱落。这些牙齿的大部分牙本质是管状的,并与支持性成牙本质细胞一起向咬合面迁移。在咬合端附近,后成牙本质细胞沉积一种无管状组织,封闭牙本质小管的牙髓端。在靠近咬合尖端处,牙髓内容物退化并嵌入正在形成的无管状组织中。在牙髓的咬合端附近、穿过成牙本质细胞层以及与成牙本质细胞突起相邻的牙本质小管中发现了轴突轮廓的证据。然而,许多小管仅含有一个成牙本质细胞突起,且无管状组织没有神经支配。由于有神经支配的小管最终会被无管状组织封闭,因此推测神经纤维在小管封闭之前就从其中缩回。与其他牙齿一样,牙髓神经供应的功能可能主要是感受疼痛。(摘要截选至250字)