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磷酸钙陶瓷作为盖髓剂的粒径对离体牙髓硬组织屏障形成的影响

Influence of particle size of calcium phosphate ceramics as a capping agent on the formation of a hard tissue barrier in amputated dental pulp.

作者信息

Higashi T, Okamoto H

机构信息

Department of Endodontology and Periodontology, Hiroshima University School of Dentistry.

出版信息

J Endod. 1996 Jun;22(6):281-3. doi: 10.1016/S0099-2399(96)80258-5.

Abstract

The purpose of this research was to compare the effect of two different particle sizes of hydroxyapatite and beta-tricalcium phosphate as capping agents on hard tissue barrier formation after experimental pulpotomy in canine dental pulp. By the thirtieth day after pulp exposure and capping with hydroxyapatite-300 (particle size, 300 microns), a hard tissue barrier was formed in 8 of 17 specimens. A newly formed barrier was seen around the hydroxyapatite particles and connecting neighboring particles. Capping with tricalcium phosphate-300 (particle size, 300 microns) led to the formation of a hard tissue barrier surrounding the particles in 11 of 17 specimens. In contrast, using hydroxyapatite-40 (particle size, 40 microns) and beta-tricalcium phosphate-40 (particle size, 40 microns), hard tissue barrier formation was poor and almost all pulp tissues showed infiltrations of inflammatory cells or abscess formation. These findings suggest that the particle size of hydroxyapatite and beta-tricalcium phosphate is an important factor in reparative hard tissue formation.

摘要

本研究的目的是比较两种不同粒径的羟基磷灰石和β-磷酸三钙作为盖髓剂对犬牙髓实验性牙髓切断术后硬组织屏障形成的影响。在牙髓暴露并用300微米粒径的羟基磷灰石(hydroxyapatite-300)盖髓后第30天,17个样本中有8个形成了硬组织屏障。在羟基磷灰石颗粒周围可见新形成的屏障,并连接相邻颗粒。用300微米粒径的磷酸三钙(tricalcium phosphate-300)盖髓导致17个样本中有11个在颗粒周围形成了硬组织屏障。相比之下,使用40微米粒径的羟基磷灰石(hydroxyapatite-40)和40微米粒径的β-磷酸三钙(beta-tricalcium phosphate-40)时,硬组织屏障形成较差,几乎所有牙髓组织都出现炎症细胞浸润或脓肿形成。这些发现表明,羟基磷灰石和β-磷酸三钙的粒径是修复性硬组织形成的一个重要因素。

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