›› 2013, Vol. 4 ›› Issue (1): 27-30.

• 论著 • 上一篇    下一篇

完全脱位牙即刻与延迟再植根吸收的动态观察

姜沙沙1,蔡琴2,周红艳3,刘茜3,曹灵3,梅予锋3   

  1. 1. 南京医科大学口腔医学院
    2. 南京医科大学附属第一医院
    3. 南京医科大学口腔医学研究所
  • 收稿日期:2012-11-21 修回日期:2013-02-26 出版日期:2013-03-25 发布日期:2013-03-30
  • 通讯作者: 姜沙沙 E-mail:jiangsha7562@163.com

Dynamic observation of root resorption followed tooth replantation

  • Received:2012-11-21 Revised:2013-02-26 Online:2013-03-25 Published:2013-03-30

摘要: [摘要] 目的:动态观察实验大鼠再植牙根吸收及愈合过程,辅助临床治疗及预防再植牙牙根吸收。 方法:30只6周龄SPF级Wistar雄性大鼠,分为6组,每组5只,其中一组为空白对照组。实验组大鼠双侧上颌第一磨牙脱位后再植,每只大鼠随机选取一侧脱位牙齿即刻再植,对侧同名牙则于体外干燥保存30分钟后再植回牙槽窝。分别于术后1、3、7、14、21 d处死,分离上颌骨:拍根尖X线片,应用图像分析系统测量近中根根尖周透影面积;标本切片、HE染色,进行组织学观察。结果:大鼠根尖周透影面积随时间延长而增大,干燥组比即刻组表现更明显;组织学上表现为初期炎症反应较明显,牙根表面吸收陷窝逐渐增多、增大,后期即刻组牙髓及牙周膜修复反应明显,干燥组牙槽骨修复反应强烈,牙根、牙周膜逐渐被类骨质样组织替代。结论:再植牙初期以炎症反应为主,后期主要表现为修复反应,牙周膜细胞活性决定再植牙根吸收的进展。

Abstract: [Abstract] Objective:To observe the resorption and healing process of replanted tooth in experimental rats, so we can assist the doctor to cure and prevent the root resorption in clinic. Methods: The experiment was carried out on thirty 6-week-old SPF Wistar male rats(n=5) ,the rats were randomly separated into six groups,and one of which is blank group. The bilateral maxillary first molars of each rat in experimental groups were extracted, randomly chose one molar to replant in the socket immediately, and the other one experienced delayed replantation. The rats were sacrificed on day 1, day 3, day 7, day 14 and day 21 after replantation. Then we segregated the maxillaes and scanned the specimens with X-ray. After decalcification, tissue slices were made and stained with HE. Results: The shadow area around the replanted tooth expanded over time, especially in the delayed replant group; the histological reaction of the tooth displayed that the resorption lacune around the root grew more and bigger with the developing inflammation, then the pulp tissue and periodontal ligament began to recover themselves in immediate replant group and aveolar bone recovered strongly with root and periodontal ligament insteaded by bone like tissue in delayed replant group. Conclusions: The reaction of replanted tooth showed mainly inflammation at first and recovery at last. The prognosis of replanted tooth mainly depend on the vitality of periodontal ligament cells.

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