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论文摘要

不同材料诱导犬根尖形成的比较研究

A comparative study on apexification using different kinds of materials in dogs

作者:黄锐 刘鹏 肖茂德 周智

Author:Huang Rui, Liu Peng, Xiao Maode, Zhou Zhi.

收稿日期:          年卷(期)页码:2013,31(4):377-377-380,384

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:根尖诱导,锥形束CT,羟磷灰石,碱性磷酸酶,牙周膜,

Key words:apexification,cone beam CT,hydroxyapatite,alkaline phosphatase,periodontal membrane,

基金项目:

中文摘要

目的 比较羟磷灰石(HA)、氢氧化钙(CH)、Vitapex诱导犬年轻恒牙根尖形成的效果。方法 选用2只5~6月龄犬的16颗恒切牙,去髓后随机分为4组。A、B、C组为实验组,依次用HA、CH及Vitapex糊剂充填根管;D组为对照组,用AH plus糊剂充填。采用锥形束CT(CBCT)测量牙根长度及根尖面积的变化;制作石蜡切片行苏木精-伊红(HE)染色,观察根尖组织形态;制作冰冻切片行碱性磷酸酶(ALP)染色,观察细胞的成骨活性。结果 1)CBCT结果显示:术后4周,各组牙根均较术前延长(P结论 经去髓后的年轻恒牙在无感染时牙根能继续发育,牙周膜可能是其发育的组织来源;HA诱导根尖形成的速度较快,是一种理想的根尖诱导材料。

英文摘要

Objective To compare the efficacy of hydroxyapatite(HA), calcium hydroxide(CH) and Vitapex on root formation of immature teeth of dogs.Methods Sixteen roots of permanent incisors in two dogs(about five to six months old) were used. After the pulpectomy, roots were randomly divided into four groups. Group A, B and C were experimental groups and filled with HA, CH and Vitapex, respectively. Group D was control group and filled with AH plus. The changes of root length and apical areas were measured by cone beam CT(CBCT), meanwhile, paraffin sections with hematine-eosin(HE) staining were used to observe the shape of root tips; frozen sections with alkaline phosphatase (ALP) staining were used to observe the osteoplastic activity of cells.Results 1)CBCT showed that four weeks later, all roots in every groups became longer(PConclusion The root formation of immature teeth can go on after pulpectomy when there is no inflammation, the tissue source is probably the periodontal membrane, and HA which can induce root formation faster is a better material in the apexification.

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