Comparative Histological Study of Reparative Dentin Formation of Calcium Hydroxide and Zeolite in Pulpotomized Teeth (Histological Study)

Hany G. Gobran, Abdel-Azzem A. Ismael, Ibrahim Farouk, A. Abdelwahab, Hany Mahmoud, H. Dameer
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Abstract

Aim: Zeolites induce the proliferation and differentiation of cells of the osteoblast lineage. Application of zeolite in pulpotomized young permenat teeth had not been investigated. The objective of this study was to investigate histologicaly the capability of zeolite to induce dentin bridge formation and compare it with calcium hydroxide. Subjects and methods: Four dogs aged 12-24 month were included in the present study. In each dog, pulpotomy procedures were carried out in four premolars teeth in each quadrant and restored with one of the experimental materials in a way that teeth in each quadrant restored with one material differ from that of the contralateral quadrant. Specimens were harvested on the sixth week after operation and twelfth week after operative procedures, prepared and examined histologically by H&E (haematoxylin and eosin) stain, there were wide histological differences between the groups of this study along the different intervals of the study. Results: The result of the present study revealed inflammatory response of pulp tissue to both tested materials with various de-grees that were subsided by time only in calcium hydroxide group. Calcium hydroxide has a powerful agent for regenerative effect on pulp tissue with dentin bridge formation. On the contrary; pulp degeneration and necrosis were the end results of pulpotomy with zeolite material. Conclusion: Calcium hydroxide could induce dentin bridge formation while zeolite failed. .
氢氧化钙与沸石修复牙本质形成的组织学比较研究(组织学研究)
目的:沸石诱导成骨细胞的增殖和分化。沸石在去牙幼龄恒牙中的应用尚未见报道。本研究的目的是研究沸石诱导牙本质桥形成的组织学能力,并将其与氢氧化钙进行比较。研究对象和方法:选取4只12-24月龄犬。在每只犬中,对每象限的四颗前磨牙进行切髓手术,用一种实验材料修复,每象限的牙齿用一种材料修复的方式与对侧象限的不同。分别于术后第6周和第12周采集标本,经H&E (haematoxylin and eosin)染色进行组织学检查,本研究各组间在不同的研究时间间隔上存在较大的组织学差异。结果:本研究结果显示,氢氧化钙组牙髓组织对两种材料均有不同程度的炎症反应,且仅随时间消退。氢氧化钙对牙本质桥形成的牙髓组织有很强的再生作用。相反地;沸石材料切髓术的最终结果是牙髓变性和坏死。结论:氢氧化钙能诱导牙本质桥的形成,而沸石则不能。
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