[实验初期龋的分层(偏振光显微镜和显微放射照相)]。

M Kawasaki, A Okuda
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引用次数: 0

摘要

当牙釉质的至少一部分被产生不溶性葡聚糖和乳酸的致龋细菌溶解时,牙釉质龋齿就形成了。实验龋齿应在模拟自然环境的条件下制备。作者将29颗拔牙进行了1毫米厚的切片,以方便正畸治疗。除了将暴露在酸性环境中的“窗户”外,表面已被覆盖。样品在明胶中加入pH为4.5、pH为5.0、pH为5.5的乳酸缓冲液中浸泡4 ~ 120天。实验结束后绘制地面剖面。实验初期蛀牙的结构是在达林(1963)之后描述的;表层、病灶体、暗区、半透明区。当切片在pH为4.5的缓冲液中浸泡时间较短时,病变仅由两层组成,即病变表层和病变体。这种类型的病变将被称为I型。当酸的作用较强烈时,只有一层,病变体的表层溶解后仍保留。这种类型的病变被称为II型。具有全部4层的病变称为III型,表层溶解后剩下的3层病变称为IV型。III型和IV型病变都是在pH 5.5中浸泡较长时间后形成的,尽管在较低pH下也可以观察到它们。在检查的样品中,少数样品显示出五层结构;表层、第一病变体、第一暗区、第二病变体、第二暗区和半透明区。这一现象表明,在整个实验过程中,蛀牙的发展速度并不均匀。研究了损伤深度、pH值和酸作用时间之间的关系。pH 5.0组龋病的发展在30 ~ 60天暂时停止。这种现象可以解释五层病变的形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Stratification of the experimental incipient caries (polarized light microscopy and microradiography)].

The enamel caries establishes when at least a part of enamel dissolves by the action of cariogenic bacteria which produce insoluble glucan and lactic acid. The experimental caries should be prepared at the condition which simulates the natural environment. The author made 1 mm thick sections from 29 teeth extracted for convenience of orthodontic reason. The surface was covered except the "window" which will be exposed to the acid milieu. The samples were immersed for 4 to 120 days in the gelatin added lactate buffer of pH 4.5, pH 5.0, and pH 5.5. Ground sections were made after the experiment. The structure of the experimental incipient caries was described after Darling (1963); surface layer, body of the lesion, dark zone, and translucent zone. When the section was immersed for shorter period in the buffer of pH 4.5, the lesion was made up only two layers, namely, the surface layer and the body of the lesion. This type of lesion will be called Type I, hereafter. When the action of acid was more intense, only one layer, the body of the lesion remained after the dissolution of the surface layer. This type of lesion will be called Type II. The lesion which provided with all 4 layers will be called as Type III, and the lesion which was made up of 3 layers which remained after dissolved surface layer, will be called as Type IV. Both Type III and Type IV were established after immersing for longer period in pH 5.5, although they could be observed in groups which immersed in lower pH. Of the samples examined, a few example showed a five-layered structure; the surface layer, the first body of lesion, the first dark zone, the second body of lesion, the second dark zone, and the translucent zone. This phenomenon suggests that the speed of caries development was not uniform throughout the experiment. The relationship between the depth of the lesion, and the pH and the duration of acid action was studied. In the pH 5.0 group, the development of caries lesion was temporarily arrested between 30 and 60 days. This phenomenon would be an explanation to the formation of five-layered lesion.

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