不同年龄组牙齿组织学特征的流行:一项体外观察研究。

Q3 Dentistry
Shubhi Gupta, Saurav Bathla, Madhusudan Astekar
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引用次数: 0

摘要

目的:通过组织学分析评估不同年龄组(≤20岁、21-40岁、41-60岁、60岁及以上)不同牙类型(门牙、犬牙、前磨牙、磨牙)牙釉质片层、牙釉质簇和牙釉质增径线的患病率和分布。材料与方法:收集200颗人恒牙,按年龄I组(≤20岁)、II组(21 ~ 40岁)、III组(41 ~ 60岁)、IV组(40 ~ 60岁)分为4组,包括门牙、犬牙、前磨牙、磨牙等不同牙型。在光镜(10倍放大)下观察牙釉质片层、牙釉质簇、牙釉质纺锤体、牙釉质球间质、牙釉质-牙釉质交界处(CEJ)和牙釉质增量线。采用χ 2检验对数据进行分析,以确定统计学显著性。结果:臼齿被检查最多(37.0%),其次是前磨牙(25.5%)、犬齿(22.5%)和门牙(15.0%)。牙釉质片层以II级为主(43.3%),年龄(p = 0.261)和牙型(p = 0.653)差异无统计学意义。A型牙釉质片层(91.5%)与牙型(p = 0.237)、年龄(p = 0.871)差异无统计学意义。以E2型为主(72.0%),差异无统计学意义(p < 0.05)。牙釉质簇以M1/3型为主(71.5%),与年龄(p = 0.313)和牙型无关(p = 0.413)。牙釉质纺锤体(79%)随年龄(p = 0.011)和牙型(p = 0.029)而增加。球状间牙本质(77.5%)随年龄的增加而增加(p < 0.001),但与牙型无关(p = 0.871)。GAP型是最常见的CEJ型(55.5%),差异有统计学意义(p < 0.05)。结论:牙釉质片层和牙簇与年龄、牙型无明显差异。牙釉质纺锤体随年龄和牙型增加而增加,球间牙本质随年龄增加而增加,但不随牙型增加。最常见的CEJ类型为GAP,差异有统计学意义。临床意义:了解不同牙齿和年龄组的牙釉质片层、簇状和增量线的组织学特征在牙髓学中至关重要,因为这些结构变化影响裂纹扩展、抗折性和治疗效果。年龄相关的改变会影响牙本质的渗透性、灌洗效率和封闭成功。这些进展在改善牙釉质保存和再生的修复和牙髓治疗方法中起着至关重要的作用。古普塔·S,巴斯拉·S,阿斯特卡·M.不同年龄人群牙齿组织学特征的体外观察研究。[J]现代医学学报,2015;26(2):155-162。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of the Histological Characteristics in Various Teeth of Different Age-groups: An Observational In Vitro Study.

Aim: To assess the prevalence and distribution of enamel lamellae, enamel tufts, and incremental lines in different tooth types (incisors, canines, premolars, and molars) across various age-groups (≤20, 21-40, 41-60, and 60 and above) using histological analysis.

Materials and methods: A total of 200 extracted human permanent teeth from individuals were collected and categorized into four groups, based on age-group I (≤20 years), group II (21-40 years), group III (41-60 years) and group IV (>60 years) including various tooth types such as incisor, canine, premolar and molars, respectively. Teeth were manually sectioned longitudinally using a carborundum disk and examined under a light microscope (10× magnification) to assess enamel lamellae, enamel tufts, enamel spindles, interglobular dentin, the cementoenamel junction (CEJ), and incremental lines in cementum. Data were analyzed using the Chi-square (χ²) test to determine statistical significance.

Results: Molars were the most examined teeth (37.0%), followed by premolars (25.5%), canines (22.5%), and incisors (15.0%). Enamel lamellae were mostly grade II (43.3%) with no significant variation by age (p = 0.261) or tooth type (p = 0.653). Type A enamel lamellae (91.5%) did not differ significantly by tooth type (p = 0.237) or age (p = 0.871). The extent was primarily type E2 (72.0%) with no significant differences (p > 0.05). Enamel tufts were mostly type M1/3 (71.5%) with no age (p = 0.313) or tooth type association (p = 0.413). Enamel spindles (79%) increased with age (p = 0.011) and with tooth type (p = 0.029). Interglobular dentin (77.5%) increased significantly with age (p < 0.001) but not tooth type (p = 0.871). GAP type was the most common CEJ type (55.5%) with significant differences (p < 0.05).

Conclusion: The study concluded that enamel lamellae and tufts showed no significant variation with age or tooth type. Enamel spindles increased with age and tooth type, while interglobular dentin increased with age but not tooth type. The most common CEJ type was GAP, with significant differences observed.

Clinical significance: Understanding the histological characteristics of enamel lamellae, tufts, and incremental lines in different teeth and age-groups is crucial in endodontics, as these structural variations influence crack propagation, fracture resistance, and treatment outcomes. Age-related changes affect dentin permeability, irrigation efficiency, and obturation success. These advancements play a crucial role in improving restorative and endodontic approaches for enamel preservation and regeneration. How to cite this article: Gupta S, Bathla S, Astekar M. Prevalence of the Histological Characteristics in Various Teeth of Different Age-groups: An Observational In Vitro Study. J Contemp Dent Pract 2025;26(2):155-162.

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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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