牙本质发育不全I型乳牙牙釉质与牙本质的研究1例

Y. Kamasaki, Keigo Imamura, Haruka Nishimata, M. Nishiguchi, T. Fujiwara
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引用次数: 2

摘要

我们对1例10岁成骨不全(OI)患者的牙本质发育不全(DI)乳牙进行了光镜和扫描电镜形态学观察,并对牙本质进行了拉曼光谱分析。在DI牙中,牙本质和牙釉质都出现了大量的裂缝和断裂,牙本质内地幔层出现了不规则的牙本质小管。DI牙的牙本质与对照牙的牙本质有显著差异。拉曼分析结果显示,DI牙与对照组之间的矿物质含量(碳酸盐和磷酸盐)数量差异不显著。然而,基质(胶原酰胺I)的数量减少。研究发现,人工牙的牙本质和牙釉质都变得更加脆弱,这可能是由于I型胶原蛋白的形成减少了。*通讯:长崎大学生物医学研究生院儿科牙科学系,日本长崎852-8588坂本1-7-1,电话:+81-95-819-7675;传真:+ 81-95-819-7675;电子邮件:ichiro@nagasaki-u.ac.jp
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Study of enamel and dentin in primary teeth with dentinogenesis imperfecta type I: A case report
We conducted morphologic investigation of dentinogenesis imperfecta (DI) primary teeth of a 10-year-old patient with osteogenesis imperfecta (OI) using light microscopy and scanning electron microscopy and then performed mineral composition analysis of dentin using Raman spectroscopy. In the DI teeth, a number of cracks and fractures were observed not only in the dentin but in the enamel, and irregular dentinal tubules were remarkable in the internal area of the mantle dentin layer. The circumpulpal dentin of DI teeth was significantly different from that of the control teeth. Results of Raman analysis showed that quantitative differences in the mineral content (carbonate and phosphate) between DI teeth and the control were not significant. However, the amount of matrix (amide I of collagen) was decreased in DI teeth. The DI teeth were found to have increased fragility in both dentin and enamel, it might be due to decreased type I collagen formation. *Correspondence to: Yoko Kamasaki, Department of Paediatric Dentistry, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki 852-8588, Japan, Tel: +81-95-819-7675; Fax: +81-95-819-7675; E-mail: ichiro@nagasaki-u.ac.jp
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