【冠修复后牙根骨折——EDS观察分析】。

Y Itagaki, J Mega, K Nakasato, Y Murata, H Mishima, Y Kozawa, H Yamamoto
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引用次数: 0

摘要

牙根骨折发生在牙冠下或牙冠修复治疗后的牙槽内。在许多情况下,这些牙齿将被诊断为拔出。因此,牙根骨折是临床医生面临的临床难题之一。有许多临床和描述性的报道,根骨折后冠修复。但预防牙根骨折还需要更多的基础研究。用扫描电子显微镜和分析电子显微镜观察。本研究采用冠修复后牙根骨折的牙齿。研究结果如下:1)在断口表面的一定截面上观察到黏结物质,认为是口腔细菌和有机物质。2)牙根骨折线与牙小管平行。3)观察到裂缝贯穿牙小管横切面。4)断口表面的Ca和P分别为32.75和27.70(原子%)(Ca/P为1.18)。这些数值均低于对照组。在同一根断口表面,中间部位的Ca和P值小于外部部位。相反,越深的部分比中间部分的值略高。5)断口表面的Zn值比对照有所增加。6)控制面上未检测到S值。另一方面,S在根断裂表面的密度相对较高(15.04)。
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[Root fracture after crown prosthesis--observation and analysis with EDS].

Root fractures in the teeth under or after the crown prosthetic treatment after occur intra-alveolary. In the many cases, these teeth will be diagnosed to be extracted. Therefore, root fracture is one of the clinical problems for clinicians. There are many clinical and descriptive reports on root fractures after crown prosthesis. But more fundamental studies should be done for the prevention of root fractures. We observed the sampled tooth with scanning electron microscopy and analytical electron microscopy. The tooth with root fractures after the treatment of crown prosthesis was used in this study. The following were the results of this investigations: 1) The cohesional substances, which are regarded as oral bacteria and organic materials, were observed in the definite section on the surface of fracture. 2) The line of the root fracture ran parallel with the canaliculus dentalis. 3) The cracks were observed to run through the face of crosscutting of canaliculus dentalis. 4) Ca and P on the surface of the fracture is 32.75 and 27.70 (atomic %), respectively (Ca/P 1.18). These values are lower than these of control group. In the same surface of the root fractures, the values of Ca and P in the middle parts were less than those of the outside. Reversely, the more deep parts have a little higher values than those of the middle parts. 5) The values of Zn increased on the surface of the fracture than those of the control. 6) The values of S was not detected on the control surface. On the other hand, S was detected in the relatively higher density (15.04) on the surfaces of the root fractures.

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