硫唑嘌呤对用三种不同材料覆盖的暴露犬牙髓愈合的影响。

IF 0.9 Q3 VETERINARY SCIENCES Open Veterinary Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI:10.5455/OVJ.2024.v14.i7.11
Mokhtar A Al-Anesi, Ashraf M Abu-Seida, Ehab S Abd-Elhamid, Abeer H Mahran, Salma H El Ashry, Mohamed H Issa, Mohamed M Nagy
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引用次数: 0

摘要

背景:硫唑嘌呤是最早用于治疗多种自身免疫性疾病的免疫抑制剂之一。目的:本研究旨在调查硫唑嘌呤对机械暴露犬牙髓的愈合能力的影响,这些牙髓是在使用三氧化物矿物质聚合体(MTA)、生物聚合体(BA)和氢氧化钙(Ca(OH)2)直接覆盖牙髓后愈合的:将四只杂种狗随机分为两组(每组两只狗/30 颗牙齿):免疫抑制组(I 组)和对照组(II 组)。I 组在手术治疗前接受硫唑嘌呤治疗两个月,直至犬只安乐死。每只狗进行了 15 次 V 级颊面针穿刺。根据牙髓覆盖物质的不同,每组随机分为三个亚组(每组 10 颗牙齿)。亚组 A、B 和 C 的牙髓分别立即使用 MTA、BA 和 Ca(OH)2 进行盖髓。炎症和牙本质桥发育情况在一个月和两个月后进行组织病理学评估和评分。对数据进行统计分析:结果:与对照组相比,免疫抑制组在所有亚组中的炎症细胞数量和牙本质桥厚度均有统计学意义的增加(P < 0.05):硫唑嘌呤对暴露犬牙髓在使用 MTA、BA 和 Ca(OH)2 直接盖髓后的愈合有不利影响。因此,使用硫唑嘌呤作为免疫抑制剂的患者在使用 MTA、BA 或 Ca(OH)2 覆膜后,机械暴露牙髓的愈合可能会延迟。
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Influence of azathioprine on healing of exposed dogs' dental pulp capped with three different materials.

Background: Azathioprine is one of the earliest immunosuppressants prescribed for several autoimmune diseases. Yet there is a lack of research on the impact of azathioprine on pulp healing following the pulp capping procedure.

Aim: This study aimed to investigate the effect of azathioprine on the healing ability of mechanically exposed dogs' dental pulps following direct pulp capping with mineral trioxide aggregate (MTA), bio-aggregates (BA), and Calcium hydroxide (Ca(OH)2).

Methods: Four mongrel dogs were randomly assigned to two groups (two dogs/30 teeth in each group): immunosuppressed (group I) and control (group II). Group I received azathioprine for two months before surgical treatments and until the dogs were euthanized. Fifteen class V buccal cavities were performed in each dog. Each group was randomly divided into three subgroups (10 teeth each) based on the pulp capping substance. The pulps in subgroups A, B, and C were immediately capped with MTA, BA, and Ca(OH)2, respectively. Inflammation and dentine bridge development were histopathologically evaluated and scored at one and two months. The data were statistically analyzed.

Results: The immunosuppressed group exhibited statistically greater inflammatory cell count and decreased dentine bridge thickness, compared to the control group in all subgroups (p < 0.05).

Conclusion: Azathioprine has an adverse effect on the healing of exposed dogs' dental pulp following direct pulp capping with MTA, BA, and Ca(OH)2. Therefore, patients using azathioprine as an immunosuppressive medication may experience delayed healing of mechanically exposed pulps following capping with MTA, BA, or Ca(OH)2.

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来源期刊
Open Veterinary Journal
Open Veterinary Journal VETERINARY SCIENCES-
CiteScore
1.40
自引率
0.00%
发文量
112
审稿时长
12 weeks
期刊介绍: Open Veterinary Journal is a peer-reviewed international open access online and printed journal that publishes high-quality original research articles. reviews, short communications and case reports dedicated to all aspects of veterinary sciences and its related subjects. Research areas include the following: Infectious diseases of zoonotic/food-borne importance, applied biochemistry, parasitology, endocrinology, microbiology, immunology, pathology, pharmacology, physiology, epidemiology, molecular biology, immunogenetics, surgery, ophthalmology, dermatology, oncology and animal reproduction. All papers are peer-reviewed. Moreover, with the presence of well-qualified group of international referees, the process of publication will be done meticulously and to the highest standards.
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