An experimental study of the stability of irradiated teeth in the region of the dentinoenamel junction

Dental Traumatology - Tập 8 Số 6 - Trang 241-244 - 1992
Thomas Pioch1, Doris Golfels1, Hans Jõrg Staehle1
1Endodontic Clinic, University of Heidelberg, Germany.

Tóm tắt

Abstract In this in vitro study we investigated the influence of ionizing gamma rays on the stability in the region of the dentinoenamel junction. We removed the enamel on the labial surface of 30 incisors of bovines up to the dentinoenamel junction, so that a circular area of enamel with a diameter of 2.0 ± 0.1 mm was left and an enamel cylinder was created. 15 teeth were irradiated by a cobalt‐60‐source (energy dose 70 Gy). The other 15 teeth were used as controls. Using a material testing apparatus the shear bond strengths were measured by breaking off the enamel cylinders. Furthermore, the breaking modes were investigated in SEM. Comparing the results of the shear bond strength experiments, it was obvious that the stability in the region of the dentinoenamel junction was significantly less among the irradiated teeth than among the non‐irradiated teeth. The median value of the gamma ray treated teeth was x̃= 19.1 MPa and that of the non‐ray‐treated teeth was x̃= 37.4 MPa. The non‐irradiated teeth showed fractured surfaces only in dentin in 10 cases and in 5 cases in both dentin and enamel. In contrast to that, the irradiated teeth had fractured surfaces in 12 cases exclusively in dentin and only in 3 cases the enamel was also fractured. These results lead us to conclude that changes of biophysical property of teeth can be caused by the influence of ionizing rays.

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Tài liệu tham khảo

Sonnabend E., 1962, Strahlenschäden an Zähnen und Kiefer, Fortschr Kiefer-Gesichts-Chir, 8, 37

Wannenmacher M., 1976, Experimentelle und klinische Untersuchungen zur Wirkung ionisierender Strahlen auf die Gewebe im Bereich der Mundhohle, 24

Muhlemann HR, 1945, Das Verhalten von Kiefer und Zähnen bei der Radiotherapie von malignen Tumoren der Mundhohle und des Pharynx, Schweiz Mschr Zahnheilk, 55, 641

10.1159/000261106

Pioch T, 1991, Über das Lösungsverhalten von Zahnschmelz und synthetischem Hy‐droxylapatit nach Bestrahlung, Dtsch Zahnärztl Z, 46, 413

10.1177/00220345750540043201

10.1177/00220345720510032801

Rahn R, 1989, In‐vitro Untersuchungen zur Frage der radiogenen Karies am menschlichen Zahnschmelz, Zanhärztl Welt, 95, 701

10.1159/000261260

10.1177/00220345760550053301

10.1177/00220345750540040801

10.1177/00220345830620030601

10.14219/jada.archive.1965.0220

RaabWH PetscheltA VossA.Rasterelektronenmikros‐kopische Untersuchungen zur radiogenen Karies. Autorefer‐at 2.Jahrestagung der Deutschen Gesellschaft fur Zah‐nerhaltung FYankfurt1988.

Osswald M., 1963, Morphologische Strukturveranderungen in der Schmelz‐Dentin‐Grenze nach Radiotherapie, Dtsch Stomat, 13, 723

Raab WH, 1990, Rasterelektronenmikros‐kopische Untersuchungen zur radiogenen Karies, Dtsch Zahnarztl Z, 45, 425

Schroeder HE, 1987, Orale Strukturbiologie, 85

Guy Poyto H, 1989, Oral radiology, 17

Janda R., 1991, Die Schmelz/Dentin‐Grenze‐ eine natiirliche Ver‐bundzone, Phillip journal, 8, 57