THE HISTOPATHOLOGICAL STUDY ON THE RESPONSE OF THE REMAINING PULP TISSUES TO THE ADHESIVE RESIN AFTER PULPOTOMY

치수절단 후 접착레진 도포에 대한 잔존치수조직 반응에 관한 연구

  • Lim, Sung-Sam (Dept. of Conservative Dentistry, College of Dentistry, Seoul National University) ;
  • Park, Dong-Sung (Dept. of Conservative Dentistry, College of Dentistry, Seoul National University) ;
  • Son, Ho-Hyun (Dept. of Conservative Dentistry, College of Dentistry, Seoul National University)
  • 임성삼 (서울대학교 치과대학 보존학교실) ;
  • 박동성 (서울대학교 치과대학 보존학교실) ;
  • 손호현 (서울대학교 치과대학 보존학교실)
  • Published : 1997.09.30

Abstract

This study was performed to observe the histopathological response to the bonding resin directly applied on the remaining pulp tissues. 40 teeth from 3 adult dogs were pulpotomized with a sterile round bur and sharp excarvater. In the control group, $Ca(OH)_2$ powder was applied on the pulp tissue and the cavities were sealed with IRM cement. In the experimental group 1, Superbond C&B was applied on the remaining pulp and the cavities conditioned with 10-3 solution were filled with the mixture of the MMA liquid, PMMA powder and Catalyst. Multi-purpose adhesive was used on the remaining pulp tissue in the experimental group 2 and Z-100 was filled in the cavities. In the experimental group 3, Clearfil photobond applied and directly photo-cured on the pulp tissue, then the cavities were treated with CA agent (10% citric acid and 20% $CaCl_2$ aqueous solution) for 20 seconds, washed and applied with Clearfil photobond then filled with Protect liner. The experimental animals were sacrified at the 1st, 2nd, and 4th week. The specimens were routinely processed and stained with H-E for light microscopic observation. The results were as followed : 1. In the experimental group 1, the number and characteristics of the dentin bridge formation case was similar to those in the control group and less cases were observed in the experimental group 2 and 3 than experimental group 3. The inflammatory response in experimental group 1 was less than that in the control group at 1st week but there had been little difference at between 2nd and 4th week. 2. The number of the dentin bridge in experimental group 2 was less than that in control group and experimental group 1. The inflammatory response of the experimental group 1 was similar to that of experimental group 1 but less than that of the control group. A number of bleeding and vascular congestion were observed. The least inflammatory response was seen in the experimental group 2 among all groups. 3. In the experimental group 3, one case of the dentin bridge formation was observed and that was the same as that in the experimental group 2 but smaller than that of the control and experimental group 1. The inflammatory response of the experimental group 3 was least at the 1st week and most at the 4th week in the all group.

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Acknowledgement

Supported by : 서울대학교병원