全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Histopathological Features of Dental Pulp in Teeth with Different Levels of Chronic Periodontitis Severity

DOI: 10.5402/2012/271350

Full-Text   Cite this paper   Add to My Lib

Abstract:

Purpose. To evaluate the histopathological condition of the pulp in teeth with different levels of chronic periodontitis in humans. Methods. Twenty-five single-root nondecayed teeth were divided into three groups as follows: group 1, clinical attachment level (CAL) 3 to 4?mm and alveolar bone loss (BL) from 4 to 6?mm without reaching the tooth apex; group 2, C A L ≥ 5 ?mm and B L > 6 ?mm without reaching the tooth apex; group 3, C A L ≥ 5 ?mm and B L > 6 ?mm up to the tooth apex. Histological analyses were accomplished after laboratorial processing. Results. The mean of CAL was 3 . 2 ± 0 . 7 ?mm in group 1, 7 . 6 ± 2 . 0 ?mm in group 2, and 1 2 . 1 ± 2 . 8 ?mm in group 3, while for BL it was 4 . 8 ± 0 . 9 ?mm, 7 . 6 ± 2 . 2 ?mm, and 1 1 . 9 ± 2 . 1 ?mm, respectively. Histopathological data in the pulpal chambers were similar among the three groups showing normal aspects, and, the radicular pulps showed variable levels of reactive dentin, fibrosis, dystrophic mineralizations, atrophy, and mononuclear inflammatory infiltrate. Conclusions. Gradual progression of the chronic periodontitis led to changes in the histopathological aspects of the radicular pulp with progressive involvement. 1. Introduction There are communications between the pulpal tissues and the periodontal structures [1, 2]. Some reports showed the effects of pulpal alterations on the periodontium [3–5]; however, few studies evaluated the influence of periodontitis upon pulpal tissues [3]. The microbiota of both lesions seems to be similar, but the developments of models are needed for better histological and clinical investigation [6–8]. The influence of the periodontitis upon pulpal tissues happens not only when there is a tooth apex involvement [9, 10], but also in cases that the periodontitis does not reach the tooth apex [11, 12]. Radicular dentin of teeth with periodontitis can be invaded by putative periodontal pathogens, such as Prevotella intermedia, Phorphyromonas gingivalis, Fusobacterium nucleatum, Bacteroides forsythus, Peptostreptococcus micros, and Streotococcus intermedius [13]. Previous studies [14, 15] have also demonstrated that the bacterial invasion can occur in the root cementum and radicular dentin of those teeth with periodontal involvement, and bacteria were detected on the pulpal wall and in dental pulp of those teeth, which shows the influence of the periodontitis upon pulpal tissues. There is a scarceness of histological studies that have assessed the influence of different degrees of periodontitis upon the pulp tissue. Thus, the aim of this study was to evaluate

References

[1]  G. L. Pilatti and B. E. C. Toledo, “As comunica??es anat?micas entre polpa e periodonto e suas conseqüências na etiopatogenia das les?es endo-periodontais,” Revista Paulista de Odontologia, vol. 22, pp. 38–43, 2000 (Portuguese).
[2]  E. P. Zuza, B. E. C. Toledo, S. Hetem, L. C. Spolidório, A. J. D. Mendes, and E. P. Rosetti, “Prevalence of different types of accessory canals in the furcation area of third molars,” Journal of Periodontology, vol. 77, no. 10, pp. 1755–1761, 2006.
[3]  C. Solomon, H. Chalfin, M. Kellert, and P. Weseley, “The endodontic-periodontal lesion: a rational approach to treatment,” The Journal of the American Dental Association, vol. 126, no. 4, pp. 473–479, 1995.
[4]  B. F. Paul and J. W. Hutter, “The endodontic-periodontal continuum revisited: new insights into etiology, diagnosis and treatment,” Journal of the American Dental Association, vol. 128, no. 11, pp. 1541–1548, 1997.
[5]  H. X. Meng, “Periodontic-endodontic lesions,” Annals of Periodontology, vol. 4, no. 1, pp. 84–90, 1999.
[6]  A. Kipioti, M. Nakou, N. Legakis, and F. Mitsis, “Microbiological findings of infected root canals and adjacent periodontal pockets in teeth with advanced periodontitis,” Oral Surgery Oral Medicine and Oral Pathology, vol. 58, no. 2, pp. 213–220, 1984.
[7]  T. Kobayashi, A. Hayashi, R. Yoshikawa, K. Okuda, and K. Hara, “The microbial flora from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis,” International Endodontic Journal, vol. 23, no. 2, pp. 100–106, 1990.
[8]  H. Kurihara, Y. Kobayashi, I. A. Francisco, O. Isoshima, A. Nagai, and Y. Murayama, “A microbiological and immunological study of endodontic-periodontic lesions,” Journal of Endodontics, vol. 21, no. 12, pp. 617–621, 1995.
[9]  R. S. Hirsch and N. G. Clarke, “Pulpal disease and bursts of periodontal attachment loss,” International Endodontic Journal, vol. 26, no. 6, pp. 362–368, 1993.
[10]  T. R. S Aguiar, Estudo histopatológico da Polpa de Dentes Humanos Portadores de Doen?a Periodontal Envolvendo o ápice Radicular, Ph.D. thesis, Faculdade de Odontologia da Universidade de S?o Paulo, Bauru, S?o Paulo, Brazil, 1999.
[11]  M. Zehnder, S. I. Gold, and G. Hasselgren, “Pathologic interactions in pulpal and periodontal tissues,” Journal of Clinical Periodontology, vol. 29, no. 8, pp. 663–671, 2002.
[12]  G. Bergenholtz and G. Hasselgren, “Endodontia e periodontia,” in Tratado de Periodontologia Clínica e Implantologia Oral, J. Lindhe, T. Karring, and N. P. Lang, Eds., pp. 309–41, Rio de Janeiro, Brazil, 4th edition, 2005.
[13]  G. Giuliana, P. Ammatuna, G. Pizzo, F. Capone, and M. D'Angelo, “Occurrence of invading bacteria in radicular dentin of periodontally diseased teeth: microbiological findings,” Journal of Clinical Periodontology, vol. 24, no. 7, pp. 478–485, 1997.
[14]  P. A. Adriaens, C. A. Edwards, J. A. De Boever, and W. J. Loesche, “Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth,” Journal of Periodontology, vol. 59, no. 8, pp. 493–503, 1988.
[15]  P. A. Adriaens, “Bacterial invasion in periodontitis, is it important in periodontal treatment?” Revue Belge de Medecine Dentaire, vol. 44, no. 2, pp. 9–30, 1989.
[16]  G. C. Armitage, “The complete periodontal examination,” Periodontology 2000, vol. 34, pp. 22–33, 2004.
[17]  T. F. Flemmig, “Periodontitis,” Annals of Periodontology, vol. 4, no. 1, pp. 32–38, 1999.
[18]  W. C. Rubach and D. F. Mitchell, “Periodontal disease, accessory canals and pulp pathosis,” The Journal of Periodontology, vol. 36, pp. 34–38, 1965.
[19]  S. Seltzer, I. B. Bender, and M. Ziontz, “The interrelationship of pulp and periodontal disease,” Oral Surgery, Oral Medicine, Oral Pathology, vol. 16, no. 12, pp. 1474–1490, 1963.
[20]  S. Seltzer, I. B. Bender, H. Nazimov, and I. Sinai, “Pulpitis-induced interradicular periodontal changes in experimental animals,” Journal of Periodontology, vol. 38, no. 2, pp. 124–129, 1967.
[21]  I. B. Bender and S. Seltzer, “The effect of periodontal disease on the pulp,” Oral Surgery, Oral Medicine, Oral Pathology, vol. 33, no. 3, pp. 458–474, 1972.
[22]  K. Langeland, H. Rodrigues, and W. Dowden, “Periodontal disease, bacteria, and pulpal histopathology,” Oral Surgery Oral Medicine and Oral Pathology, vol. 37, no. 2, pp. 257–270, 1974.
[23]  S. S. Stahl, “Pulpal response to gingival injury in adult rats,” Oral Surgery, Oral Medicine, Oral Pathology, vol. 16, no. 9, pp. 1116–1119, 1963.
[24]  R. L. Lantelme, S. L. Handelman, and R. J. Herbison, “Dentin formation in periodontally diseased teeth,” Journal of Dental Research, vol. 55, no. 1, pp. 48–51, 1976.
[25]  L. Jansson, H. Ehnevid, S. Lindskog, and L. Bloml?f, “The influence of endodontic infection on progression of marginal bone loss in periodontitis,” Journal of Clinical Periodontology, vol. 22, no. 10, pp. 729–734, 1995.
[26]  A. B. Hattler, D. E. Snyder, M. A. Listgarten, and W. Kemp, “The lack of pulpal pathosis in rice rats with the periodontal syndrome,” Oral Surgery Oral Medicine and Oral Pathology, vol. 44, no. 6, pp. 939–948, 1977.
[27]  R. T. Czarnecki and H. Schilder, “A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease,” Journal of Endodontics, vol. 5, no. 8, pp. 242–253, 1979.
[28]  G. Bergenholtz and S. Nyman, “Endodontic complications following periodontal and prosthetic treatment of patients with advanced periodontal disease,” Journal of Periodontology, vol. 55, no. 2, pp. 63–68, 1984.
[29]  B. Mazur and M. Massler, “Influence of periodontal disease on the dental pulp,” Oral Surgery, Oral Medicine, Oral Pathology, vol. 17, no. 5, pp. 592–603, 1964.
[30]  G. Bergenholtz and J. Lindhe, “Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp,” Journal of Clinical Periodontology, vol. 5, no. 1, pp. 59–73, 1978.
[31]  G. W. Harrington, D. R. Steiner, and W. F. Ammons, “Controvérsias em Periodontia-Endodontia,” in Periodontologia 2000, P. B. Robertson and T. A. Derouen, Eds., pp. 123–130, S?o Paulo, Brazil, 2003.
[32]  A. C. Bombana, “Quais s?o as atuais abordagens no diagnóstico e tratamento dos envolvimentos endoperiodontais?” in Periodontia e Implantodontia—Desmistificando a ciência, R. M. Lotufo and N. T. Lascala, Eds., pp. 307–313, S?o Paulo, Brazil, 1st edition, 2003.
[33]  E. B. Cardon, R. C. Waickl, and C. K. R?sing, “Análise da sensibilidade pulpar em dentes com diferentes graus de perda de inser??o periodontal,” Revista Periodontia, vol. 17, pp. 49–54, 2007 (Portuguese).
[34]  B. E. C. Toledo, E. P. Zuza, A. E. F. Pontes, J. R. Pires, A. L. V Carrareto, and O. E. Aielo, “Rela??o entre a perda óssea periodontal e a resposta clínica da polpa dental ao estímulo térmico,” Revista Periodontia, vol. 18, pp. 137–142, 2008 (Portuguese).
[35]  E. P. Zuza, B. E. C. Toledo, A. L. V Carrareto, M. M. Almeida, E. P. Rosetti, and O. E. Aielo, “Interrela??o entre a doen?a periodontal cr?nica e a desposta pulpar ao estímulo; avalia??o clínica e radiográfica,” CIêNCIA E CULTURA—Revista Científica Multidiciplinar do Centro Universitário da FEB, vol. 4, pp. 65–71, 2009 (Portuguese).

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133