粪肠球菌牛牙感染根管模型的建立和电镜观察
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A model of Enterococcus faecalis in bovine dentinal tubules and SEM evaluation
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    摘要:

    目的:建立体外粪肠球菌牛牙感染根管模型并观察建模过程中粪肠球菌在牙本质小管的定植模式。方法:收集新鲜拔除的牛恒切牙36颗(随机选6颗作为阴性对照组,余为实验组),经根管预备、高压灭菌后,根管内接种粪肠球菌厌氧培养,扫描电镜拍摄不同培养时段的图像,观察细菌侵入牙本质小管的数量和定植模式。实验组分别培养1、2、3、4、8周;对照组培养8周。结果:2周时观察到粪肠球菌初始定植于牙本质小管内。随培养时间延长,细菌感染小管的数量增加,4周时细菌重度浸润小管。8周观察结果与4周差异无统计学意义。细菌在牙本质小管内呈间隔密集分布状态,即密集浸润小管其周围小管内较空虚,细菌仅少量定植或未定植;实验同时观察到细菌在管间牙本质定植,其定植时间与细菌在小管内定植的时间一致。结论:粪肠球菌可在牙本质小管和管间牙本质定植,厌氧培养4周可成功建立粪肠球菌牛牙感染根管模型。

    Abstract:

    Objective:To develop an in vitro model for bovine dentinal tubule infection of root canals and to investigate dentinal tubules invasion by Enterococcus faecalis. Methods:Thirty-six freshly extracted,mature bovine incisors were used in this study(six of them for the control at random,others for the test). Following biomechanical instrumentation and autoclaving,all the specimens were inoculated with Enterococcus faecalis suspension. To investigate the bacterial status in infected tubules,the images stack were ob-tained by scanning electron microscopy(SEM) in different time intervals,which were one,two,three,four,and eight weeks for the test and eight weeks for the control. Results:With the development of time,infected dentinal tubules increased. The initial time of denti-nal tubules invaded by Enterococcus faecalis was two weeks,and the dense invasion time was four weeks,but there was no significant difference between four weeks and eight weeks. They were in interval distribution,with densely packed in some tubules whilst empty in the adjacent tubules. The bacteria also invaded orthodentine at the same time,and they were blocked. Conclusion:Enterococcus faecalis can penetrate into dentinal tubules and orthodentine,and it takes four weeks to establish this in vitro model under anaerobic condition.

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黄晓晶,郭晓霞,王燕煌.粪肠球菌牛牙感染根管模型的建立和电镜观察[J].重庆医科大学学报,2012,37(1):43-46

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  • 在线发布日期: 2012-04-28
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