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Periapical destructions caused by experimental pulpal inoculation of Streptococcus mutans in rats.

The development of pulpal and periapical changes in rat molars was studied after inoculation of Streptococcus mutans (GS-5) into the pulp chamber. Before injection into the pulp Streptococcus mutans was cultured on a special collagen substrate and "trained" to break down collagen. The destruction of the alveolar bone periapically could be demonstrated both roentgenologically and histopathologically. Large numbers of inflammatory cells in the pulp chamber and the periapical area, as well as carious dentin, were present. The pulpally inoculated bacteria could also be recovered from the systemic blood. The identity between the pulpally inoculated bacteria and the bacteria recovered from the blood was proved by gel precipitation.

Alveolar Process↗

Periapical tissue reactions after pulp exposure in rat molars.

Apical periodontal lesions were produced in the rat molar by exposing the pulp to the oral environment. The natural history of the undisturbed lesion was studied at time intervals ranging from 2 days to 1 year postoperatively. The earliest reactions were usually inflammatory infiltration at the apex. The severity of the lesions was related to the amount of vital pulp still present in the tooth rather than to the time lapse after exposure. After 1 month most pulps has undergone necrosis and the lesions about the apices which followed showed two main types of reaction. In the case of the suppurative reaction, pus drained along a root surface, destroying the periodontal ligament and interradicular bone until it emerged at the gingival sulcus. The sinus tract could become lined with oral epithelium. In the reparative type of reaction, suppuration was absent or minimal and the apices were surrounded by fibrous connective tissue. The fiber bundles occasionally formed a collagenous scar, but they were usually replaced by cementum and bone with a new periodontal ligament. The width of the periodontium was never restored to its normal dimensions. Secondary destruction of the teeth occurred by fracture of cusps followed by caries which started in the exposed pulp chamber. Despite the predominance of destructive factors, spontaneous repair indicated good healing potential of the apical periodontal tissues.

Animals↗

Pulp healing subjacent to corticosteroid- covered and amalgam-covered dentin.

Pulp inflammation was induced by placing soft carious human dentin and amalgam in Class V cavities prepared in sixty-five monkey teeth. These fillings were removed after 7 days, and the cavities were restored with either a corticosteroid-containing cement and amalgam or amalgam only. The teeth were then removed after 7, 44, and 104 days. Healing occurred subjacent to both corticosteroid-covered and amalgam-covered dentin, but the healing subjacent to amalgam-covered dentin was generally less complete during the observation periods available.

Adrenal Cortex Hormones↗

The effects of thermal injury on pulpal hydrolases.

The effects of thermal injury on pulpal protein levels and the activities of selected pulpal hydrolases were determined 48 hours following injury. At this time protein levels were significantly greater while enzyme activities were significantly lower in thermally insulted teeth. The implications of these studies are discussed.

Animals↗

Abnormal immune response to infection of the dental pulp. Report of a case.

The following case illustrates an unusual response by the dental pulp to caries in an immunodeficient patient. The patient, a 14-year-old boy, suffered from thymic dysplasia and IgA deficiency. Deep dentinal caries produced relatively little destruction of the pulp and only a mild inflammatory response, in spite of the presence of a large number of bacteria in the pulp chamber. The patient's immunologic disorder was diagnosed as hereditary combined immunodeficiency of unknown type. However, it may have been a variant of Nezelof's syndrome.

Adolescent↗

Microscopic study of the pulps of human teeth following vital root resection.

The effects of vital root resection upon the remaining pulp were studied in twenty-six periodontally involved human molars. The pulp was extirpated 14 days after the intervention. Granulomatous tissue present in the pulp chamber protruded from the site of the exposure as a polyp in eleven cases. Mild chronic inflammatory changes were present in the coronalmost part of the radicular pulp. The apical pulp was not affected at this time interval.

Adult↗

Simple metallic compounds as pulp-capping agents. A pilot study.

A pilot study is described in which the exposed pulps of molar teeth of normal laboratory rats were capped with various metallic compounds in general medical usage. There appeared to be no relationship between the response obtained and the pH of the compounds studied. Aluminum powder, aluminum hydroxide, Aludrox, aluminum oxide, light magnesium oxide, magnesium hydroxide, and titanium dioxide gave poor results. Barium sulfate, calcium carbonate, cupric oxide, ferric oxide, heavy magnesium oxide, and stannic oxide merited more detailed study.

Animals↗

The effect of topical antihistamine on the initial pulpal inflammatory response of monkey teeth.

Cavity preparations were made in sixty sound teeth of healthy monkeys. Thermal trauma was delivered to the pulps of all teeth through application of a heated soldering iron to the floor of a cavity preparation. Fifteen teeth were randomly designated as controls and were restored immediately with zinc oxide and eugenol. Forty-five teeth were designated as test teeth. These were treated topically with a 4 per cent antihistamine solution and restored with zinc oxide and eugenol. Histologic sections were prepared to show the effect of the antihistamine on the thermally initiated inflammatory response during the postoperative period. No significant difference was observed in the inflammatory reactions of treated or untreated pulps. A 4 per cent aqueous solution of topically applied antihistamine did not appear to be of any significant value in obviating pulpal inflammation.

Animals↗