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Dent Traumatol ; 29(1): 15-22, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22413942

RESUMEN

Dental tissues have special characteristics, and its regenerative capacity is noteworthy. However, understanding the circumstances that lead to regeneration is challenging. In this study, the chronology of the healing process after immediate replantation of rat incisor teeth was examined by histological and immunohistochemical analyses within a 60-day period. Thirty-six male Wistar rats had their maxillary right incisors extracted and replanted after 15 min in saline storage. The rats were sacrificed immediately 3, 7, 15, 28, and 60 days after replantation. The histological analysis showed rupture of the periodontal ligament and formation of a blood clot, which started being replaced by a connective tissue after 3 days. At 7 days, the gingival mucosa epithelium was reinserted and areas of root resorption could be seen. At 15 days, the periodontal ligament was repaired. At 3 days, the pulp presented an absence of the odontoblast layer, which started being replaced by a connective tissue. This tissue suffered gradual calcification, filling the root canal at 28 and 60 days. The root ends were closed. The immunohistochemical analysis revealed greater expression of OP, OPG, and RANK proteins in the initial periods (0 and 3 days), while TRAP expression predominated at 28 and 60 days (P < 0.05). In conclusion, in delayed tooth replantation, there is great new bone formation activity in the earlier periods of the repair process, while a predominance of bone resorption and remodeling is observed in the more advanced periods.


Asunto(s)
Incisivo/lesiones , Reimplante Dental/métodos , Fosfatasa Ácida/análisis , Animales , Biomarcadores/análisis , Coagulación Sanguínea/fisiología , Colágeno , Tejido Conectivo/patología , Pulpa Dental/patología , Calcificaciones de la Pulpa Dental/etiología , Calcificaciones de la Pulpa Dental/patología , Epitelio/patología , Encía/patología , Inmunohistoquímica , Isoenzimas/análisis , Masculino , Odontoblastos/patología , Osteopontina/análisis , Osteoprotegerina/análisis , Ligamento Periodontal/lesiones , Ligamento Periodontal/patología , Ligando RANK/análisis , Ratas , Ratas Wistar , Receptor Activador del Factor Nuclear kappa-B/análisis , Resorción Radicular/etiología , Resorción Radicular/patología , Rotura , Fosfatasa Ácida Tartratorresistente , Factores de Tiempo , Ápice del Diente/patología , Alveolo Dental/patología , Cicatrización de Heridas/fisiología
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