牙本质小体Denticle · 牙齿 · 消化系统 · NTP ntp-0257
诊断要点:由于牙本质小体是常见的背景性病变,除非其发生明显与处理相关,否则无需诊断。若进行诊断,则应分级。
病变描述
在对照和处理小鼠的上颌切牙中,常可见单个或多个牙本质小体(denticle)(Figure 1、Figure 2、Figure 3、Figure 4)。组织学上,牙本质小体呈圆形至卵圆形,中央有腔,周围环绕管状牙本质。未成熟牙本质小体的中央腔内可含有上皮细胞,而成熟牙本质小体则无细胞或含有细胞碎片。牙本质小体起源于牙髓,但可部分或完全并入牙本质层。牙本质小体起源于紧邻髓腔的上皮鞘发出的小芽状突起。一层柱状成牙本质细胞围绕髓内牙本质小体的外表面,不过在牙本质内或紧密贴附的牙本质小体中通常难以辨认成牙本质细胞。髓内牙本质小体的形成可能通过干扰正常牙齿发育、使受累牙齿易发生畸形及生物力学失效和折断,从而促进小鼠牙发育不良的发生。
诊断与分级建议(NTP 共识)
由于牙本质小体是常见的背景性病变,除非其发生明显与处理相关,否则无需诊断。若进行诊断,则应分级。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Single or multiple denticles ( Figure 1 , Figure 2 , Figure 3 , and Figure 4 ) are often seen in the maxillary incisors of control and treated mice. Histologically, denticles are round to ovoid in shape with a central cavity surrounded by tubular dentin. Immature denticles can contain epithelial cells within the central cavity, whereas mature denticles either are devoid of cells or contain cell fragments. Denticles originate in the tooth pulp but can become partly or entirely incorporated into the dentin layer. Denticles originate from small budlike projections emanating from the epithelial sheath, immediately adjacent to the pulp chamber. A layer of columnar odontoblasts surrounds the outer surface of intrapulpal denticles, although odontoblasts are not usually appreciated in denticles found within the tooth dentin or in closely apposed denticles. Intrapulpal denticle formation may contribute to the development of dental dysplasia in mice by interfering with normal tooth development and predisposing affected teeth to malformation and biomechanical failure and fracture.
Recommendation:
Since they are common background findings, denticles need not be diagnosed unless their occurrence is clearly treatment related. If they are diagnosed, they should be graded.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/alimentary-system/tooth/Denticle
图谱总目录:NTP Nonneoplastic Lesion Atlas。 内容属美国联邦政府作品(公有领域),可引用;引用时请标注来源。
建议引用格式:NTP Nonneoplastic Lesion Atlas. Denticle (tooth). LabSmart 中文版:
https://www.labsmart.cn/ntp/tooth-denticle.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#tooth-denticle