Histometric study of periodontal trauma in dental germs to be transplanted - scanning electron microscopy

ABSTRACT

Dental transplants are of great interest in modern dentistry. Research has been directed toward the study of different techniques and observations of the results. Scientific basis is also to be observed and the aim of this paper is to associate technical with scientific data. Dental germs in different stages of development were carefully removed from their alveolar cavities together with the dental sac. Trauma was observed in some areas resulting from the movements of extraction or of the removal of the dental sac by dissection. It should be noticed that by the trauma produced by removal of the dental sac is very uncommon, since the operation is performed at a mesoscopic level. The material showed that the periodontal collagen net is complex in form and the meshes are wider in the surface. Smaller meshes could be seen closer to the cementum surface. Measures could be taken in order to have a basis of the distribution of collagen material around the dental root in different levels. The results showed that extraction should be performed in a most conservative manner and the movements for extraction should be applied to the crown of the dental germ. The maintenance of the periodontal integrity is very important in order to preserve the vascular barrier created by the dental cementum