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Control of complicated root canal system of primary teeth: Clarification of reliable method for root resorption control and repair mechanism on resorbed part

Research Project

Project/Area Number 17K11951
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthodontics/Pediatric dentistry
Research InstitutionHokkaido University

Principal Investigator

YAWAKA YASUTAKA  北海道大学, 歯学研究院, 教授 (60230603)

Co-Investigator(Kenkyū-buntansha) 中村 光一  北海道大学, 歯学研究院, 助教 (50580932)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords歯学 / 乳歯 / 根管治療 / 根管洗浄 / 水酸化カルシウム製剤 / pH / 歯根吸収 / セメント質 / 小児歯科
Outline of Final Research Achievements

Regarding the root canal treatments, it was showed that the important factors of the control of complicated root canal system of primary teeth were the root canal irrigation with ultrasonic and the root canal medication by calcium hydroxide (Ca(OH)2).
We constructed a root resorption model in rat molar in animal experiment, and observed histologically the effects of Ca(OH)2 on root resorption. The effects of Ca(OH)2 showed inhibition of root resorption and occurrence of cementum deposition. We think cementum deposition is one of repair mechanisms on resorbed part.
We could construct a root resorption model in cell culture. But we do not reach the step as to investigate effects of Ca(OH)2 due to bad reproducibility.

Academic Significance and Societal Importance of the Research Achievements

乳歯の根管治療は、その複雑な根管系により難しいといわれている。今回の研究成果により、難しいといわれている乳歯根管治療の予後向上の可能性が示された。小児における齲蝕は減少傾向にあるとはいえ、根管治療が必要となる重篤な齲蝕や外傷は存在しており、健全な成長発育を理想とする小児において、口腔機能の維持増進は重要な点の一つである。この口腔機能の維持増進は、健全な歯、歯列、咬合が必須であり、その点からも、大きな意義を有する結果となった。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (6 results)

All 2020 2019 2018 2017

All Journal Article (3 results) (of which Peer Reviewed: 1 results) Presentation (3 results) (of which Int'l Joint Research: 3 results,  Invited: 3 results)

  • [Journal Article] Effects of root canal irrigations on intracanal medication with calcium hydroxide effects in root external resorption models.2019

    • Author(s)
      Akina Hisada, Koichi Nakamura, Yuki Toyota, Ayako Maeda, Toshihiro Yoshihara, Yasutaka Yawaka
    • Journal Title

      Pediatric Dental Journal

      Volume: 29 Issue: 1 Pages: 17-22

    • DOI

      10.1016/j.pdj.2018.10.003

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Root canal treatment of traumatized permanennt teeth with external root resorption2017

    • Author(s)
      Yasutaka Yawaka, Yuki Toyota, Akina Hisada, Ayako Maeda, Shohei Inoue, Toshihiro Yashihara
    • Journal Title

      Hokkaido Journal of Dental Science

      Volume: 38(Special Issue) Pages: 122-129

    • Related Report
      2017 Research-status Report
  • [Journal Article] もう慌てない!幼児期の口腔外傷2017

    • Author(s)
      八若保孝
    • Journal Title

      ザ・クインテッセンス

      Volume: 36(4) Pages: 68-84

    • Related Report
      2017 Research-status Report
  • [Presentation] Approach to outer root resorption of traumatized teeth.2020

    • Author(s)
      Yasutaka Yawaka
    • Organizer
      The 9th Conference of Asian International Association of Dental Traumatology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Root canal treatments with ultrasonic device of traumtized permanent teeth with external root resorption2018

    • Author(s)
      Yasutaka Yawaka
    • Organizer
      The 1st National Conference of Indian Society of Dental Traumatology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Root Canal Tratments of Traumatized Permanent Teeth with External Root Resorption2017

    • Author(s)
      Yasutaka Yawaka
    • Organizer
      The 8th Conference of Asian International Association of Dental Traumatology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited

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Published: 2017-04-28   Modified: 2021-02-19  

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