Periapical lesions are developed as a result of inflammatory response to irritants from root canal system. Clinicians remove these irritants from root canal system and seal the root canal space to induce healing of the periapical lesions.
Immunopathologic responses may play an important role in development and progression of periapical lesions and periapical lesions contain immunocompetent cells.
The purposes of the present study were to analys and to compare the distribution of the immunocompetent cells in the human periapical lesions according to the stage of endodontic treatment using immunoperoxdase technique.
@ES Obtained 94 human periapical lesions were devided into four groups:
@EN Group 1 : no endodontic treatment (28 samples)
Group 2 : root canal enlarged and irrigated (28 samples)
Group 3 : root canal filled (29 samples)
Group 4 : unknown (9 samples)
Monoclonal antibodies to examine target cells were UCHL-1 for T lymphocytes (1 : 200, Dakopatt, Denmark), L26 fir B lymphocytes (1 : 200, Dakopatt, Denmark), OPD4 for helper T lymphocytes (1 : 200, Dakopatt, Denmark) and alpha-1-antichymotrypsin
for
macrophages (1 : 2000, Dakopatt, Denmark).
@ES The following results were obtained:
@EN 1. All the periapical lesions studied were infiltrated by T lymphocytes, plasma cells, B lymphocytes, and macrophages. T lymphocytes were more infiltrated than B lymphocytes, and B lymphocytes and macrophages were less infiltrated than T
lymphocytes
and plasma cells (P<0.05 : Oneway ANOVA test).
2. In untreated group and canal irrigated and enlarged group of all the periapical lesions, helper T lymphocytes were predominently infiltrated (P>0.05) : Oneway ANOVA test).
3. In canal filled groups of all lesions except periapical cyst, plasma cells were predominently infiltrated. But, in canal filled group of periapical cyst, helper T lymphocytes were the predominent cells (P>0.05 : Oneway ANOVA test).
The above results shows that the immunologic responses play important role in pathogenesis of periapical lesions and the immunologic response involved undergoes certain changes after endodon-tic therapy.
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