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研究生: 邱行健
Chiu, Shing-Jiahn
論文名稱: 比較不同發育時期智齒牙胚中間質幹細胞其群落形成單位的量
Comparison of Quantity of Colony Forming Unit in Cells Isolated from pulp tissue or germ of Human Wisdom Teeth at Different Developmental Stage
指導教授: 王東堯
Wong, Tung-Yiu
共同指導教授: 黃玲惠
Huang, Lynn L.H.
學位類別: 碩士
Master
系所名稱: 醫學院 - 口腔醫學研究所
Institute of Oral Medicine
論文出版年: 2013
畢業學年度: 101
語文別: 英文
論文頁數: 43
中文關鍵詞: 智齒第三大臼齒牙髓間葉幹細胞群落形成單位
外文關鍵詞: CFU, stem cells, third molar, wisdom tooth
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  • 自從幹細胞的研究範圍日益擴大,智齒的牙髓也被發現是成體幹細胞(post-natal stem cell)的來源之一。如此一來,智齒拔除的理由及時機似乎又多了一項考慮。在牙齒發育胚胎學上有有所謂bud stage, cap stage, bell stage,在late bell stage才開始有鈣化產生,也才能在X光片上被觀察到。本實驗的目的在於比較不同發育時期智齒牙胚中間葉幹細胞其菌落形成單位的量。在符合智齒移除適應症的患者X光片上依牙根發育階段將案例分為鐘型(bell stage) (group 1) 、 牙根形成1/2前(group 2)、牙根形成3/4(group 3) 、根尖未閉合(group 4)、根尖已閉合5群(group 5)。依標準口腔外科程序取出智齒,取出牙冠下軟組織,進行細胞培養; 探討初代細胞(P 0) 其菌落形成單位的量,在不同發育時期的表現,結果發現群落形成單位與組織重量成正相關; group 5無群落形成單位。

    Post-natal stem cells originated from pulp of wisdom teeth may be applied for regenerative medicine. The reason and timing for wisdom teeth removal should be re-evaluated. In the aspect of embryology, teeth develop through bud stage, cap stage, bell stage, and then root formation. Our aim is to compare the quantity of CFU in cells isolated from pulp tissue or germ of human wisdom teeth at different developmental stages. Clinically, we can see the developing teeth in radiographs only until calcification of tissue in the late bell stage. We divided patients' teeth into 5 groups: bell stage (group 1), 1/2 root formation (group 2), 3/4 root formation (group 3), well-formed root but open apex (group 4), well-formed root with closed apex (group 5), according to patients' panoramic films. If patients fit the indication of wisdom teeth removal, teeth were removed by a standard oral surgical procedure and the soft tissues inside the crown were taken. After enzymatic dissociation of these soft tissues, we isolated cells from them and performed the primary cell culture. Positive correlation between CFU and tissue weight was noted. But colony was not observed in the group 5.

    中 文 摘 要 i English abstract ii Acknowledgement iii Contents iv Contents of Tables v Contents of Figures v Abbreviation list vi Introduction 1 1. Mesenchymal stem cells and dental pulp stem cells 1 2. Wisdom teeth and tooth development 3 3. To verify the mesenchymal stem cells in dental pulp 6 4. The specific aim 7 Materials and Methods 9 I. Material 9 1. Patients selection and tissue harvest 9 2. Tissue digestion and irrigation solution 9 3. Culture media 10 4. Fixation agent 10 5. Giemsa stain 10 6. Immunofluorescen stain 10 7. Instruments 11 II. Methods 13 1. Tissue harvest for cell culture 13 2. Cell isolation and culture 13 3. Giemsa stain and CFU assay 14 4. Immunofluorescence stain 15 Results 17 1. Grouping 17 2. Viability of cell following enzyme digestion 18 3. CFU assay for the primary culture of tooth pulp 18 4. Immunofluorescence microscopy 19 Discussion and Conclusion 20 References 23 Figure & Table 26

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