The classic organ culture method of Strangeways and Fell with all its subsequent modifications, which in fact comprise all existing organ culture techniques, strictly limits the size of explants which can be grown. Utilizing a new procedure which consists of perfusing the tissue with nutrient through small needles placed within the tissue mass, this limitation in explant size might be overcome. The test organ used in this study was the human tooth. Perfusion periods were up to 14 days. Either of two criteria was used to evaluate the success of the perfusion procedure. First, comparison of pulp tissue ATP levels in perfused, non-perfused, and immediately extracted teeth, showed immediately extracted pulp to contain 0.15 μg ATP, non-perfused saline or gauze control pulp to contain 0.02 μg ATP and pulps of all perfused teeth to contain 0.11 μg/mg ATP tissue. Or second, histologic observations on perfused, non-perfused and immediately fixed teeth revealed marked differences. In some of the perfused teeth, the connective tissue and odontoblast cells appeared intact, and blood vessels were both plentiful and clearly marked. In some areas numerous mononuclear phagocytes could be seen, indicating a chronic inflammatory response. In all non-perfused teeth frank necrosis, with little evidence of any cellular or blood vessel integrity except at the apices, was seen. These results suggest that the placement of small needles may allow for the growth or maintainance of explants in organ culture of much larger size than previously thought possible.
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