Evoked and Spontaneous Pain Assessment During Tooth Pulp Injury

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Departmental Papers (Dental)
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Animals
Behavior
Animal
Dental Pulp
Disease Models
Animal
Gene Expression Profiling
Gene Expression Regulation
Humans
Hyperalgesia
Inflammation
Male
Mice
Mice
Inbred C57BL
Nerve Tissue Proteins
Pain
Pain Measurement
Severity of Illness Index
Tooth Injuries
Trigeminal Ganglion
nerve protein
animal
animal behavior
C57BL mouse
disease model
gene expression profiling
gene expression regulation
genetics
human
hyperalgesia
inflammation
injury
innervation
male
metabolism
mouse
pain
pain measurement
pathophysiology
procedures
severity of illness index
tooth injury
tooth pulp
trigeminus ganglion
Dentistry
Endodontics and Endodontology
Oral and Maxillofacial Surgery
Oral Biology and Oral Pathology
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Rossi, Heather Lynn
See, Lily Pachanin
Foster, William
Pitake, Saumitra
Gibbs, Jennifer
Schmidt, Brian
Mitchell, Claire H.
Abdus-Saboor, Ishmail
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Abstract

Injury of the tooth pulp is excruciatingly painful and yet the receptors and neural circuit mechanisms that transmit this form of pain remain poorly defined in both the clinic and preclinical rodent models. Easily quantifiable behavioral assessment in the mouse orofacial area remains a major bottleneck in uncovering molecular mechanisms that govern inflammatory pain in the tooth. In this study we sought to address this problem using the Mouse Grimace Scale and a novel approach to the application of mechanical Von Frey hair stimuli. We use a dental pulp injury model that exposes the pulp to the outside environment, a procedure we have previously shown produces inflammation. Using RNAscope technology, we demonstrate an upregulation of genes that contribute to the pain state in the trigeminal ganglia of injured mice. We found that mice with dental pulp injury have greater Mouse Grimace Scores than sham within 24 hours of injury, suggestive of spontaneous pain. We developed a scoring system of mouse refusal to determine thresholds for mechanical stimulation of the face with Von Frey filaments. This method revealed that mice with a unilateral dental injury develop bilateral mechanical allodynia that is delayed relative to the onset of spontaneous pain. This work demonstrates that tooth pain can be quantified in freely behaving mice using approaches common for other types of pain assessment. Harnessing these assays in the orofacial area during gene manipulation should assist in uncovering mechanisms for tooth pulp inflammatory pain and other forms of trigeminal pain. © 2020, The Author(s).

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2020-12-01
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Scientific Reports
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