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Dental Histology - Mature Dent
Exam 4
22
Medical
Professional
11/27/2008

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Cards

Term
Physical Properties of Mature Dentin
Definition
-forms bulk of the tooth
-yellow in color
-slightly elastic allowing for deformation of the tooth         under occlusal stresses
-living tissue = traversed by odontoblast processes 
-radiographically darker than enamel
              more radiolucent
-radigraphically lighter than cementum
              more radiopaque
Term
Chemical Composition
Definition
By Weight:                                
-70% inorganic                           
-20% organic                              
-10% water   (a bit harder than bone)   
 
By Volume:
-45% inorganic = hydroxyapatite
-33% organic = mainly type I collagen,                                       glycosaminoglycans., proteoglycans,                        phosphoproteins
-22% water 
Term

Odontoblast Processes

 

and differences b/t odonoblast process and odonoblasts (cytologically) 

Definition
-extend into dentin
 
Differs in that odonoblast process:
-lacks organells except for mitochondria enclosed by         predentin
-many parallel microtubules and microfilaments
-process and apical part associates with predentin             modified for exocytosis and endocytosis 
Term
Dentinal Tubules
Definition
-extend through the full thickness of dentin
-reflect course taken by odontoblasts = bend                 pathways due to the crowding of odontoblasts         as they move towards the pulp 
    -curve most evident in coronal dentin
                except under incisal edges and cusp tips                  where its almost straight
   -run almost straight in the root dentin
               (cervical 1/3 of root)
-primary curve = due to crowding, large curve
-secondary curve = small bends in path of tubeules
              (reflects individual paths of odontoblasts)
Term

Dentinal Tubules

pt 2 

Definition
-change in diameter of tubule: 2.5 micrometer near             pulp, 900nm at DEJ
-change in number of tubules per unit area: more             tubules near pulp reflecting crowding of                     odontoblasts as they approach the pulp 
 
Term

Dentinal Tubules

 

Lamina Limitans 

Definition
-organic sheath
-lines the dentinal tubules
 
Tubule contains the odontoblast process, tubular fluid, small nerve fibers, and lamina limitans
 
(exact tubular contents are under debate) 
Term

Dentinal Tubules

 

Tubule Branching

 

major

&

fine 

&

microbranches 

 

Definition
Major - terminal branches of tubules
        - seen more frequently at root dentin
 
Fine - more common in root dentin as well
       - branch from main tubule at 44 degree at 1-2                 micrometer intervals
 
Microbranches (canaliculi) - branch at right angles                                             from the tubules 
        
 
Term

Dentinal Tubules

 

Dead tracts 

Definition
-type of age change
-odontoblast process retracts or associated                         odontoblat dies 
-space that forms is filled with air
-appears black on ground section
-usually seen in coronal dentin
-tells you somehting happened in that area 
Term

Intratubular (peritubular) Dentin 

Definition
-hypermineralized (40% more than intertubular)
-hypocollagenized rim of dentin within tubule
        only when viewed in cross section
-narrows the lumen of the tubule
-result of slow depression of highly mineralized dentin
Term
Intertubular Dentin
Definition
-main component of dentin
-tightly packed network of type I collagen
-HAP matrix 
-more organic matrix than intratubular dentin 
Term

Incremental Lines

 

(3) 

Definition
-run at right angles to the tubules and represent             rhythmic patterns of dentin deposition
 
1. Lines of Von Ebner
2. Contour Lines of Owen
3. Neonatal Line 
Term

Incremental Lines

 

Lines of Von Ebner 

Definition
-lines existing about 20 µm apart
 
-represent 5 day cycles of dentinogenesis 
 
Term

Incremental Lines

 

Contour Lines of Owen

Definition
-linear band
 
-due to a coincidental movement of odontoblast
 
-basically an exaggerated secondary curvature 
Term

Incremental Lines

 

Neonatal Lines

Definition
-prominent contour line
-formed by disturbance in mineralization
-disturbance due to abrupt physiological change                 occuring at birth
Term
Interglobular Dentin
Definition
-unmineralized or hypomineralized areas b/w                     calcoshperites where they have failed to fuse
-pronounced if there were:
    -low levels of vit D 
    -high fluoride levels during dentinogenesis
-usually below mantle dentin at interface with                     circumpulpal dentin 
-tubules are present in interglobular dentin
        (b/c it a defect of mineralization not deposition)
-NO INTRATUBULAR DENTIN 
 
Term
Tomes' Granular Layer
Definition
-seen only on ground section
-granular layer just below DCJ within dentin
-increasing density from CEJ to root apex
-may be due to looping terminal portions of dentinal         tubules
-may be due to arrangment of collagen and other             matrix protein
-real reason unknown
-no clinical sig 
Term
Secondary Dentin
Definition
-present along entire pulpal surface
-develops after root fromation is complete
    -apical foramen has been established
-continuing slow deposition of dentin formed                         throughout life
-less regular structure - tubules waiver
-unevenly deposited around pulp periphery
-molars = deposited on roof + floor of pulp chamber
     -causes reduction of size of pulp chamber
Term

Dentin is

NOT

normally exposed

to the

oral cavity

Definition

Unless:

 

1. absence of enamel/cementum (at exposed CEJ,                             amelogenesis imperfects)

 

2. attrition

 

3. trauma/caries 

Term
Tertiary Dentin
Definition
-protective function for pulp
-produced in response to trauma, caries, irritation,                 and dental procedures
-produced only by odontoblasr that are directly                     affected by the stimulus 
-undergoes rapid deposition
            (more severe injury = faster deposition) 
-tubules may be reduced in number, irregular, or                     absent
-osteodentin - tertiary dentin that has incorporated                         its formin odontoblast 
Term
osteodentin
Definition
Tertiary dentin that has incorporated
its formin odontoblast
Term
Sclerotic Dentin
Definition
-dentinal tubules that have become occluded with                             calcifies material
 
-when it occurs over broad area: tubules have a              glassy, transparent appereance on ground section 
-due to deposition of calcium salts in and around          degenerating odontoblas processes
-protects the pulp by reducing dentin permeability
-resulting tissue is harder and denser than normal          dentin 
 
Term
Clinical Considerations
Definition
1. Exposed tubules - painful (exposed dentin)
2. Dental procedures - production on tertiary dentin
3. Sensitivity - may be due to exposed tubules
4. Formation of dentin through life - secondary dentin
5. Indirect pulp capping - placement of irritant                                         causing tertiary dentin to form
6. Must avoid dehydration - no water = brittle
             dry out by removing pulp (RC) - need a crown
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