Dentine and Pulp Flashcards

(60 cards)

1
Q

What is dentine?

A

bone like material w/ protein matrix

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2
Q

what is amelo-dentinal junction?

A

where dentine and enamel of crown meet

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3
Q

what happens to pulp with age?

A

It shrinks

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4
Q

What are the properties of dentine?

A
  • harder than bone
  • elastic not brittle
  • yellow
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5
Q

what are the chemical properties of dentine?

A

65% inorganic mineral

35% organic= collagen/ proteoglycans/ glycoproteins/h20

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6
Q

What is the structure of Dentine?

A

HAP crystal

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7
Q

how are HAP crystals arranged?

A

parallel to collagen fibrils

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8
Q

What are dentinal tubules?

A

channels via dentine from pulp to outer dentine

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9
Q

what do tubules contain?

A

fluid and odontoblast

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10
Q

what is odontoblast?

A

outer surface of dentine that FORM dentine

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11
Q

What is curvature of Tubules?

A

S shape w/ wave deviations

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12
Q

when are tubules branches increased?

A

ADJ

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13
Q

What happens at ADJ?

A

enamel more mineralised than dentine

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14
Q

Where are tubules wider?

A

at Pulp end than ADJ end

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15
Q

what are tubules adjacent to?

A

enamel in crown and cementum in root

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16
Q

What is peritubular dentine?

A

deposited by odontoblast process

- dentine hypermineralised

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17
Q

What does larger Dentine surface area mean?

A

tubules more packed at pulpal surface

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18
Q

what happens to curvature as down root?

A

less curved

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19
Q

What are daily incremental lines of Dentine?

A

Von Ebner lines

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20
Q

how much is dentine laid down a day?

A

4um

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21
Q

what is superimposed on Von Ebner lines?

A

Andresen lines

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22
Q

What other lines are on dentine?

A

Contour lines of owen

Schreger lines

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23
Q

What are 3 types of dentine based on region?

A

1) Mantle and circumpulpal
2) Primary and regular secondary
3) peritubular and intertubular

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24
Q

What are 3 specific types of dentine

A

1) Irregular secondary/ tertiary or reparative
2) Dead tract
3) Sclerotic

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25
What is mantle dentine?
directly under enamel
26
what is circumpulpal dentine?
housing primary and regular secondary dentine but mantle
27
What is most rapidly formed dentine?
Primary dentine - formed at initial tooth development
28
when is secondary formed?
slowly over life of tooth
29
what happens at junction between primary and secondary dentine?
tubules change direction
30
What is peritubular dentine?
tubules filled with Hypermineralised, non collagenous dentine
31
What is intertubular dentine?
material between tubules - collagenous matrix
32
What is Sclerotic dentine?
tubules translucent when filled with peritubular dentine
33
Why is peritubular dentine laid down?
- Defensive response by odontoblasts to caries/trauma | - tooth ages, more older more translucent
34
What is defensive response of odontoblast?
peritubular dentine laid down to block tubule so acid/bacteria can't reach pulp
35
What is irregular secondary dentine?
laid down at Pulpal surface when caries too fast so it inc. thickness of dentine
36
What are 2 types of irregular secondary dentine?
1) reparative | 2) Reactionary
37
What is Reactionary dentine?
made by surviving odontoblasts that make 2ndary dent.
38
What is Reparative Dentine?
when Osteoblasts differentiate and lay dentine at pulpal surface
39
How are Dead tracts formed?
when odontoblasts die so tubules fill w/ air or debris
40
How does Predentine mineralise?
- mineral crystals added to mineralisation front | - Calcospherites fuses with front
41
What are calcospherites ?
spheres of calcification
42
what is predentine?
Type 1 collagen and non collagenous proteins
43
what is found in predentine layer?
Odontoblasts which secrete matrix
44
where is cell free zone?
beneath odontoblasts
45
What are Odontoblasts?
thin cells w/ nucleus and RER | - tubules have odontoblasts that protrude into pre dentine
46
What is interglobular dentine?
when calcospherites fuse w/ each other before mineralisation front advances
47
what results due to interglobular dentine
area of matrix hypomineralised trapped in dentine
48
What is granular layer of tomes?
between PDL & dentine , is interglobular dentine
49
How is the PULP vascularised and innervated?
nerves/vessels enter via Apical foramen (apex)
50
What is formed in pulp
vascular plexus beneath/between odontoblasts
51
What is the main cell in pulp?
Fibroblasts
52
What is plexus of nerves in pulp?
Raschkow's plexus- nerves travel around odontoblast and some into them
53
How is dentine Sensitive?
1) Direct innervation 2) Odontoblasts 3) Hydrodynamics
54
What is direct innervation of dentine?
stimulus> response in nerve at dentine> impulse to raschkows plexus to CNS
55
What is odontoblast innervation mechanism?
response in odont> impulse to odont. cell body where synapse to nerve plexus
56
What is hydrodynamic mechanism of innervation?
stimulus> fluid flow in tubule> response in nerve ending within tubules or between odontoblasts
57
what is the most sensitive region of dentine?
outmost part underneath enamel or cementum
58
Why is hydrodynamics most likely mechanism for innervation?
tubules get thinner as run through pulp so fluid flow at faster rate so greater stimulus & sensitivity
59
How do anti sensitivity toothpastes work?
deposit mineral in tubules and occlude them so no fluid flow
60
what happens to pulp with age?
pulp stone and denticles within pulp tissue or on pulp wall