Dental Pulp Flashcards

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1
Q

What does connective tissue contain?

A
  • blood
  • nerves
  • fibroblasts
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2
Q

What are fibroblasts for?

A

collagen turnover

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3
Q

What are functions of the dental pulp?

A
  • dentine formation
  • defence
  • repair
  • sense
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4
Q

What are the 4 zones of dental pulp?

A
  • pulp core
  • cell rich zone
  • cell-free zone of Weil
  • odontoblast layer
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5
Q

What are odontoblasts?

A

specialised ectomesenchyme cells

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6
Q

What do odontoblasts produce if mildly irritated?

A

reactionary tertiary dentine

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7
Q

What type of cells retain embryonic potential, decrease with age, and form fibroblasts/ odontoblasts?

A

Stem cells (DPSCs)

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8
Q

What if the function of fibroblasts?

A

slow turnover of ECM components (collagen)

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9
Q

What defence cells are present in dental pulp?

A

macrophages and T-lymphocytes

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10
Q

What is the ratio percentage of collagen fibres in dental pulp?

A

60% type I
40% type III

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11
Q

What type of nerves are sympathetic vasoconstrictors and vasodilators?

A

Efferent autonomic nerves

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12
Q

What nerves in the dental pulp result in pain and increased blood flow when stimulated?

A

afferent nerves

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13
Q

What does dentinal fluid contain?

A
  • proteins
  • glycoproteins
  • polysaccharides
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14
Q

What way does fluid flow when tubules are opened?

A

outwards

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15
Q

How does outwards fluid flow affect cavities?

A

Cavities get wet at the base which affects bonding

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16
Q

What does fluid flow change with?

A

Pulpal pressure

17
Q

What type of nerve fibres are in dental pulp?

A

90% ADelta
10% ABeta

18
Q

Where is the Plexus of Raschkow?

A

Cell free zone

19
Q

Where is the marginal plexus?

A

around odontoblasts

20
Q

What happens to dental pulp as age increases?

A

Pulp volume decreases as number of undifferentiated cells decrease

21
Q

How does pulp sensitivity change with age?

A

Pulp sensitivity decreases as pulp becomes less vascular and contains less nerves

22
Q

What else may happen to pulp with age?

A

It may calcify/ pulp stones or denticles may arise

23
Q

What are true pulp stones?

A

tubular structure from odontoblast like cells

24
Q

What are false pulp stones?

A

calcified fibrous tissue

25
Q

Describe the reactionary tertiary dentine response.

A

TGF beta is released from carious/ demineralised dentine which increases odontoblast dentine formation.