Dentin Flashcards

1
Q

Which substance gives teeth their yellow colour?

A

Dentin

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2
Q

What is the composition of dentin by weight and volume?

A

Inorganic - 70% w, 50% v

Organic - 20% w, 30% v

Water - 10% w, 20% v

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3
Q

Describe the inorganic component of dentin.

A

Primarily hexagonal hydroxyapatite prisms found on or between collagen fibrils

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4
Q

What are the dimensions of the hydroxyapatite prisms in dentin?

A

10x35x100nm

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5
Q

Describe the organic component of dentin.

A

90% type I collagen (large diameter - 100nm) and traces of type III and V

8% non-collagenous proteins

2% lipids

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6
Q

Which direction does pulpal pressure push dentinal fluid?

A

Outwards

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7
Q

Why is the water component in dentin important practically?

A

Problem for binding composites which are hydrophobic

Limits penetration by bonding agents

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8
Q

What is the primary curvature in dentin?

A

Curved sigmoid course of dentinal tubules/odontoblasts from enamel to pulp

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9
Q

What is the secondary curvature in dentin?

A

Odontoblasts changing direction every few microns (diurnal)

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10
Q

What are the contour lines of Owen?

A

In dentin, when the diurnal changes in direction of odontoblasts line up

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11
Q

How can you spot mantle dentin?

A

Marked branching seen just below EDJ in coronal dentin

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12
Q

What is the mantle dentin equivalent in the root?

A

Granular layer of Tomes

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13
Q

What is contained in a dentin tubule? (4)

A

Odontoblast process and smaller ones

Dentinal fluid

Processes of antigen-presenting cells

Sensory nerve terminal fibres

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14
Q

Where is peritubular space not found?

A

Predentin

Most recently mineralised dentin

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15
Q

Where are the processes of antigen-presenting cells and sensory nerve terminal fibres usually found?

A

Beneath cusps in dentinal tubules

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16
Q

How do the sensory nerve terminal fibres in dentin detect stimuli?

A

Hydraulic movement of dentinal fluid within the tubule

17
Q

What is another name of intratubular dentin?

A

Peritubular dentin

18
Q

Is intratubular dentin mostly primary or secondary dentin?

A

Secondary (fills up tubules)

19
Q

In the root, what does intratubular dentin give rise to?

A

Translucent dentin

20
Q

How does the mineral content of intratubular dentin compare to intertubular dentin?

A

Hypercalcified - 15% more mineralised

21
Q

What substances make up the organic non-collagenous matrix intratubular dentin? (6)

A

Glycoproteins

Proteoglycans

Lipids

Osteonectin

Osteocalcin

Bone sialoprotein

22
Q

How does the acid etch used on dentin compare to that used on enamel and why?

A

Weaker

Less mineralised than enamel

23
Q

What is the smear layer?

A

Debris layer, 15-20um thick, produced when friction occurs

24
Q

Why do we use acid etch before bonding?

A

Acid removes mineral to expose collagen fibrils (nm) and removes smear layer

Resin can penetrate at um and nm levels to create a strong bond

25
What are von Ebner's lines?
Light and dark paired bands in dentin perpendicular to tubules, 2-4um apart Optical effect formed due to circadian variation in acid-base balance
26
What are Andresen lines?
Long period variations in odontoblast secretion, visibly enhanced by polarised light
27
What causes the neonatal line?
Birth (slows movement of odontoblasts)
28
What is translucent dentin?
Fills dentin tubules as a response to an external stimulus
29
What is translucent dentin often referred to and why is this not correct?
"Sclerotic" - implies abnormal hardening but hardness depends on structure, not just mineralisation
30
How does translucent dentin differ from peritubular dentin?
Mineral is crystalline, plate-like β-octacalcium phosphate not hydroxyapatite
31
What is another name for β-octacalcium phosphate?
Whitlockite
32
What are dead tracts?
Empty tubules sealed at pulpal end by tertiary dentin
33
Why do dead tracts appear dark in ground section?
Air cannot enter
34
Why is the granular layer of Tomes less mineralised compared to circumpulpal dentin?
Branching and looping tubules Interglobular dentin
35
What is the orientation of the collagen fibres in the granular layer of Tomes?
Parallel to root surface