Dentin & Pulp (Lecture 2) Flashcards

1
Q

____ and ____ – Dental Epithelium is Inductive

____ and ____ – Dental Papilla Mesenchyme is Inductive

A

Lamina
Bud

Cap
Early Bell Stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Odontogenesis is first initiated by factors residing in the ____, which then influences the ____.
• With time this potential is switched over to the ____ such that the ____ becomes the driving force in tooth development.
• First signs of tooth development occur at ____ in utero.

A

1st arch epithelium
ectomesenchyme

ectomesenchyme
ectomesenchyme

5-6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Crown Formation
• Six stages of development.
– Dental lamina stage – initial ____.
– ____ stage - proliferation.
– ____ stage – proliferation, differentiation, morphogenesis.
– ____ stage - proliferation, differentiation, morphogenesis.
– ____ stage – induction & proliferation.
– ____ stage – maturation.

A
induction
bud
cap
bell
apposition
maturation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Dental Lamina
    • ____ cells induce oral epithelium → a horseshoe-shaped ridge forms along each jaw.
    • Epithelial ridge → ____.
    • Ten locations on each ridge → ectomesenchyme induction of tooth buds – early ____.
    • Each primary tooth forms a ____. Permanent molars form their ____.
A
ectomesenchyme
dental lamina
enamel organs
successional dental lamina
dental lamina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Crown Formation
• Crown formation begins with development of the ____, then progress through three stages

• 2. Bud stage.
– Initiation of proliferation of ____ epithelial cells into tooth buds.
– ____ buds on each jaw.
– Ectomesenchyme begins to condense around epithelial bud.
– Congenital absence of teeth usually a result of an ____ in this phase

A

enamel organ
dental lamina
ten
interruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Crown Formation •

  1. Cap stage.
    – ____: unequal proliferation of bud cells → cap.
    – Cytodifferentiation: the epithelial cells begin to differentiate into ____ distinct layers of the enamel organ.
    – Shape of tooth becomes ____ as enamel organ begins formation
    – Ectomesenchyme cells continue to condense around developing cap: these will become the ____ and ____.
A
morphodifferentiation
four
evident
dental papilla (DP)
dental sac (DS)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Crown Formation •

  1. Cap stage (cont).
    – ____ = enamel organ + dental papilla + dental sac (dental follicle).
    – Successional dental lamina forms on ____ side of dental lamina.
    • Will give rise to the ____ of the permanent (successional) teeth.
A

tooth germ
lingual
enamel organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The Tooth Germ

Enamel organ -- an
\_\_\_\_
derivative
Dental papilla -- an
\_\_\_\_ 
derivative
Dental sac – an \_\_\_\_  derivative
A

epithelial (ectoderm)
ectomesenchyme
ectomesenchyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
ENAMEL ORGAN
• Derived from \_\_\_\_ via the dental lamina
• The source of \_\_\_\_
• Determines the \_\_\_\_ of the crown
• Induces the formation of \_\_\_\_
• Establishes the \_\_\_\_
• Forms the \_\_\_\_ of the tooth
A
oral epithelium
ameloblasts
shape
dentin
dentogingival junction
enamel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
DENTAL PAPILLA
• Derived from \_\_\_\_
• The source of \_\_\_\_
• Forms the \_\_\_\_ and \_\_\_\_ of the tooth
• Determines which \_\_\_\_ will be made
A
ectomesenchyme
odontoblasts
dentin
pulp
type of tooth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DENTAL SAC
• Derived from ____
• The source of ____
• Forms the ____, periodontal ligament, and alveolar bone (collectively these are the supportive structures of the tooth-the ____. Also referred to as the ____.)

A
ectomesenchyme
cementoblasts
cementum
periodontium
attachment apparatus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
Crown Formation
• 4. Bell stage.
– The enamel organ is \_\_\_\_
– The location of the \_\_\_\_ will be determined at this stage
– Continued differentiation of enamel organ produces four distinct layers with different functions:
• \_\_\_\_. 
• \_\_\_\_.
• \_\_\_\_.
• \_\_\_\_.
A
fully formed
DEJ
outer enamel epithelium
stellate reticulum
stratum intermedium
inner enamel epithelium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Enamel Organ
• Outer enamel epithelium (OEE).
– ____ for enamel organ. – Associated with ____.

• Stellate reticulum.
– Cells secrete ____ (GAGs).
– GAGs draw water into enamel organ ____ its volume.

A

protective outer barrier
capillary plexus

glycosaminoglycans
increasing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Enamel Organ
• Stratum intermedium.
– A layer of ____ cells adjacent to IEE cells.
– Essential for enamel formation and mineralization – ____.
– Must be present or ____ will not secrete enamel

• Inner enamel epithelium (IEE).
– Differentiate into ____ – enamel forming cells.
– Initiate ____ formation
– Form the ____ – during cap stage.

A

spindle-shaped
alkaline phosphatase
ameloblasts

ameloblasts
dentin
enamel knot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Crown Formation

• Bell stage (cont).
– ____ of the IEE cells establishes the major cusps, fissures, and ridges of the final crown pattern
– ____ joining tooth germ to oral epithelium begins to ____

A

folding
dental (lateral) lamina
breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Crown Formation

• Bell stage (cont).
– ____ – junction of OEE and IEE.
– Dental papilla cells continue to proliferate into:
• ____ (future odontoblasts). • ____.
– Dental sac cells continue to proliferate, but will develop into ____ at a later stage.

A

cervical loop
outer dental papilla
inner dental papilla cells
periodontal tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Crown Formation •

  1. Apposition stage.
    – Terminal ____ of ameloblasts and odontoblasts
    – Initiation of ____ and ____(odontogenesis)
    – Stage during which organic matrix of enamel and dentin are laid down followed by initial ____.
    – Series of reciprocal inductions occur between ____ and ____ cells.
A
differentiation
amelogenesis
dentinogenesis
calcification
enamel organ
dental papilla outer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Apposition Stage

IEE cells induced to differentiate into ____ (A)

Polarized preameloblasts induce ____ cells to differentiate into ____, which continue differentiating into ____ (B)

A

preameloblasts

outer DP
preodontoblasts
odontoblasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Apposition Stage

Odontoblasts begin to secrete organic matrix of dentin, called ____ (C)

Predentin induces differentiation of ____ into ____ (C)
** some say contact of ____ with ____ induces differentiation

A
predentin
preameloblasts
ameloblasts
preameloblast
odontoblastic process
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Apposition Stage

Ameloblasts begin secreting enamel matrix which ____ calcifies to ____

A

immediately

~25-30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
  1. Apposition stage (cont).

• Events(cont):
– ____ forms after disintegration of basement membrane.
– Odontoblasts retreat from the DEJ leaving ____ within predentin.
– Space containing process is a ____.
– ____ retreat from the DEJ as enamel matrix is deposited (____ mineralized).
– Prismless enamel is formed by ____ secretory ameloblasts.
– ____ are formed by ____ of ____ secretory ameloblasts.

A
dentioenamel junction (DEJ)
odontoblastic processes
dentinal tubule
ameloblasts
30%
early
enamel prisms
Tomes' processes
late
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  1. Maturation stage

Enamel
– True secreting ameloblast (enamel rods/prisms instead of amorphous): ____ present (E)
– After deposition and initial mineralization of enamel, secretory ameloblasts ____ Tomes’ processes. (F)
– Maturating ameloblasts differentiate and remove ~____ enamel proteins and water, and pump additional ____ into the matrix. (ruffled ameloblasts, G)

A

tome’s process
lose
90%
Ca++

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  1. Maturation stage

Enamel
- Final differentiation of ameloblasts into ____. (H)
– Basal lamina type material (enamel cuticle) secreted and ameloblasts attach to enamel surface via ____.
– This will become the ____ after eruption.
– ____ forms after enamel is fully matured (remnant of ____).

A

protective ameloblasts
hemidesmosomes
epithelial attachment
reduced enamel epithelium (REE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Timing of developmental stages

Pr. epith band:
Bud stage:
Cap:
Bell:
Crown:

The terms (bud, cap, bell, crown) refer to the ____ in the dental organ.

A
5 weeks, initiation
6-8, in-growth
8-12, morphogenesis
12-16, differentiation
18, mineral forms

morphological changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Introduction to odontogenesis

  • How a tooth develops from a few cells in the primitive oral cavity to an ____ with crown and ____.
  • Later material on dentin, pulp, enamel and periodontal ligament
  • A theme is continual interactions between ____ and ____ cells.
A

erupted tooth
root
epithelial
mesenchymal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Properties of Mature Dentin

• Physical.
– Light \_\_\_\_ color.
– Resilient – absorbs \_\_\_\_ forces.
– Hardness: more mineralized than \_\_\_\_ or \_\_\_\_ but less than \_\_\_\_.
• Chemical.
– Inorganic – \_\_\_\_ - HA.
– Organic – 20% - Primarily \_\_\_\_. – 
Water – \_\_\_\_.
A
yellow
masticatory
cementum
bone
enamel
70%
type I collagen
10%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Properties of Mature Dentin

  • A vital tissue.
  • ____ growth throughout life of tooth.
  • Able to repair itself at ____ side.
  • The apatite crystal is oriented ____ to the collagen fibers in the dentin matrix (not ____ to ____)
A
continued
pulpal
parallel
parallel
dentinal tubules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Properties of Mature Dentin

  • No ____ are present in normal dentin, only a portion of the cell called the ____ (____) is located within ____ in the dentin.
  • The cells of the dentin, ____, are located within the ____ of the tooth.
A
cells
odontoblastic process
Tome's fiber
tubules
odontoblasts
pulp
29
Q
Dentin
• Characteristics.
– Resilient support for enamel.
– Inorganic – 70%*.
• \_\_\_\_ crystals.
– Organic – \_\_\_\_*.
*by \_\_\_\_
• Primarily \_\_\_\_, also amorphous ground substance.
– Water – \_\_\_\_*.
– Forms throughout \_\_\_\_ of tooth.
A
hydroxyapatite
20%
weight
type I collagen
10%
life
30
Q

Dentinal Structure
1) ____:
– Tubular spaces w/in dentin containing odontoblast processes and interstitial fluid.
– Approximately 1 in 10 contain ____.
– Extend from the ____ to the dentin-predentin junction
– ____ in crown; ____ in root. Thus, primary curvatures of the dentinal tubules is ____ in root dentin than in crown dentin

A
dentinal tubules
nerve fibers
dentinoenamel junction
s-shaped
straight
LESS
31
Q

Dentinal Structure
2) ____.
– Extend from cell body out into dentinal tubule.
– In mature dentin not all the way to DEJ or DCJ.
– Have numerous side branches.
– Adjacent cell processes contact via their side branches within ____.
– Process tapers from cell body towards ____.

A

odontoblast processes
canaliculi
DEJ or DCJ

32
Q
Dentin Structural Features
• \_\_\_\_.
– Incremental growth lines.
– Distance between successive lines of von Ebner represents the \_\_\_\_ of dentin deposited over a period of \_\_\_\_.
• 4μm in crown, 6μm in root.
A

Incremental Lines of Von Ebner
amount
24 hours

33
Q

Dentin Structural Features
• ____.
– Wider, thicker incremental lines
– Represent ____ occurring during mineralization.
• ____.
– Accentuated contour line of Owen.
– Represent sudden ____ that occur at birth.

A

Contour lines of Owen
metabolic disturbance
neonatal line
physiologic changes

34
Q

Classification of Dentin
• Primary dentin.
– Dentin formed prior to and during tooth
eruption (prior to ____).
– ____ and ____: major portion of crown and root dentin.

A

root completion
mantle
circumpulpal

35
Q

Classification of Dentin
• Secondary dentin.
– Dentin formed after tooth is in ____ (____ root completion).
– Continues throughout ____ of tooth.
– Forms along entire ____ border.
– Rate of formation ____ than primary dentin.
– Junction between 1° & 2° dentin is characterized by a sharp change in ____ of dentinal tubule.

A
occlusion
affter
life
pulp-dentin
slower
direction
36
Q

Classification of Dentin
• Tertiary dentin.
– Forms very rapidly in response to ____ such as attrition, abrasion, erosion, moderately advancing dental caries, trauma
– Forms on the ____ of the dentin in response to ____
– Only deposited at sites where ____ are exposed (localized).
– Seals off tubules from ____.
– Sparse and irregular dentinal tubules.
– May contain cells - ____

A
irritants
pulp surface
caries
dentinal tubules
pulp
osteodentin
37
Q

Types of Tertiary dentin
– ____ dentin.
– ____ dentin.

A

reactive

reparative

38
Q

Reactive dentin:
– Formed by ____ odontoblasts.
– Newly formed tubules continuous with those of ____.

A

preexisting or original

secondary dentin

39
Q

Reparative dentin:
– Formed by ____ differentiated odontoblasts.
– Preexisting dentinal tubules ____.

A

newly

discontinuous

40
Q

Classification of Dentin

• Mantle dentin.
– Outer, ____ layer of crown and root primary dentin - nearest to ____.
– Size and orientation of collagen fibers different from those in ____ dentin.
– Contain thick ____ (____ collagen), oriented ____ to DEJ.

A
first-formed
DEJ/DCJ
circumpulpal
von Korff's fibers
Type III
perpendicular
41
Q
Classification of Dentin
• Circumpulpal dentin.
– \_\_\_\_ of primary dentin, any secondary dentin and tertiary dentin.
– During the lifespan of a multirooted tooth, dentin forms most rapidly on the \_\_\_\_ and \_\_\_\_ of the pulp \_\_\_\_
– Contains mainly \_\_\_\_ collagen.
– Collagen fibers.
• \_\_\_\_ in diameter.
• More \_\_\_\_ oriented.
A
remainder
floor
roof
chamber
Type I
smaller
randomly
42
Q

Classification of Dentin
• Predentin.
– A layer of newly secreted organic matrix.
– Always present between ____ and mineralized ____.
– ____ - similar to osteoid in bone.

A

odontoblasts
dentin
unmineralized

43
Q
Classification of Dentin
• \_\_\_\_ dentin (or \_\_\_\_ dentin) .
– Highly calcified dentin.
– Lines the wall of the \_\_\_\_.
– 40% more calcified than \_\_\_\_ dentin, most mineralized of all dentin.
– Few collagen fibers; dentin \_\_\_\_.
– Not in \_\_\_\_ or \_\_\_\_.
A
peritubular
intratubular
dentinal tubule
intertubular
sialoprotein
mantle
interglobular dentin
44
Q

Classification of Dentin
• ____ dentin.
– All dentin located between ____ - majority of dentin.
– ____ product of odontoblasts.
– ____ calcified than intratubular dentin.
– Contain ____ collagen fibrils. • Dense, interwoven.
• ____ within fibrils.

A
intertubular
dentinal tubules
primary
less
type I
hydroxyapatite
45
Q

Dentin Histology pathological dentin

• \_\_\_\_.
– Area of dentin where dentinal tubules completely \_\_\_\_ with minerals.
– Appears \_\_\_\_ under microscope.
– \_\_\_\_ – apical 1⁄3 of root and crown
midway between DEJ and pulp.
– \_\_\_\_ w/age.
– Forensic dentistry – \_\_\_\_.
A
sclerotic dentin
occluded
transparent
most common
increases
aging factor
46
Q

Classification of Dentin
• Dead tract dentin.
– Tract of dentin containing ____ dentinal tubules (often has ____associated with it).
– Forms when ____ either killed or injured and processes retracted, leaves empty dentinal tubules.
– Appears ____ w/transmitted light in ground sections as only air is present (thus “dead tract”).
– Usually in ____ dentin.
– Usually sealed off by ____.

A
empty
sclerotic dentin
odontoblasts
black
coronal
tertiary dentin
47
Q
Age & Functional Changes
• Secondary dentin.
– \_\_\_\_ volume of pulp.
– May lead to true \_\_\_\_.
• Tertiary dentin.
– \_\_\_\_ volume of pulp.
• Sclerotic dentin.
• Dead tract dentin.
A

decreases
pulp stones
decrease

48
Q
Pulp
• Only \_\_\_\_ of the tooth.
• A specialized \_\_\_\_ connective tissue.
– Derived from \_\_\_\_
– After the tooth is formed, the \_\_\_\_ remains as the dental pulp
• Functions.
– Formation. 
– Nutrition.
– Defense.
– Sensation. 
– Reparative.
• Forms throughout \_\_\_\_ of tooth.
A

soft tissue
loose
dental papilla
life

49
Q
Pulp
Pulpal Anatomy
– Coronal pulp
• Located in the pulp \_\_\_\_ and pulp \_\_\_\_
– Radicular pulp
• Located in pulp \_\_\_\_
A

chamber
horns
canals

50
Q

Pulpal Anatomy

• Apical foramen & accessory canals
– ____
• Where nerves, blood vessels and lymphatic vessels enter and leave the tooth.
• Communicates w/ the ____.
• Local resorption/deposition of cementum & local resorption of dentin may change the ____ of apical foramen.
– Accessory canals
• Connections between pulp ____ and ____.
• Formed by a break in the ____ – HERS detach too ____ during development.

A
apical foramen
PDL
position/shape
canals
PDL
Hertwig epithelial root sheath
early
51
Q
Zones of the Pulp
• Four zones.
– Odontoblastic layer.
• Outermost layer against \_\_\_\_.
• \_\_\_\_ located between cells.
– Cell-free zone (of Weil).
• Not “cell-free” – \_\_\_\_ cells.
• Capillary and nerve plexus (\_\_\_\_).
A

predentin
dentinal nerve fibers
fewer
plexus of raschkow

52
Q

Zones of the Pulp
• Four zones (cont).
– Cell-rich zone.
• Increased ____ – mainly ____ (most abundant cell type in the pulp).
– Pulp core or central zone.
• ____ region of pulp.
• Numerous cell types, nerves and blood vessels and lymphatic vessels.

A

cell density
fibroblasts
central-most

53
Q
Cells of the Pulp
• Cell types.
– Fibroblasts – \_\_\_\_ numerous.
– Odontoblasts – \_\_\_\_ numerous.
– Undifferentiated mesenchymal cells. 
– Macrophages.
– T-lymphocytes.
– Leukocytes.
• ECM – amorphous ground substance (AGS), collagen & reticular fibers.
A

most

next

54
Q
Cells of the Pulp
• Odontoblasts.
– Origin – \_\_\_\_.
– Cuboidal to columnar cells.
– Located at the \_\_\_\_ of dental pulp.
– Extend a long process into \_\_\_\_.
– Responsible for the formation and maintenance of \_\_\_\_ and \_\_\_\_.
– May play a critical role in \_\_\_\_.
– \_\_\_\_ damaged dentin.
A
neural crest-derived ectomesenchyme
periphery
dentinal tubule
predentin
dentin
pain perception
repair
55
Q

Cells of the Pulp
• Fibroblasts.
– Synthesize collagen fibers, glycosaminoglycans, proteoglycan, and glycoproteins of the pulp matrix.
– Phagocytize and degrade ____.
– Responsible for “turn over” of the ____
– ____ in number with age.

A

collagen fibers
pulp extracellular matrix
decrease

56
Q
Cells of the Pulp
• Undifferentiated mesenchymal cells.
– Pluripotent cells that may differentiate into \_\_\_\_ or other cells as needed for repair of dentin or the pulp itself.
• Macrophages.
– Originate from blood \_\_\_\_.
– Located throughout the \_\_\_\_.
– Involved with elimination of \_\_\_\_.
A

odontoblasts
monocytes
pulp
dead cells

57
Q

Cells of the Pulp
• Lymphocytes.
– T- and B- lymphocytes, but B- are ____.
• Dendritic cells.
– ____ antigen-presenting cells.
– Located ____ odontoblasts layer in erupted teeth.
– Similar to Langerhans cells in integument.
– Capture and present foreign antigen to ____.
– ____ in number in carious teeth.
• Infiltrate ____ layer.
• Send their processes into ____.

A
scare
class II
beneath
T-lymphocytes
increase
odontoblast
dentinal tubules
58
Q

Pulp Matrix
• Contains collagenous fibers, Types ____ and ____.
• Lack of ____ except in the walls of blood vessels.
• Ground substance consists of proteoglycans and glycoproteins.
– Proteoglycans bind large amount of water. This water, plus some free water, amounts to ____ of the pulp matrix by weight.
– Glycoproteins include fibronectin, chondronectin, osteonectin & laminin.

A

I
III
elastic fibers
90%

59
Q

Innervation of the pulp
• Nerve bundles entering the dental pulp consist primarily of:
– Sensory _____ nerves of the ____ (fifth cranial nerve), and
– Postganglionic sympathetic branches from the ____ - innervate Pulpal blood vessels.
– Each bundle consists of both ____ and ____ axons.
• Myelinated fibers lose their myelin sheath as they approach the ____.

A
afferent
trigeminal nerve
superior cervical ganglion
myelinated
unmyelinated
coronal pulp
60
Q

Nerve Fibers
• Pain fibers
– ____: associated with sharp localized pain
– ____: associated with dull, diffuse pain.
• Others
– ____: have a larger diameter, compared to A-delta fibers
• Autonomic
– Sympathetic only: ____

A

A-delta fibers
C-fibers
A-beta fibers
C fibers

61
Q

Nerve Fibers
• A-delta fibers
– ____ fibers in pulp-dentin border of the coronal portion.
– ____ of fibers entering the pulp.
– ____ conducting.
– Diameter = 1 to 6 μm [about 1% have diameters of 6 to 12 μm and are designated Aβ fibers].
– Associated with ____ pain when ____ is first exposed.

A
myelinated
majority
fast
sharp localized
dentin
62
Q

Nerve Fibers
• C fibers
– ____ fibers in the ____ of the pulp and extend into the ____ zone.
– ____ conducting.
– Diameter = 0.4 to 1.2 um.
– Associated with ____ pain. – ____ nerves also this type.

A
nonmyelinated
core
cell-free
slow
dull, diffuse
sympathetic
63
Q

Nerve fibers
• Postganglionic sympathetic nerves:
– ____ fibers.
– Regulate intravascular and interstitial ____ within the pulpal tissues.
– Increased sympathetic stimulation ____ the pulpal blood flow, but does not change the ____ of the blood vessels in the dental pulp.

A

unmyelinated C
pressures
decreases
diameter

64
Q

Sensory Perception
• Sensory—extremes in temperature, pressure, or trauma to the dentin or pulp are perceived as pain
– Pain originates in the ____ due to ____ about the odontoblastic cells
– *NOTE: in peripheral organs, the free nerve endings are ____ stimulated by pain (not touch, pressure, temp…)

A

pulp
free nerve endings
receptors

65
Q

Dentin Sensitivity
• General.
– Extreme sensitivity of pulp-dentin complex is unusual and difficult to explain.
– Major sensation perceived – ____.
– Mechanical, thermal and tactile stimuli also picked up by Pulpal ____ nerves.
– Products like bradykinin and histamine, which produce pain in other tissues, ____ produce pain in dentin.

A

pain
afferent
do not

66
Q

Dentin Sensitivity
• Three theories.
– ____.
• 1 in 10 tubules contains a free nerve ending.
– ____.
• Nerves shown to synapse on odontoblast cell
body.
– ____.
• ____ movement through tubule stimulates
pulpal nerves.
• Most ____ theory.

A
nerves in dentin
odontoblast as receptor
hydrodynamic
fluid
plausible
67
Q

Blood supply to the pulp
• Arterioles and venules enter pulp at ____ from superior and inferior ____ arteries.
• Branching occurs as vessels approach ____ pulp and pulp horns.
• Forms an extensive capillary network (bed) deep to ____ layer.
• Capillary loops penetrate odontoblastic layer.
– Capillaries consist of ____ endothelial cells.
– Capillary loops are denser in the ____ compared to the radicular pulp.
• Arteriovenous and venous- ____ are present.

A
apical foramen
alveolar
coronal
odontoblastic
fenestrated
coronal pulp
venous shunts
68
Q
Pulp Histology
• Pulp stones = \_\_\_\_.
– True pulp stones.
• Ectopic mass of \_\_\_\_ in pulp.
• \_\_\_\_ and \_\_\_\_.
– False pulp stones.
• \_\_\_\_ mass in pulp.
• Concentric rings of \_\_\_\_.
– \_\_\_\_: free, attached or embedded.
A
denticles
dentin
odontoblasts
dentinal tubules
calcified
lamellae
location
69
Q
Age Changes in Pulp
• \_\_\_\_ - increased collagen fiber content.
• Blood and nerve supply \_\_\_\_.
• Decreased volume due to: – \_\_\_\_.
– \_\_\_\_.
– \_\_\_\_.
A
fibrosis
decrease
secondary dentin
tertiary dentin
pulp stones