Dentine and Pulp 2 Flashcards

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1
Q

what does the odontoblast layer do as a permeability barrier?

A

separates pulp and tubular space, regulates movement of material between pulp and tubular ECF

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2
Q

what material moves from pulp to dentine?

A

nutrients, formation of secondary and tertiary dentine

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3
Q

what material moves from dentine to pulp?

A

medicaments applied to dentine, diffusion of toxins from bacteria/filling material

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4
Q

what is the nerve supply of the pulp?

A

alveolar nerves

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5
Q

what nerves enter the pulp?

A

neurovascular bundles via the apical foramen

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6
Q

once in the apical foramen, where do the nerves go?

A

along the root canal in the centre of the pulp towards the coronal pulp chamber

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7
Q

when in the coronal pulp chamber what is the organisation of the nerve supply?

A

it branches out in the sub-odontoblastic layer called Raschow’s plexus

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8
Q

what do the terminal branches of the nerves do?

A

enter the odontoblast layer and some enters the dentinal tubules

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9
Q

what is the distribution of nerves in the coronal, root and pulp-predentine areas

A

15% in coronal, 4% in root, most in pulp-predentine

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10
Q

describe what happens in the dentine when a stimulus is applied to the tooth

A

increased dentine fluid flow, generation of AP intra-dental nerves to brain to cause PAIN

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11
Q

if the fluid is flowing in an outward direction what way is it going?

A

pulp to dentine

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12
Q

if the fluid is flowing in an inward direction what way is it flowing?

A

dentine to pulp

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13
Q

what stimuli causes an outward fluid flow?

A

cooling, drying, hypertonic solutions, decreased hydrostatic pressure

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14
Q

what stimuli causes an inward fluid flow?

A

heating, mechanical, increased hydrostatic pressure

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15
Q

what direction of fluid flow is more effective in activating intradental nerves and why?

A

outward as it is rapid and stretches the nerves

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16
Q

which stimuli bypass the hydrodynamic mechanism?

A

intense heating, intense cooling, electrical current, pain-producing chemicals

17
Q

what are the Abeta and Adelta fibres activated by?

A

hydro-dynamic stimuli

18
Q

what are C fibres activated by?

A

direct stimuli

19
Q

where does the blood supply to the teeth come from?

A

branches of the maxillary artery

20
Q

what controls pulp blood flow?

A

local factors, nerves, circulating hormones, drugs (LA)

21
Q

what are the functions of the pulpal nerves?

A

sensory (pain mediation), control of pulp blood vessels, promotion of neurogenic inflammation, promotion of dentine formation, facilitation of immune response

22
Q

what is the immediate dentine-pulp pain response?

A

nociceptor activation

23
Q

what is dentine-pulp response after 1 minute of stimuli

A

early inflammatory response, kinins, prostaglandins, neuropeptides, vasodilation

24
Q

what is the dentine-pulp response after 10 minutes of stimuli

A

nocicpetor sensitisation, extravasation of fluid = oedema, polymorph migration

25
Q

how long after stimuli does tertiary dentine begin to form?

A

1 week

26
Q

what does oedema in the pulp cause?

A

an increase in pulp pressure