export_chapter 5 dental anatomy Flashcards
What four things does pulp contain?
- connective tissue
- nerves
- vaculature
- lymphatics
What are the 4 components of pulp connective tissue?
- fibroblasts
- thick collagen fibers
- network of fine reticulin cells
- connective tissue cells
What can connective tissue cells of pulp do?
- differentiate into odontoblasts if stimulated
What separates the pulp from dentin?
How does this layer change with age in brachydont teeth?
What does this layer contain?
A thin layer of predentin
Gets thinner
Odontoblasts
Describe the pulp of a horse at eruption
- large common pulp
- primordial pulp surrounding the apex
- primordial pulp is surrounded by thin layer of enamel
Describe pulp two years after tooth eruption in horse
- dentin and cementum is deposited a root apex
- separate pulp horns develop 1 year after eruption
How many pulp horns does each tooth have?
- 07-10 have 5
- 06 and mandibular 11 have 6
- maxillary 11 have 7
- incisors have 1
How does the hypsodont apical foramen differ from the brachydont apical formen?
Why?
- remains relatvely dilated for a prolonged period although does reduce in size with age
- must supply the odontoblasts so they can continue to make secondary dentin to over most of the life of the horse to prevent pulp exposure
How do the apical foramen change with time?
- become slightly narrower and get displaced occlusaly by continued cementum deposition at apex
What did Kirkland find in equine mandibular cheek teeth at 5-8 years of age?
- closed apical foramina with two apical foramena in rostral root.
How does pulp exposure in hypsodont teeth differ from brachydont teeth?
- often can withstand inflammation from pulp exposure due to good blood supply allowing macs and extravasated WBC to control pulpar infection
- odontoblasts can lay down tertiary dentin to seal exposed pulp from healthy pulp
- if not enough odontoblasts, undifferentiated connective tissue cells, or fibroblasts can transform into odontoblasts.
What two places is secondary dentin deposited in horse teeth?
What does this result in?
- occlusal surface
- pulp horn walls
- narrowed pulp size
What is difference in dentin content of teeth in young and old horses and what is consequence?
- young horses have high proportion of enamel to dentin, older horses have more dentin vs enamel
- young teeth more prone to shatter during floating, old teeth harder to float
What is content of cementum?
- 65% inorganic (mostly impure hydroxyappetite crystal)
- 35% organic and water content (makes it flexible)
What composes organic part of cementum?
- collagen fibers
What type of fibers do cementoblasts make?
What type of fibers to fibroblasts make?
- small intrinsic fibrils
- large extrinsic fibrils
What do the large extrinsic fibrils of cementum make?
- sharpey’s fibers
What are two types of cementum in horse teeth based on appearance?
- regular and irregular
Where is regular cementum found?
In the peripheral cementum
Where is irregular cementum found?
- adjacent to the peripheral amelocemental junction
- In the maxillary cheek teeth infundibular cementum
Is cementum a live or inert tissue in horse teeth?
- live in the subgingival area and a few mm more occlusally b/c has cementoblasts nourished by vasculature of the PDL
- inert on the clinical crown b/c loose blood supply from cementum
What is most adaptable of calicified dental tissues? Evidenced by what?
- cementum
- ability to respond to infection or trauma by quickly depositing within the alveolus or subgingivally
Where is cementum at eruption and how does this change?
Entire tooth covered by cementum with infundibular incompletely filled.
Worn away soon after eruption
What is function of cementum on all teeth?
On hypsodont teeth?
- protect the tooth
- anchor the fibers of the PDL
- strengthen the clinical crown
What happens as tooth ages that leads to smooth mouth?
- Teeth worn so only root remains made of dentin and cement so no enamel and wears really quickly
What percent of upper cheek teeth had gross caries in the Kilic study?
- 24%
What is central infundibular cemental hypoplasia?
What percent of horses in the Kilic study had this?
- central vascular channels running through the infundibular cement from occlusal surface to variable depth with lateral channels extending as far as the infundibular enamel
- 65%
What is junctional cemental hypoplasia?
Where is this commonly found?
Is it clinically signficant?
- Linear areas of cementum hypoplasia in infundibula at enamel junction
- incisor infundibula
- No (incisors hardly ever get caries)
What is dentin made of?
- 70% minerals (mostly hydorxyapatite crystals)
- 30% organic components (collagen and mucospolysaccharides)
What causes irregular surface of horse teeth?
Why is this good?
- Softer dentin and cementum wears away faster than enamel
- rougher surface, better grinding
What are three main types of dentin?
What are subdivisions?
Primary dentin Secondary dentin (regular and irregular) Tertiary dentin (reactionary or reparative)
What is the difference between reactionary dentin and reparative dentin?
- reactionary dentin forms after local insult from original odontoblasts
- reparative froms from newly deifferentiated mesenchymal cells
Where does irregular dentin form?
- subocclusally in the center of the pulp cavity (laid down last)
What is depth of occlusal secondary dentin in the mandible?
- maxilla?
- 10.8 mandible
- 9.0 maxilla
What is tooth’s initial response to injury, caries, excessive attrition?
- sclerosis of primary dentin tubules
What is difference in appearance of dentin in horse tooth and why?
- primary has high levels of heavily mineralized intratubular dentin so is translucent
- secondary is less mineralized and has dull opaque appearance and stains from food pigments so is dark brown
Do odontoblasts reach the amelodentinal junction in horses?
Yes
Do horses experience pain from odontoblasts reaching the surface?
What is a theory about why?
- most likely not except if damaged (eg reducing larger overgrowths)
- may be calcified
Which has higher mineral content-intertubular dentin or intratubular dentin?
What is consequence of this?
- intratubular dentin
- more resistant to wear
What prevents horse teeth from being infected by microorganisms in the patent dental tubules?
- smear layer
- retrograde flow of fluid in tubules towards occlusal surface
Is secondary dentin porous?
Does it contain odontoblasts?
- no tubules are obliterated
- no tubules are obliterated
Which is more wear resistant regular secondary vs primary?
Why?
primary
secondary contains no intratubular dentin
Which primary dentin has the lowest intratubular dentin?
Does it wear faster?
- amelodentinal junction dentin
- no, protected by the enamel
What is most hardest and most dense substance in the body?
- enamel
What is mineral content of enamel?
Is it opaque or translucent?
Why?
- 96-98% (hydroxyappetite)
- translucent
- high mineral content
What is origin of enamel?
Of cementum?
Of dentin?
- ectoderm
- mesenchyme
- mesenchyme
What is organic component of enamel?
- keratin family of proteins
What is enamel usually covered by in the horse mouth?
- where are the exceptions to this?
- why does this happen?
- dull, chalky, peripheral cementum
- rostral incisors, occlusally on the cheek teeth
- cementum worn away
- is enamel a “living” tissue?
- why or why not?
- what is consequence of this?
- almost dead
- ameloblasts die off as soon as tooth is fully formed
- can’t repair itself
What are different arrangements of enamel in horse teeth?
- prisms +/- prism sheath
- less structured interprismatic enamel
What are three types of enamel in horse teeth?
- Type 1 - round/oval prisms in parallel rows between flat plates of dense interprismatic enamel
- Type 2 - horseshoe to keyhole prisms with no interprismatic enamel - amelocemental junction
- Type 3 - honeycomb structure of prisms surrounded by interprismatic enamel sometimes present as thin layer at amelodentinal and amelocemental junction
What type of enamel is found in the maxillary cheek teeth?
The mandibular cheek teeth?
The incisors?
- More type 1 than 2 (but almost all folds have both)
- Equal type 1 and 2
- Amost all type 2
What is orientation of type 1 vs type 2 enamel?
- type 1 45%
- type 2 various angles
How does type 1 enamel resist wear?
How does type 2 resist wear?
- dense interprismatic plates
- decussation (interweaving with changes of direction of bundles of enamel prisms that run in 3 dimensions
What prevents fine microfractures in cheek teeth enamel?
Do fractures ever extend into pulp?
- cementum and dentin
- yes
How do donkeys differ from horses?
- maxillary cheek teeth have equal amounts of type 1 and type 2 enamels
What are three phases of tooth development?
- initiation
- morphogenic
- cyctodifferentiative
Describe the first stage of tooth development (pre-bud stage)
- horseshoe shaped epithelial thickening along the lateral margin of the fetal oral cavity (primary epithelial band)
- this invaginates into the underlying mesenchymal tisse to form two ridges, the vestibular lamina and caudal to it the dental lamina
Describe the bud stage of tooth development
- dental lamina produces a serious of epthelial swellings called tooth buds along its buccal margin
Describe the cap stage of tooth development
- mesenchymal cells beneath the ectodermal tooth buds proliferated and invaginate into tooth buds
What are the cap shaped structures of the cap stage called?
- enamel organs
What develop from the enamel organ of the dental laminae?
- all deciduous teeth and the molar teeth.
How do permanent incisor teeth, permanent canine teeth, and permanent premolar teeth form?
What is consequence of this related to permanent incisors?
- from lingual/medial extensions of the dental laminae of the deciduous teeth.
- deciduous incisor teeth displaced labially by permanent teeth
Describes what happens between the cap and bell stage
- mesenchymal cells proliferate within concave part of the enamel organ and become the dental papilla that eventually ameks dentin and pulp.
- mesenchymal cells extend peripherally to form the dental sac or follicle that surounds the enamel organ and dental papilla until tooth eruption occurs.