Pulp Flashcards

1
Q

What leads to formation of the dentine-pulp complex

A

dental papilla

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2
Q

……… …….. extend from the pulp towards the …….. and joint the ……. at the …… in the crown

A

dentinal tubules
periphery
enamel
DEJ

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3
Q

Dentinal sclerosis reduces the permeability of the …… ………

A

dentinal tubules

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4
Q

The hydrodynamic theory is the main mechanism for ……. …………
The rapid displacement of the ………. fluid within the …….. ……… induces deformation of the ………… process and ……….. the A-fibres leading to the transmission of the ………. signal

A
dentine sensitivity
dentinal 
dentinal tubules
odontoblastic
activates
nociceptive
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5
Q

What factors trigger dentinal fluid movement

A

cold/hot
osmolarity (sweet substances)
mechanical pressure (chewing)

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6
Q

The pulp produces …… forming the …….. and ……… structure during the ……….

A

dentin
coronal
radicular
odontogenesis

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7
Q

The pulp is a ………… and can induce sclerotic and …….. dentine formation

A

immunocompetent

tertiary

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8
Q

The inflammatory cascade elicited during the pulp defence can trigger the …….. …… that leads to apical …….. ……..

A

cytokine cascade

bone resorption

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9
Q

The pulp is a connective tissue, composition of dental pulp:

A

different cells
extracellular matrix (fibres + ground substance)
blood vessels
nerves

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10
Q

What are the two fibres of the dental pulp

A

type I collagen

type II collagen

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11
Q

Clinical significance: what is used to dissolve infected fibrous tissue in the pulp

A

milton solution (1% sodium hypochlorite)

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12
Q

Nerves of the dental pulp

A

maxillary + mandibular branches of trigeminal nerve

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13
Q

2 pulp fibres and %

A

80 % unmyelinated C fibres

20 % myelinated A fibres

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14
Q

Myelinated .. fibres have …… conduction …….. which induce …… ……… pain associated with dentinal ……….

A
A
fast
speed 
sharp
short
hypersensitivty
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15
Q

Unmyelinated .. fibres have ……… conduction …… which induce …… ………. pain associated with the advanced stages of ……….. ……….

A
C
slow 
speed
dull
non-localised
irreversible pulpitis
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16
Q

The vessels of the dental pulp originate from the ……. ……..

A

lateral canals

17
Q

Dentine pulp in response to caries, 3 factors:

A

reduction in dentine permability
tertiary dentine self mechanism
pulp immunity

18
Q

What is pulpitis?

A

inflammation of the pulp

19
Q

What special tests to check pulpitis?

A

Thermal: hot/cold

electrical pulp tester

20
Q

Treatments for pulpitis:

A

vital pulp therapy

RCT