Sensation from Teeth Flashcards

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1
Q

what are the sensations from teeth

A

tooth - PDL
pain - denitene/PDL
cold - gingiva, dentine/PDL

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2
Q

what awesome pain producing stimulus

A
electric current 
heat
cold 
mechanical 
drying 
hypertonic solution
hydrostatic solution
algogenic chemicals
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3
Q

what is the innervation of pulp

A

dense inv
extensive branching
myelin - A delta and beta
unmylin - C

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4
Q

what si the inv of dentine

A

extend into tubules

over pulp horns

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5
Q

neurones are activated and sensitised by

A

inflam mediators

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6
Q

what is substance p

A

form axon reflex

enhances nociceptors an thermorecptors

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7
Q

what re the theories of dentinal sensitivity

A

dentine inv
ododobalst receptor theory
hydrodynamic theory

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8
Q

where is most inv dentine

A

predeneitne over pulp horns

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9
Q

how is dentine inv

A

sparsley

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10
Q

in ododnobals receptor theory what happens to the stimulus

A

transduction via the odontoblast process

communication between ododntoblasta nd primary afferent

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11
Q

what sit he problem with ododntblast receptor theory

A

no evidence of electrical communication them synapses between odontoblast and nerve
odontoblast process extend only 1/3 into dentie

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12
Q

what is the hydrodynamic theory

A

stimuli cause pain when applied to dentine
increased fluid flow in dentine
gen AP in intradental nerves
AP rate linked to fluid flow

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13
Q

what causes an outward flow

A
cooling 
drying 
evaporation 
hypertonic solutions 
decrease hydrostatic pressure
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14
Q

why are intradental nerves more sensitive to outward flow

A

nerves may contain stretch sensitive ion channels

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15
Q

what are the nerves involved

A

unmyelinated endings A delta and beta

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16
Q

what is pain from high restoration

A

high intra coronal - pain bite
high cusp - pan biting
high cusp cover - no pain