Tooth Microstructure and Dental Pulp Morphology Part II Flashcards

1
Q

Pulp Tissue - Physiology

•Four main functions of pulp tissue:

1) Formation of ___
2) ___
3) ___
4) __ and ___

A

•Four main functions of pulp tissue:

1) Formation of dentin
2) Nutrition
3) Sensation
4) Defense and Protection

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2
Q

Pulp Tissue - Physiology

•Dentin Formation

–Process is called ____ and is the function of ____ (cells that have differentiated from the peripheral portion of the ___)

•Types of Dentin

–____ Physiologic dentin – laid down only during__ ___, production of this dentin ends when ___ ____ is complete

A

•Dentin Formation

–Process is called dentinogenesis and is the function of odontoblasts (cells that have differentiated from the peripheral portion of the pulp)

•Types of Dentin

–Primary Physiologic dentin – laid down only during tooth formation, production of this dentin ends when root development is complete

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3
Q

Pulp Tissue - Physiology

•Dentin Formation - Types

–Secondary Physiologic dentin – only produced after complete ___ of ___. Formed as long as tooth is ___.

–Tertiary Dentin - formed in response to a ___ stimulus such as___ .

–Reactionary Dentin –formed by ___ that have ___d the ___ stimulus

–Reparative Dentin – ___ odontoblasts have undergone ____ and a___ group of odontoblasts have ___ from cells in the ___

A

•Dentin Formation - Types

–Secondary Physiologic dentin – only produced after complete formation of tooth. Formed as long as tooth is vital.

–Tertiary Dentin - formed in response to a noxious stimulus such as caries.

–Reactionary Dentin –formed by odontoblasts that have survived the noxious stimulus

–Reparative Dentin – original odontoblasts have undergone apoptosis and a new group of odontoblasts have differentiated from cells in the pulp

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4
Q

Secondary Dentin

•Secondary dentin forms in response to__ ____activities. It forms throughout ___

A
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5
Q

Reparative Dentin

•Reparative (___) dentin forms in response to ___s such as ___, ___, ___, ___

A

•Reparative (tertiary) dentin forms in response to irritants such as bruxing or clenching, erosion, trauma and dentinal caries.

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6
Q

Pulp Tissue - Physiology

  • Nutrition – maintains pulp ___, carried on by___ adnd ___ vessels in the pulp tissue. Enter the tooth mainly through the ___ ___, some ___ supply through __ ___.
  • Sensation – __ tissue in the pulp is responsible for __ and all other sensory functions of the teeth
  • Defense and Protection – pulp is capable of responding through ___, resulting in ___ ___and ___ ___
A

Pulp Tissue - Physiology

  • Nutrition – maintains pulp vitality, carried on by blood and lymph vessels in the pulp tissue. Enter the tooth mainly through the apical foramen, some auxiliary supply through periodontal membrane
  • Sensation – nerve tissue in the pulp is responsible for pain and all other sensory functions of the teeth
  • Defense and Protection – pulp is capable of responding through inflammation, resulting in odontoblast differentiation and reparative dentin
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7
Q

Pulp Cavity

  • This is the entire___ ___ in the dentin, both ___ and ___, which contains the ___ ____ of a vital tooth
  • Outline generally corresponds to the ___ ___ of the tooth
A
  • This is the entire central space in the dentin, both root and crown, which contains the pulp tissue of a vital tooth
  • Outline generally corresponds to the external contour of the tooth
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8
Q

Pulp Cavity

•Pulp Chamber – portion of the pulp cavity located in the ___ ___

A

•Pulp Chamber – portion of the pulp cavity located in the anatomical crown

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9
Q

Pulp Cavity

  • Pulp Canal(s) – portion of the pulp cavity located in the __ ___, ___ to the pulp ___.
  • A.K.A. as___ __)
A

Pulp Cavity

  • Pulp Canal(s) – portion of the pulp cavity located in the anatomical root, apical to the pulp chamber.
  • A.K.A. as Root Canal(s)
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10
Q

Pulp Cavity

  • Pulp Horn(s) – pointed ___ /___ limits of the pulp __ and pulp ___
  • Often reflect the ___ or ___ pattern of the tooth’s crown
A
  • Pulp Horn(s) – pointed incisal/ occlusal limits of the pulp cavity and pulp chamber
  • Often reflect the lobe or cusp pattern of the tooth’s crown
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11
Q
  • Apical Foramen – ___ at or near the __ ___ through which the __ and ___ supply enter and exit
  • ___limit of the pulp cavity
A
  • Apical Foramen – opening at or near the root apex through which the nerve and nutrient supply enter and exit
  • Apical limit of the pulp cavity
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12
Q
  • Lateral or Accessory Canals – ___ canals that usually extend ___ from the pulp to the ___ ___
  • Normally found in the ___ half of the tooth
A
  • Lateral or Accessory Canals – minute canals that usually extend laterally from the pulp to the periodontal membrane
  • Normally found in the apical half of the tooth
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13
Q
  • Supplementary Canals – a root canal or branch in ___of the normal number of root canals found in that root.
  • Serve the __ __ as the main root canal
  • Not present in all teeth , Thank Goodness!
A
  • Supplementary Canals – a root canal or branch in excess of the normal number of root canals found in that root.
  • Serve the same function as the main root canal
  • Not present in all teeth , Thank Goodness!
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14
Q

•Anastomosis – extra __ ___h that ____ connects __+ ___s to each other or to ___ canals

A

•Anastomosis – extra canal branch that horizontally connects pulp canals to each other or to supplementary canals

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15
Q

•Orifice – the ___ in the ___ of the pulp ___r where the __ ___ begins

A

•Orifice – the opening in the floor of the pulp chamber where the root canal begins

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16
Q

Pulp Canal Development

  • Early in the development of the tooth the pulp canal is ___ shaped at the apex
  • During much of the root formation the pulp canal is widest at the ___
  • This makes endodontic therapy ___ to perform successfully
A
  • Early in the development of the tooth the pulp canal is funnel shaped at the apex
  • During much of the root formation the pulp canal is widest at the apex
  • This makes endodontic therapy difficult to perform successfully
17
Q

Endodontia

  • Concerned with the “___n” portion of the tooth
  • The field of dentistry that involves the treatment of the__ ___ and it’s ___
  • Implies “ inside a tooth”
  • Involves an area in which __ ___ is not possible
  • ___s useful but limited, due to view being ____l cross- section only.
A
  • Concerned with the “hidden” portion of the tooth
  • The field of dentistry that involves the treatment of the pulp cavity and it’s tissues
  • Implies “ inside a tooth”
  • Involves an area in which direct vision is not possible
  • Radiographs useful but limited, due to view being mesiodistal cross- section only.
18
Q

Endodontia

  • Working knowledge of ___ and ___ of pulp cavities of teeth is imperative.
  • Familiarity with normal canal __, ___s,___, ___, common ____and anomalies is essential.
  • Most failures are ascribed to improper instrumentation of the canals or to undiscovered,therefore un-instrumented supplementary canals
A
  • Working knowledge of anatomy and morphology of pulp cavities of teeth is imperative.
  • Familiarity with normal canal numbers, dimensions, contours, shapes, common variations and anomalies is essential.
  • Most failures are ascribed to improper instrumentation of the canals or to undiscovered,therefore un-instrumented supplementary canals
19
Q

Other Aspects of Dentistry

  • Restorative Dentistry – must know the anatomy and morphology of pulp cavities to properly restore teeth without incidentally or accidentally finding the ___
  • Fixed Prosthodontics – definitely need to have a working knowledge of the pulp cavity when ___ ___ for ___
A
  • Restorative Dentistry – must know the anatomy and morphology of pulp cavities to properly restore teeth without incidentally or accidentally finding the pulp
  • Fixed Prosthodontics – definitely need to have a working knowledge of the pulp cavity when preparing teeth for crowns
20
Q

Sectioning of the Pulp Cavity

  • Mesiodistal section
  • View of most ___ and ____radiographs
A
  • Mesiodistal section
  • View of most periapical and bitewing radiographs
21
Q
  • Faciolingual Section
  • Exhibit more variability than m-d section
  • Not feasible radiographically
A
  • Faciolingual Section
  • Exhibit more variability than m-d section
  • Not feasible radiographically
22
Q
  • Cross sections
  • Cervical
  • Mid-root ( this section would be most helpful in that it would reveal supplementary root canals.)
A
  • Cross sections
  • Cervical
  • Mid-root ( this section would be most helpful in that it would reveal supplementary root canals.)
23
Q

Maxillary Centrals & Laterals

•GENERAL INFORMATION

–Very similar , except:

  • ___ ____ has larger pulp overall
  • Newly erupted central exhibits __pulp horns, lateral exhibits __
A

•GENERAL INFORMATION

–Very similar , except:

  • Central Incisor has larger pulp overall
  • Newly erupted central exhibits 3 pulp horns, lateral exhibits 2
24
Q

•LABIOLINGUAL CROSS SECTION

–Pulp Chamber

•___at incisal and thickens to its widest point at __ ___ level

–Labial outline-___

–Lingual outline

•___ hump corresponds to external ___

–Pulp Canal

___ from cervical line to apical foramen

A

•LABIOLINGUAL CROSS SECTION

–Pulp Chamber

•Pointed at incisal and thickens to its widest point at mid-cingulum level

–Labial outline-convex

–Lingual outline

•Rounded hump corresponds to external cingulum

–Pulp Canal

•Tapers from cervical line to apical foramen

25
Q

•MESIODISTAL SECTION

–Pulp Chamber

  • Widest at ___, tapers to cervical line
  • pulp horns are prominent in newly erupted centrals
  • Laterals have 2 or none

–Pulp Canal

  • ___ from the cervical line to the apical foramen
  • This lack of ____ (or divergence) may cause a problem with __ __ ___
A
26
Q

•CERVICAL CROSS SECTION

__ is triangular in younger teeth, becoming circular with age

___ is round at all ages

A
  • CERVICAL CROSS SECTION
  • Central is triangular in younger teeth, becoming circular with age
  • Lateral is round at all ages
27
Q
  • MID-ROOT CROSS SECTION
  • Pulps of central and laterals are ___
  • Root shape of centrals may be ___ ___ to ____ with ____ more so than ___
A
  • MID-ROOT CROSS SECTION
  • Pulps of central and laterals are round
  • Root shape of centrals may be tapered facial to lingual with mesial more so than distal
28
Q

Max C

•GENERAL INFORMATION

–Pulp chamber width is greater ___ than ____

•Just the opposite of the incisors

–Pulp cavity has the___ ____ width of any anterior tooth

–Longest root in the dentition

•So ___ __is also the longest in the dentition

A

•GENERAL INFORMATION

–Pulp chamber width is greater labiolingually than mesiodistally

•Just the opposite of the incisors

–Pulp cavity has the greatest faciolingual width of any anterior tooth

–Longest root in the dentition

•So root canal is also the longest in the dentition

29
Q

•LABIOLINGUAL SECTION

–Pulp Chamber

  • Slight ___ in the cingulum area on lingual side
  • ___incisal becomes__ with age

–Pulp Canal

•Tapers in the apical third to the foramen

A

•LABIOLINGUAL SECTION

–Pulp Chamber

  • Slight bulging in the cingulum area on lingual side
  • Pointed incisal becomes rounded with age

–Pulp Canal

•Tapers in the apical third to the foramen