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Dentin
Topics
Formation of New Dentin
Pain and pulp-dentin complex
Clinical Consideration
Formation of New Dentin
Types of
Dentin
Primary Secondary Tertiary
Reactionary
Reparative
Secondary Dentin
• Cause: Aging
• Develops after Root
Formation is completed.
• On entire pulpal surface
• The deposition is continuous
with primary but:
i)slower
ii)Fewer tubules
iii)Tubules change direction
to a more wavy course
• In multi-rooted teeth, it’s
thicker on the roof and floor
of pulp chamber
Tertiary Dentin
• Forms at a localized area in reaction
to a stimulus
• Dentinal tubules less in number and
irregular arrangement
• There are 2 types of Tertiary Dentine
Types of Tertiary Dentin
Reactionary
Pre-existing
odontoblast
Reparative
Newly differentiated
ectomesnchymal cells
Reactionary
Reparative
Reactionary
Reparative
Reactionary
dentin
Types of Reparative dentine
Topics
Formation of New Dentin
Pain and pulp-dentin complex
Clinical Consideration
Innervation of Dentin
• Subodontoplastic
plexus of Raschkow
• The nerve will loose
its mylien sheath
then pass between
the odontoblasts
bodies and enter
the dentinal tubules
Topics
Formation of New Dentin
Pain and pulp-dentin complex
Clinical Consideration
Clinical considerations
1. Permeability of dentin
2. Response to external stimuli
3. Adhesion of dental materials to dentin
4. Endodontics
5. Sensitivity
6. Forensic Dentistry
Permeability of Dentin
Depends on:
Dentin surface
(exposed by)
Caries
Attrition
Abrasion
trauma
Tubules
(patent or
occluded)
Exogenous
material
Intertubular
dentin
Tertiary
Dentin
Adhesion of Dental materials to dentin
Endodontics
• With age,
secondary and
tertiary dentin are
formed causing
obliteration to the
pulp chamber and
root canal
• Treatment and
prognosis in older
patients is less
effective
Sensitivity
• Reduction of
sensitivity by
occluding
patent
dentinal
tubules by
precipitation
of crystalline
oxalates
Forensic Dentistry
• Dry teeth of
unknown dead
body contain
mitochondrial DNA
of the interatubular
nerve which are
protected within
the tubules could
help in
identification of the
dead body.
Topics
Formation of New Dentin
Pain and pulp-dentin complex
Clinical Consideration
• Made by:
Reem Hussam (83)
Section 2

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Reem hussam dentin