OHE M2 DENTIN • Hard calcified tissue that makes up the bulk of the tooth, it is covered by the enamel coronally

and by the cementum radically, it also protects and encloses the pulp tissue

o o

Formed during odontogenesis MANTLE DENTIN   Outer layer Product of premature odontoblast

PHYSICAL PROPERTIES OF DENTIN • HARD CALCIFIED TISSUE o Softer than enamel but harder than cementum and bone

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CIRCUMPULPAL DENTIN   Bulk of dentin mass Product of coordinated odontoblasts Consists of beta-fibrils and mucopolysaccharide ground substance

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YELLOWISH INTRINSIC COLOR FIRM, RESILIENT AND DEFORMABLE o Prevent fracture of enamel •

SECONDARY DENTIN o o Develops after root formation is completed PULP RECESSION  Dentin becomes thicker as pulp becomes thinner Asymmetric reduction in size and shape of the chamber and the number of the pulp horns

RADIOPAQUE o o o Light Hard tissue and bone RADIOLUSCENT   Dark Gingival and pulp tissue

o

SECONDARY DENTIN SCLEROSIS  Reduce the overall permeability of dentin

POSITIVELY BIREFRINGENT o Double refraction o

SCHREGER’S LINE  Line of directional change in tubular pattern Dark line on dentin

POROUS AND PERMEABLE

CHEMICAL PROPERTIES OF DENTIN • INORGANIC 70% o • HYDROXYAPATITE CRYSTALS •

ORGANIC 20% o o COLLAGEN GROUND SUBSTANCE

TERTIARY DENTIN(REACTIVE/REPARATIVE/IRREGULAR SECONDARY DENTIN) o Responsive to noxious stimuli (attrition, erosion, caries, cavity preparation) Minimizes dentin permeability VASODENTIN

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WATER 10% GLYCOSAMINOGLYCANS AND CHONDROITIN SULFATE o Mineralization of dentin

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Has vascular inclusion

OSTEODENTIN

TYPES OF DENTIN: • PRIMARY DENTIN (REGULAR DENTIN/ORHTODENTIN)


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Appears similar to bone

ATUBULAR FIBRODENTIN

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Where dentinal tubules are formed by replacement

 

Product of odontoblast (primary) Between dentinal tubules

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NEONATAL LINE •  Accentuated dark stained line of enamel and dentin Anatomical structures that marks due to extreme changes in environment during development DENTINAL TUBULES o Regularly arranged canals which extends from the tooth pulp to the DEJ in the crown of the tooth and to the DCJ in the root DICHOTOMOUS BRANCHING  o 2 equal branches

o

o

CALCIUM HYDROXIDE  Pulp protector

GREATER BRANCHING  3 smaller branches

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REPARATIVE DENTIN  Type of tertiary dentin formed by the existing odontoblast o

LATERAL BRANCHES  Anastomoses with branches; root dentin

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REACTIONARY DENTIN  Type of tertiary dentin formed by new odontoblast o

INCISAL AND CUSPAL AREAS  Straight

o

GLOBULES OF CALCOSPHERITES o

PROXIMAL AREAS   S – shaped curvature PRIMARY CURVATURES •  Directed coronally


Globules of mineralization

DENTINOID/PREDENTIN o Uncalcified dentin matrix

SECONDARY CURVATURES • Directed apically

STUCTURAL ELEMENTS OF DENTIN • DENTINAL MATRIX o o o Intercellular material of dentin  2 units:   FORMED ELEMENTS o • α – fibers (collagenic); β – fibrils (fibrous)

ENAMEL SPINDLE Club or spiral-shaped structure Extensions of odontoblasts

ODONTOBLASTIC PROCESS/TOME’S FIBER  Provide nutrition, pain sensation • NUCLEUS OF ODONTOBLAST o o Pulp CYTOPLASMIC EXTENSIONS OF ODONTOBLAST Mitochondria, mircotubules, actin filaments

UNFORMED ELEMENTS


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Mucopolysaccharides (ground substance)

PERITUBULAR DENTIN/INTRATUBULAR DENTIN   Surrounds tubules Formed in vital teeth

o

o

INTERTUBULAR DENTIN

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LAMINA LAMITANS o Membrane

INCREMENTAL LINES OF VON EBNER o o Similar to transverse striations Appositional growth of dentin

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PERIODONTOBLASTIC SPACE


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Contains DENTIAL FLUID Physiologic maintenance of dentin

CONTOUR LINES OF OWEN o o Similar to incremental lines of Retzius Accentuation of growth lines

INTRATUBULAR NERVE


Plexus of RASCHKOW Pain

AGE CHANGES OF DENTIN: • SCLEROTIC/TRANSPARENT DENTIN o Less sensitivity Thickening of peritubular dentin

THEORIES ON DENTIN SENSITIVITY • TRANSDUCTION THEORY o Odontoblastic process mediates transmission of stimuli Molecular movement of odontoblast will irritate odontoblastic plexus of nerves sending pain signals to the brain •

o

DEAD TRACTS o o o o Less sensitivity occurs in tertiary dentin tubules are emptied caused by noxious stimuli

o

HYDRODYNAMIC THEORY OF BRANNSTROM o Movement of dentinal fluid within the dentinal tubule that irritates the odontoblastic processes sending pain signals to the brain Most accepted theory CLINICAL CONSIDERATIONS: • • DENTINOGENESIS IMPERFECTA Metallic restoration o • • Amalgam

o •

DIRECT CONDUCTION THEORY o Nerve endings are directly irritated

Rapid penetration and spread of caries Vitality of dentin Sensitivity and pain Indirect pulp capping o Calcium hydroxide

STRUCTURAL CHARACTERISITICS OF DENTIN • INTERGLOBULAR DENTIN

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Area of structural defect where unmineralized dentin are caused by non fusion of GLOBULES OF CALCOSPHERITES

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Deficiency in vit.D Exposure to high levels of fluoride

-Rosette Go 013009 

GRANULAR LAYER OF TOMES o Dark granules near DCJ but it lies entirely on dentin

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