Level 4
Dr. Anas Rabata
- DENTIST BACHELOR DEGREE, Damascus university in 2007. - MASTER DEGREE, Department of Histology and oral Pathology in Damascus university in 2011 - Dental Implantation Diploma, Dental Collage, Beirut, Lebanon, in 2010.
Pulp
Mesenchymal connective tissue From dental papilla
Cavity in the central part of tooth
Molar pulp > incisor pulp
Surrounded by dentin
Except apical
Properties
Inductive
Oral epithelial dental lamina Enamel organ particular type of tooth
formative
dentin
nutritive
By Blood vessels + odontoblastic processes Maintain vitality of tooth
sensory
Respond with pain to all stimuli
defensive
By producing reparative dentin and mineralizing any affected dentinal tubule
Pulp chamber
Apical foramen
Anatomy
Root canal
Accessory canals
Pulp chamber ( coronal pulp)
The shape of pulp chamber is same as the outline of outer surface of dentin Pulp horns : extension of the pulp into cusps Become smaller with advancing age ( deposition of secondry dentin)
Root canal (Radicular pulp)
From cervical of the crown to the root apex
Single (anterior) Multiple ( posterior)
Continuous with periapical CT
Apical foramen
Maxillary teeth > mandibular teeth
Bounded by dentin or by cementum
Accessory canals
Anywhere along the root
Apical third
Accessory canals
Cell rich zone
Cell free zone (weil`s zone)
Odentoblast cell layer
Structural features cell
Odontblasts
fibroblast Defense cells
Intercellular substance
fibers
vessels Nerve fibers
Ground substance
Highly differentiated connective tissue cells
Columnar in crown Cuboidal in middle of root Spindle in apex
Odontblast
Contains a large oval nucleus in adifferent levels
Protoplasmic processes (Tomes` process)
fibroblasts
Most numerous in pulp
-Stellate shape -Round or spindle (older)
-synthesis of collagen fiber -ingesting and degrading
Histocyte (macrophage)
Mast cell
lymphocytes
Defense cells
Lymphoid wandering cells
Plasma cell
Undifferentiated mesenchymal cells
Young pulp > pulp after root completion
Polyherdral in shape with oval nuclei
On demand they become Odontoblast , fibroblast , macrophages
Intercellular substance
1- acid mucopolysaccharides
Fumction 1- support 2- transport between blood vessels and cells
-Dense -Gel like substance
2- protein polysaccharide 3- chondroitin A&B 4- hyaluronic acid 5- glycoprotein
Bundle collagen (Root canals)
Diffuse collagen = scattered fibers
Fibers increase with age
fibers
vasseles
Blood vasseles Lymph vasseles
nerves
Non-myelinated myelinated