dentinogenesis(authorv.mazuru)

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    SUMPh “ Nicolae Testemitanu”

    Histology, Cytology and Embryology department

    Dentine, Dentinogenesis,

    Dental Pulp.

    Assistant professor Vitalie Mazuru

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    Dentine – hard tissue that forms the bulk of the tooth

    Physical properties

    Harder than cementum and

     bones, but softer than enamel

    High permeability Compressive and tensile

    resistance

    Pale yellow color 

    Contributes to the color of thetooth through translucent

    enamel

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    Chemical properties

    70% inorganic/30% organic

    SBST

    Ca hydroxyapatite crystals(smaler than in enamel)

    Collagen fibrills (I ↑↑↑, III, V)

    Proteins (Phosphoproetins, Gla-proteins,

     proteoGAG, acidic proteins, Growth Factors) Lipids

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    Dentine tubule

    Basic unit of dentine

    Run from pulp chamber to DEJ/DCJ

    Sectioned longitudinally have sigmoidappearance

    Sectioned transversally – circular shape

    In cusp zone and root are DT are straight,

    on the lateral surfaces of the crown curved

     Near to DEJ their density is low andincreases closer to the pulp (because of

    inward moving of odontoblasts during

    Dentinogenesis)

    Are highly branched

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    Dentinal tubule

    Primary curvature

    First convexity of DT proximal to

    Odontoblast body, looking rootward

    Secondary curvature

    Second convexity of DT distal to

    Odontoblast body, looking cuspward

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    Dentinal tubule components

    DT = Wall + cavity

    Wall –  peritubular (intratubular 

    dentine

    Cavity – a cavity filled up with

    organic components

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    Dentinal tubule componentsPeritubular dentine is first

     produced and deposited by

    odontoblasts, is the most

    mineralized (arrowed)

    Dentine between peritubular 

    dentine is intertubular dentine.

    Is about 15% less mineralized

    than the first one (star).

    Between PTD and ITD is located

     Newman sheath (appears as a white

    ring). Has the lowest degree of

    mineralization.

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    Dentinal tubule content

    Tomes processes (apical elongations of

    dentinoblasts responsible for dentine

    formation)

    Loose connective tissue

    Fibroblasts

     Nerve fibers (both M and UM)

    Sensory terminals (predominant

    location in the cusp area)

    Dentinal fluid

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    Branches of dentinal tubules

    Small canaliculi by

    which dentinal

    tubules communicate

    with each other 

    There are 3 types:1. Terminal (major)

    2. Lateral

    2a. Fine branches - sharp

    angle (45º)

    2b. Microtubules – right

    angle (90º)

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    Fine branches - sharp angle (45º)

    Microtubules – right angle (90º)

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    DEJ.

    Terminal branches (major) of dentinal tubules. Are often entrapped into the

    Enamel and form enamel spindles

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    Terminal branches getting into DEJ

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    Enamel spindles from DEJ

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    Cross section through dentinal tubules. Silver impregnation

    Dentinoblasts processesFine branches

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    Types of dentine based on location

    1. Peritubular D

    2. Intertubular D

    3. Mantle D

    4. Circumpulpar D

    Mantle D The oldest D

    Thin layer of D in DEJ

    Coincide with terminal

     branches of dentinaltubules

    Collagen fibers arearranged perpendicularly

    to DEJ Less mineralized than

    circumpulpar D

    Absent in root area

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    Mantle dentine

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    Circumpulpar dentine

    The bulk of dentine

    Uniform in structure except

     peripheral areas

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    Types of dentine based on degree of

    mineralisation

    1. Predentine

    2. Globular D

    3. Interglobular D

    4. Granular layer of Tomes

    Predentine

    The youngest one that

    has been just produced.

    Consists only of organic

    matrix.

    Is the closest to the

    dentinoblasts bodies

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    Predentine

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    Globular DResult of normal mineralization of

    organic matrix that occurs in

    different points of Ca HA crystals

    deposition. As a result appear manyglobular structures (calcospherites) – 

    responsible for globular appearance

    of this Dentine. Is the most

    Mineralized.

    In root mineralization is largely

    globular.

    Interglobular D

    D located between calcospherites.

    Is less calcified than GD.

    In time, due to the permanent

    growing of calcospherites, globules

    tend to fuse and replace IGD

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    GD and IGD

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    Interglobular D in DEJ

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    Granular layer of Tomes

    Located in DCJ

    Spaces with air, similar

    to dead tracts

    Hypocalcified D

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    Types of dentine according model of

    development

    A. Primary

    B. Secondary

    C. Tertiary

    (reparative, reactive)

    Primary D

    D produced during

    histodifferentiaton stage till

    the tooth acquires the size

    specific for an adult one

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    Types of dentine according model of

    development

    Secondary D

    Very similar to the primaryDentine, produced after

    the tooth acquires the size

    specific for an adult one.

    Could be distinquished due

    to the different angle of

    dentinal tubules arrangement

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    Types of dentine according model of

    development

    Tertiary

    Appear when dental pulp is induced

     by a variety of external stimuly: caries,

    attrition, cavity preparation, trauma.

    Is less calcified than previous two

    Dentinal tubules have disorganizedarrangement

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    Types of reparative dentine

    Atubular D (areas without DT) Vasodentin (entrapped BV)

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    Sclerotic Dentine

    Appear normally in time

    (elderly dentine) or as a

    response for pathological

    conditions

     partial or complete

    obliteration as a result of

     peritubular D deposition in

    excess

    Highly mineralized

    Appear as white areas

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    Dead tracts

    Appear under chronic and

    strong stimulus action

    Odontoblasts die

    Empty tubules are filled

    with air 

    Areas of weak resistance

    Usually surrounded by

    Sclerotic D

    On ground sections, in

     polarized light, appear black 

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    Dentine’s incremental lines

    Appear as a result of incremental

     pattern of D producing

    1.cross-striation (daily deposition)

    2. Von Ebner’s lines (6 to 10 days period)

    3. Owen lines (periods of Odontoblasts

    inactivity => hypocalcified areas)

    4. Neonatal line (could be easily seen

     between primary and secondary D)

    Cross striation

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    Owen linesRetzius lines

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    Dentinogenesis

    Formation of D

    Odontoblasts

    After induction from IEE

    Outer pulp cells becomeelongated with many apical

     processes, finally remains

    only

    one (Tome’s process).

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    Dentinoblast life cylce

    • Secretory stage

    • Quiescent stage

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    Dental pulp

    Houses soft tissues of the tooth.

    Cells and ECM

    Ground substance

    Collagen fibers (I, III)

    Special cells (Odontoblasts, Hohl)Cells of LCT

    Divided into 2 areas:

    odontogenic

    the core

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    Odontogenic area

    a) Layer of odontoblasts

     b) Cell-free zone (Weil)

    c) Cell-rich zone (Hohl)

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    Odontogenic zone