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Dentin Development




Odontoblasts differentiation   Early dentin formation
Life History Of Odontoblasts
       .Differentiation of odontoblasts -1
                                                   Ameloblasts


Preameloblasts


Basement
membrane


Differentiate from    At first become
  the peripheral short columnar cell     The cells grow in length
dental papilla cells with many stubby   (40u) and closely packed
      (UMC)                                     together
                         processes
Odontoblasts differentiation
Formation of the predentin -2
Odontoblast become a protein forming and secreting
  cell.
• R E R , Mitochondria and Golgi bodies
• Ribonucleic acid and alkaline phosphatase
Large open
faced N
                                      Inner dental
 RER
                                       epith side
Mitochondria

  Golgi                               Predentin
 bodies
Odontoblastic process formation -3




                         As more D is laid down, the
At first more than one   cells receed and leave single
process                  process ( Tomes’ fiber)
Quiescent state of odontoblasts -4




  The odontoblasts decrease in size and form
  dentin in a slowly diminishing rate until
  stimulated to form reparative dentin.
Dentinogenesis
1 Matrix formation        2 Mineralization
   (Predentin)

                            Hydroxyapatite
                              crystals
Collagen      Ground
 fibers       substance
Matrix formation -1
• A- Mantle dentin          Fibers are perpendicular
                            to D E J
• The first formed dentin
layer in crown
• And root

   Fibers are parallel to
   basement membrane
B) Circumpulpal dentin

                  Mantle dentin

                 Circumpulpal
                 dentin. The fibers
                 are parallel to DEJ
                 ( right or oblique
                 angle to DT)

                   Crowding of the
                       cells and
                    appearance of
                      junctional
                       complex
Mantle dentin Crown Root Circumpulpal dentin
• Thickness: 10-20 um       • Thickness: bulk of the tooth
• Diameter of collagen      • Diameter of collagen fibers:
  fibers: large (0.1-0.2 um) small (0.05um)
• Direction of collagen     • Direction of collagen fibers :
  fibers : have right angle   have right or oblique angle to
  to DEJ and parallel to      dentinal tubules (parallel to
  basement membrane in        dentin surface)
  root                      • Ground substance: from
• Ground substance: from odontoblasts
  odontoblasts and the      • Mineralization: Globular
  cell free zone              below mantle dentin then
• Mineralization: linear      become mixed in the
  form (contains matrix       remaining circumpulpal
  vesicles).                  dentin (no M V ).
Mineralization -2
Budding of
  matrix      Rupture of matrix   Mineralization of the
 vesicles         vesicles           mantle dentin


                                            Has
                                            membrane
                                            rich in
                                            alkaline
Matrix                                      phosphatas
vesicle                                     e

                                         Calcium and
                                         phosphate
                                         ions undergo
                                         crystallization
Pattern Of Mineralization
                            1- Linear at the
                           mantle dentin area


                            2- Globular in
 M V in       Crystal
 matrix
                             circumpulpal
              lization
                           dentin just below
                            mantle dentin
                           3- Combination in
                           the remaining
Lodgment                   circumpulpal
              Rupture
of crystals                dentin of the
                           crown and root
Age Changes Of Dentin
1-Regular secondary
  dentin (Mild stimulus)
• Occurs on the entire pulpal
  surface. In multirooted
  teeth it is thicker on the
  roof and floor of pulp
  chamber.
• The size of the pulp cavity
  decrease and obliteration
  of the pulp horns
• The dentinal tubules
  change their direction to a
  more wavy course
• The number of dentinal
  tubules are fewer
• Line of demarcation (dark).
Irregular Secondary Dentin (Reparative-2
            (or tertiary dentin

• Severe stimulus
• The dentin is formed at
  a localized area.
• The dentinal tubules are
  less in number and
  irregular in               Irregular D T
  arrangement.
• UMC from the
  subodontoblastic layer
  will differentiate and
  replace the degenerated
  odontoblasts to form
  reparative dentin
Types Of Reparative Dentin

Osteodentin (entrapped cells).




Atubular dentin ( area
without dentinal
tubules)


Vasodentin
(entrapped b.v.)
Thus Secondary Dentin may be:
• Regular                           • Irregular
• Cause:
 Mild stimuli (slow attrition and       Severe stimulus (abrasion,
  slowly progressing caries)              erosion, severe attrition and
  Site of formation:                      deep caries)
Occurs on the entire pulpal
  surface of the tooth ( thicker    Formed at the area
  on the roof and floor of the        corresponding to the pulpal
  pulp chamber in multirooted         end of the exposed dentin.
  teeth).
   Dentinal tubules:                -     Have irregular or twisted
- Change their direction and              course
  have more wavy course
- They decrease in number per       -
  unit area.                              They decrease in number and
                                          some areas may have no
                                          tubules
   Line of demarcation                     (a tubular dentin).
Present and stained dark.
                                    May or may not present
• Clinically:
• The decrease of the • The localized area of
  pulp chamber height   dentin formation
  and obliteration of   increase the time
  the pulp horns make   taken by caries to
  the liability of pulp reach the pulp
  exposure during       (barrier)
  cavity preparation
  much less likely to
  occur
(Transparent (Sclerotic Dentin -3
Mild stimulus leads to changes
in the dentin already present.
                 1- Odontoblast
                 and its process
                 undergo fatty
                 degeneration.
              2- Then there will be
              calcification of
              dentinal tubules. First
              become narrow by
              widening of the       3- Then the DT
              peritubular dentin. become obliterated.
The affected area have occluded dentinal tubules, so
the dentin have uniform refractive index. So this area
of dentin appear translucent by transmitted light.
Trasparent D
4-Dead Tracts
• Severe stimulation to
  dentin leads to
  destruction of the
  odontoblastic process
  and odontoblasts. This
  leads to embty and wide
  dentinal tubules.
• These areas apear black
  with transmitted light.
• Under the dead tracts
  from the pulpal surface ,
  reparative dentine will be
  formed.
• The dead tract
  serounded by sclerotic
  dentin.
Discuss theories of pain transmission through dentin.


Compare between interglobular dentin and Tomes’ granular layer.


 Compare between mantle and circumpulpal dentin.

Mention different types of secondary dentin and compare between them.
Mention different types of dentin and
their histological features.

•Predentin
•Primary dentin (mantle, circumpulpal, peritubular, intertubular and interglobular
dentin)

                      Regular     Atubular dentin
•Secondary dentin

                     Irregular    Vasodentin


                                  Osteodentin
•Sclerotic dentin
7 dentinogenesis

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7 dentinogenesis

  • 1.
  • 3. Life History Of Odontoblasts .Differentiation of odontoblasts -1 Ameloblasts Preameloblasts Basement membrane Differentiate from At first become the peripheral short columnar cell The cells grow in length dental papilla cells with many stubby (40u) and closely packed (UMC) together processes
  • 5.
  • 6. Formation of the predentin -2 Odontoblast become a protein forming and secreting cell. • R E R , Mitochondria and Golgi bodies • Ribonucleic acid and alkaline phosphatase Large open faced N Inner dental RER epith side Mitochondria Golgi Predentin bodies
  • 7. Odontoblastic process formation -3 As more D is laid down, the At first more than one cells receed and leave single process process ( Tomes’ fiber)
  • 8. Quiescent state of odontoblasts -4 The odontoblasts decrease in size and form dentin in a slowly diminishing rate until stimulated to form reparative dentin.
  • 9. Dentinogenesis 1 Matrix formation 2 Mineralization (Predentin) Hydroxyapatite crystals Collagen Ground fibers substance
  • 10.
  • 11. Matrix formation -1 • A- Mantle dentin Fibers are perpendicular to D E J • The first formed dentin layer in crown • And root Fibers are parallel to basement membrane
  • 12. B) Circumpulpal dentin Mantle dentin Circumpulpal dentin. The fibers are parallel to DEJ ( right or oblique angle to DT) Crowding of the cells and appearance of junctional complex
  • 13.
  • 14. Mantle dentin Crown Root Circumpulpal dentin • Thickness: 10-20 um • Thickness: bulk of the tooth • Diameter of collagen • Diameter of collagen fibers: fibers: large (0.1-0.2 um) small (0.05um) • Direction of collagen • Direction of collagen fibers : fibers : have right angle have right or oblique angle to to DEJ and parallel to dentinal tubules (parallel to basement membrane in dentin surface) root • Ground substance: from • Ground substance: from odontoblasts odontoblasts and the • Mineralization: Globular cell free zone below mantle dentin then • Mineralization: linear become mixed in the form (contains matrix remaining circumpulpal vesicles). dentin (no M V ).
  • 15. Mineralization -2 Budding of matrix Rupture of matrix Mineralization of the vesicles vesicles mantle dentin Has membrane rich in alkaline Matrix phosphatas vesicle e Calcium and phosphate ions undergo crystallization
  • 16. Pattern Of Mineralization 1- Linear at the mantle dentin area 2- Globular in M V in Crystal matrix circumpulpal lization dentin just below mantle dentin 3- Combination in the remaining Lodgment circumpulpal Rupture of crystals dentin of the crown and root
  • 17.
  • 18. Age Changes Of Dentin 1-Regular secondary dentin (Mild stimulus) • Occurs on the entire pulpal surface. In multirooted teeth it is thicker on the roof and floor of pulp chamber. • The size of the pulp cavity decrease and obliteration of the pulp horns • The dentinal tubules change their direction to a more wavy course • The number of dentinal tubules are fewer • Line of demarcation (dark).
  • 19. Irregular Secondary Dentin (Reparative-2 (or tertiary dentin • Severe stimulus • The dentin is formed at a localized area. • The dentinal tubules are less in number and irregular in Irregular D T arrangement. • UMC from the subodontoblastic layer will differentiate and replace the degenerated odontoblasts to form reparative dentin
  • 20. Types Of Reparative Dentin Osteodentin (entrapped cells). Atubular dentin ( area without dentinal tubules) Vasodentin (entrapped b.v.)
  • 21. Thus Secondary Dentin may be: • Regular • Irregular • Cause: Mild stimuli (slow attrition and Severe stimulus (abrasion, slowly progressing caries) erosion, severe attrition and Site of formation: deep caries) Occurs on the entire pulpal surface of the tooth ( thicker Formed at the area on the roof and floor of the corresponding to the pulpal pulp chamber in multirooted end of the exposed dentin. teeth). Dentinal tubules: - Have irregular or twisted - Change their direction and course have more wavy course - They decrease in number per - unit area. They decrease in number and some areas may have no tubules Line of demarcation (a tubular dentin). Present and stained dark. May or may not present
  • 22. • Clinically: • The decrease of the • The localized area of pulp chamber height dentin formation and obliteration of increase the time the pulp horns make taken by caries to the liability of pulp reach the pulp exposure during (barrier) cavity preparation much less likely to occur
  • 23. (Transparent (Sclerotic Dentin -3 Mild stimulus leads to changes in the dentin already present. 1- Odontoblast and its process undergo fatty degeneration. 2- Then there will be calcification of dentinal tubules. First become narrow by widening of the 3- Then the DT peritubular dentin. become obliterated. The affected area have occluded dentinal tubules, so the dentin have uniform refractive index. So this area of dentin appear translucent by transmitted light.
  • 25. 4-Dead Tracts • Severe stimulation to dentin leads to destruction of the odontoblastic process and odontoblasts. This leads to embty and wide dentinal tubules. • These areas apear black with transmitted light. • Under the dead tracts from the pulpal surface , reparative dentine will be formed. • The dead tract serounded by sclerotic dentin.
  • 26. Discuss theories of pain transmission through dentin. Compare between interglobular dentin and Tomes’ granular layer. Compare between mantle and circumpulpal dentin. Mention different types of secondary dentin and compare between them.
  • 27. Mention different types of dentin and their histological features. •Predentin •Primary dentin (mantle, circumpulpal, peritubular, intertubular and interglobular dentin) Regular Atubular dentin •Secondary dentin Irregular Vasodentin Osteodentin •Sclerotic dentin