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    Histologi (Drg. Erlina)

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    PremaysariDwiLestari
    The document provides information on the types and formation of dentin. It discusses primary, secondary, and tertiary dentin. Primary dentin forms before root completion while secondary dentin forms after root completion and throughout life. Tertiary dentin is formed in response to external stimuli. The document also describes reparative or tertiary dentin that forms in response to caries, abrasion, or operative procedures as injured odontoblasts are replaced. Sclerotic dentin has a higher mineral density and may help prolong pulp vitality by reducing permeability through obliterated dentin tubules.

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    Histologi (Drg. Erlina)

    Uploaded by

    PremaysariDwiLestari
    42 views25 pages
    The document provides information on the types and formation of dentin. It discusses primary, secondary, and tertiary dentin. Primary dentin forms before root completion while secondary dentin forms after root completion and throughout life. Tertiary dentin is formed in response to external stimuli. The document also describes reparative or tertiary dentin that forms in response to caries, abrasion, or operative procedures as injured odontoblasts are replaced. Sclerotic dentin has a higher mineral density and may help prolong pulp vitality by reducing permeability through obliterated dentin tubules.

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    Histologi

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    The document provides information on the types and formation of dentin. It discusses primary, secondary, and tertiary dentin. Primary dentin forms before root completion while secondary dentin forms after root completion and throughout life. Tertiary dentin is formed in response to external stimuli. The document also describes reparative or tertiary dentin that forms in response to caries, abrasion, or operative procedures as injured odontoblasts are replaced. Sclerotic dentin has a higher mineral density and may help prolong pulp vitality by reducing permeability through obliterated dentin tubules.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    42 views25 pages

    Histologi (Drg. Erlina)

    Uploaded by

    PremaysariDwiLestari
    The document provides information on the types and formation of dentin. It discusses primary, secondary, and tertiary dentin. Primary dentin forms before root completion while secondary dentin forms after root completion and throughout life. Tertiary dentin is formed in response to external stimuli. The document also describes reparative or tertiary dentin that forms in response to caries, abrasion, or operative procedures as injured odontoblasts are replaced. Sclerotic dentin has a higher mineral density and may help prolong pulp vitality by reducing permeability through obliterated dentin tubules.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 25

    Mentoring UKGDI

    HISTOLOGI
    Erlina Sih Mahanani, drg, M.Kes
    Prgram Study Kedokteran Gigi
    Fakultas Kedokteran dan Ilmu Kesehatan
    Universitas Muhammadiyah Yogyakarta

    Oral Mucous Membrane


    Is

    the moist lining in the oral cavity


    Oral cavity consists of 2 parts:
    Outer vestibule ( lips and Cheeks)
    Oral cavity proper
    Superior zone (hard & soft palates)
    Floor zone (tongue)
    Posterior zone

    Oral mucous membrane

    Types of dentin
    Primary

    dentin:
    is formed in a tooth
    before the
    completion of the
    apical foramen of
    the root.
    Mantle dentin:
    the first predentin
    that forms and
    matures within the
    tooth.
    Circumpulpal
    dentin: the layer

    Erlina S M, Dentin & Pulp

    Secondary

    dentin: is
    formed after the
    completion of the
    apical foramen and
    continues to form
    throughout the life of
    the tooth.
    Tertiary dentin: is
    formed in response to
    an external stimuli.
    Predentin: is newly
    deposited

    Erlina S M, Dentin & Pulp

    Types of Dentin
    Dentin

    Primary physiology
    dentin

    Mantle
    dentin

    Secondary physiologic
    dentin

    Circumpulpal
    dentin

    Peritubular
    dentin

    Tertiary dentin or
    Reparative dentin or
    Reactive dentin or
    Response dentin

    Intertubular
    dentin

    Erlina Sih Mahanani

    Primary
    physiological
    dentin

    Secondary
    physiological
    dentin
    Erlina Sih Mahanani

    Intertubular &
    Peritubular/Intratubular

    Peritubular

    is the dentinal matrix that immediately


    surrounds the dentinal tubule.
    It is called Peritubular cause it is hyper mineralized collar
    surrounding the tubules.
    Peritubular is present in tubule throughout dentin except
    near the pulp.
    Erlina S M, Dentin & Pulp

    Dentinal tubules & Odontoblast process


    A

    B
    SEM of Predentin

    SEM of Dentin

    Erlina S M, Dentin & Pulp

    Odontoblast Process

    Odontoblast

    processes (Odp) run in


    canalicules called dentinal tubules.
    Erlina S M, Dentin & Pulp

    Dentinal
    tubules
    Dentinal matrix
    Intertubular
    dentin

    Erlina Sih Mahanani

    Lines in dentin
    Incremental

    lines

    is deposited incrementally, a
    hesitation in activity follows.
    This hesitation in formation
    results in alteration of matrix
    It also can be called lines of
    von Ebner
    Neonatal

    line

    It is hypocalcified area
    represented by a wide contour
    line in the teeth.
    These are found in deciduous
    teeth and first permanent molar.
    It represents the disturbance in
    mineralization due the abrupt
    change in environment that
    occurs at birth.
    Erlina S M, Dentin & Pulp

    Neonatal
    line

    Dentin Pulp Complex

    Dentin
    Odontoblasts layer

    Predentin

    Cell rich zone


    Pulp core
    Cell free zone

    Erlina Sih Mahanani

    Odontoblast and Process

    Odontoblast process

    Erlina Sih Mahanani

    Odontoblast cells

    Odontoblast and Process

    Predentin

    Dentin

    Erlina Sih Mahanani

    Cavity Preparation
    The dentinal tubules are sigmoid
    (S) shape curved structure
    which run perpendicularly from
    the pulp toward the periphery.
    Near the root tip, incisal edge
    and cusps, are almost straight.
    The tubules are approximately 1
    micron in diameter at their outer
    end, 1.5 at mid, 1.5 3 near the
    pulp.
    The number of dentinal tubules
    at the pulp end is nearly 4-5
    times more than at outer
    surface.
    The size, curvature and distance between tubules in
    outer, mid, and inner surface of dentin
    Erlina Sih Mahanani

    Cavity Preparation

    The number of dentinal tubules near the pulp end is 4-5


    times more than at outer surface.
    Erlina Sih Mahanani

    The

    dentin formed in response to caries,


    abrasion, erosion, attrition, or operative
    procedures is known as reparative, tertiary,
    reactive or response dentin.
    These cause the odontoblasts to be cut or
    injured
    degeneration of a large number of
    odontoblast.
    The odontoblast that are killed are replaced
    by the movement of undifferentiated cells
    from the cell rich zone or from the
    undifferntiated perivascular cells present
    deeper inside the pulp.
    Erlina Sih Mahanani

    Reparative Dentin
    Enamel
    Restoration

    Dead tract

    Sclerosed dentinal
    tubules
    Reparative dentin
    Erlina Sih Mahanani

    Reparative Dentin

    The process of response dentin is started by the


    pulp.
    It helps seal off the area of injury causing resolution
    of inflammation & removal of dead cells.
    Reparative dentin has lesser & more twist tubules
    than normal dentin.
    In some cases, a combination of osteodentin & tubular
    dentin is also seen.
    The quality and quantity is related to the intensity &
    the duration of stimulus.
    There is no continuity between dentinal tubules of
    reparative dentin and overlying primary & secondary
    dentin.
    There is the minimize dentin permeability at the side
    deposition thus giving the protection.
    Erlina Sih Mahanani

    Sclerotic dentin

    Dental caries

    Erlina Sih Mahanani

    Sclerotic or Transparent Dentin


    Sclerotic

    dentin is generally observed in the


    elderly people.
    Mineral density is greater in this area.
    It can be present under slowly progressing
    caries.
    Sclerosis may help to prolong pulp vitality and
    reduce dentin permeability.
    It appears dark in reflected light, and
    transparent in transmitted light.

    Erlina Sih Mahanani

    Sclerotic or Transparent Dentin


    The

    excessive formation of collagen fibers and


    apatite crystal in dentinal tubules can lead to
    complete obliteration of dentinal tubules
    a
    defensive reaction of dentin.
    Initially the apatite crystal s are only sporadic
    but gradually a fine meshwork.
    Gradually, the tubule lumen is obliterated with
    mineral, which appears like quite the peritubular
    dentin.
    Erlina Sih Mahanani

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