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Dental Histology - Pulp
Exam 4
21
Medical
Professional
11/28/2008

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Term
The Dental Pulp
Definition
-Generally the CT that lies within teeth and provided support for dentin
-Contains the nerves and vasculature
Term
3 Zones of Peripheral Denal Pulp
Definition
1. Odontoblastic Zone
2. Cell Free (poor) Zone of Weil
3. Cell Rich Zone of Rinnaggio (Oh Dr. O...)
Term
Odontoblastic Zone
Definition

-Single layer of odontoblasts that line pulp

-Lie adjacent to predentin, each cell having a single process that rests within a dentinal tubule

- Numerous junctions (desmesomes, etc) between odontoblasts with number and location of junction changing according to fucntional states

-Odontoblasts are long lived and can't divide

Term
Cell Free/Poor Zone of Weil
Definition
-Thin layer immediately subjacent to the odontoblastic zone that contains very few cells
-Also occupied by blood vessels, nerve fibers and fine fibers
Term
Cell Rich Zone
Definition
-3-5 cell layers thick, lies under cell free zone
-Composed of flattened stellate or fusiform cells
-Mainly fibroblasts and undifferentiated mesenchymal cells
Term
Subodontogenic Plexus
Definition
-Within the Cell Free Zone
-Contains the Nerve Plexus of Raschkow and the vascular plexus
Term
Nerve Plexus of Raschkow
Definition
-Represents the peripheral branches of the nerve that enters through the apical foramen
-Only present in the crown
-Never bundles are both myelinated and unmyelinated
-Comprised of Sensory afferentsof the Trigeminal Nerve and sympathetic branches of Superios Cervical Ganglion
Term
Nerve fibers in Plexus
Definition

1. A delta fibers - myelinated fast conducting, larger diameter, associated with Sharp pain

2. C fibers - unmyelinated slow condiction, smaller diameter, assiciated with Dull, Diffuse pain.

-As approach coronal portion of pulp, myelinated nerved lose myelin sheaths. 

-Some go up dentinal tubules and play a role in sensitivity

-No synapses with nerves and o-blast process

Term
Vascular Plexus
Definition
-Mostly enter and leave pulp via apical foramen
-Arterioles enter and branch, supplying subodontoblastic region
-During dentinogenesis, arterioles intermingle with odontoblasts
-Other vasculature includes venules and lymphatics
-The first blood vessels to supply developing tooth Enter at Dental Papilla during the CAP STAGE
Term
Other Cells of Dental Pulp
Definition
1. Fibroblasts
2. Undifferentiated Mesenchymal Cells
3. Macrophages
4. Lymphocytes
5. Dendritic Cells
Term
Pulp Fibroblasts
Definition
-Most numerous cels of pulp
-Common in coronal portion where they are found in the Cell Rich Zone
-Provide structural support to pulp, help form its matrix
Term
Pulp Undifferentiated Mesenchymal Cells
Definition

-Pool of cells that are recruited into Fibroblast or Odontoblasts when needed

-Also found in Cell Rich Zone and Core of pulp associated with blood vessels

Term
Pulp Macrophages
Definition
-Located toward the pulp core
-Ummm, they eat stuff...
Term
Pulp Lymphocytes
Definition
-In non-pathologic state, T lymphocytes found throughout pulp but B lymphocytes are rare
Term
Pulp Dendritic Cells
Definition
-Similar in function to Langerhans cels (as antigen presenting cells)
-In unerupted teeth, these cells are associated mainly with odontoblast layer
-In erupted teeth, found Below the odontoblast layer
-More common than macrophages and proliferate in carious teeth
 
Term
Pulp Matrix
Definition
1. Collagen Fibers - mostly thinker Type I and stain with eosin. The other fine fibers are Type III and stain with silver
2. Ground Substance - primarily glycosaminoglycans, glycoproteins, and water. Functions in support and nutrient and waste transport to and from blood vessels
Term
Dentin Sensitivity
Definition
-Most sensitive to pain in response to thermal change, mechanical contact or dehydration
-Function of nerve fibers within inner portion of dentin is not really known
-Possibly function in relation to dentinal tubular fluid: Flow of fluid through tubules causes a distortion in pulpal microenvironent -> stimulates free nerve endings in nerve plexus of Raschkow
Term
Pulp Stones (Denticles)
Definition
-Isolated calcified masses within pulp, similarly mineralized like dentin
-Can be solitary or multiple, in any tooth
-Usually found in plulp chamber orfice or root canal
-Form by accretion of mineralized tissue around a nidus of dead cells, collagen of blood thrombi
-Can obstruct root canal making endo procedures hard
Term
2 Basic Types of Pulp Stones
Definition
1. Attached stone -stone is attached to dentin
2. Free stone - not attached to dentin
Term
4 Pulp Stone Subclasses
Definition
1. True - has dentinal tubules running through it
2. False -  has NO D tubules
3. Discreet - has well defined clumps of calcium
4. Indiscreet -diffuse and amorphous
Term
Age Changes
Definition
-Some are protective, some comromise ability to respond to injury/repair itself
1. Decrease in pulp volume (secondary dentin)
2. Decrease in cellularity
3. Reduction in nerve fibers
4. Dystrophic calcification (pulp stones)
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