OHE M2 o Formed during odontogenesis

DENTIN o MANTLE DENTIN

• Hard calcified tissue that makes up the bulk of the  Outer layer
tooth, it is covered by the enamel coronally and by
the cementum radically, it also protects and encloses  Product of premature odontoblast
the pulp tissue
o CIRCUMPULPAL DENTIN
PHYSICAL PROPERTIES OF DENTIN
 Bulk of dentin mass
• HARD CALCIFIED TISSUE
 Product of coordinated
o Softer than enamel but harder than odontoblasts
cementum and bone
 Consists of beta-fibrils and
• YELLOWISH INTRINSIC COLOR mucopolysaccharide ground
substance
• FIRM, RESILIENT AND DEFORMABLE
• SECONDARY DENTIN
o Prevent fracture of enamel
o Develops after root formation is completed
• RADIOPAQUE
o PULP RECESSION
o Light
 Dentin becomes thicker as pulp
o Hard tissue and bone becomes thinner

o RADIOLUSCENT  Asymmetric reduction in size and

shape of the chamber and the
 Dark number of the pulp horns

 Gingival and pulp tissue o SECONDARY DENTIN SCLEROSIS

• POSITIVELY BIREFRINGENT  Reduce the overall permeability of

dentin
o Double refraction
o SCHREGER’S LINE
• POROUS AND PERMEABLE
 Line of directional change in
CHEMICAL PROPERTIES OF DENTIN tubular pattern

• INORGANIC 70%  Dark line on dentin

o HYDROXYAPATITE CRYSTALS • TERTIARY

DENTIN(REACTIVE/REPARATIVE/IRREGULAR
• ORGANIC 20% SECONDARY DENTIN)

o COLLAGEN o Responsive to noxious stimuli (attrition,

erosion, caries, cavity preparation)
o GROUND SUBSTANCE
o Minimizes dentin permeability
• WATER 10%
o VASODENTIN
• GLYCOSAMINOGLYCANS AND CHONDROITIN
SULFATE
 Has vascular inclusion
o Mineralization of dentin
o OSTEODENTIN
TYPES OF DENTIN:
 Appears similar to bone
• PRIMARY DENTIN (REGULAR
DENTIN/ORHTODENTIN) o ATUBULAR FIBRODENTIN

1
  Where dentinal tubules are formed  Product of odontoblast (primary)
by replacement
 Between dentinal tubules
o NEONATAL LINE
• DENTINAL TUBULES
 Accentuated dark stained line of
enamel and dentin o Regularly arranged canals which extends
from the tooth pulp to the DEJ in the crown
 Anatomical structures that marks of the tooth and to the DCJ in the root
due to extreme changes in
environment during development o DICHOTOMOUS BRANCHING

o CALCIUM HYDROXIDE  2 equal branches

 Pulp protector o GREATER BRANCHING

o REPARATIVE DENTIN  3 smaller branches

 Type of tertiary dentin formed by o LATERAL BRANCHES

the existing odontoblast
 Anastomoses with branches; root
o REACTIONARY DENTIN dentin

 Type of tertiary dentin formed by o INCISAL AND CUSPAL AREAS

new odontoblast
 Straight
o GLOBULES OF CALCOSPHERITES
o PROXIMAL AREAS
 Globules of mineralization
 S – shaped curvature
• DENTINOID/PREDENTIN
 PRIMARY CURVATURES
o Uncalcified dentin matrix
• Directed coronally

 SECONDARY CURVATURES
STUCTURAL ELEMENTS OF DENTIN
• Directed apically
• DENTINAL MATRIX
o ENAMEL SPINDLE
o Intercellular material of dentin
 Club or spiral-shaped structure
o 2 units:
 Extensions of odontoblasts
 FORMED ELEMENTS
o ODONTOBLASTIC PROCESS/TOME’S
• α – fibers (collagenic); β – FIBER
fibrils (fibrous)
 Provide nutrition, pain sensation
 UNFORMED ELEMENTS
• NUCLEUS OF
ODONTOBLAST
• Mucopolysaccharides
(ground substance)
o Pulp
o PERITUBULAR DENTIN/INTRATUBULAR
o CYTOPLASMIC
DENTIN
EXTENSIONS
OF
 Surrounds tubules
ODONTOBLAST
 Formed in vital teeth
o Mitochondria,
mircotubules,
o INTERTUBULAR DENTIN
actin filaments

2
 • LAMINA LAMITANS • INCREMENTAL LINES OF VON EBNER

o Membrane o Similar to transverse striations

o PERIODONTOBLASTIC SPACE o Appositional growth of dentin

 Contains DENTIAL FLUID • CONTOUR LINES OF OWEN

o Similar to incremental lines of Retzius

 Physiologic maintenance of dentin

o Accentuation of growth lines

o INTRATUBULAR NERVE

AGE CHANGES OF DENTIN:

 Plexus of RASCHKOW
• SCLEROTIC/TRANSPARENT DENTIN
 Pain
o Less sensitivity

o Thickening of peritubular dentin

THEORIES ON DENTIN SENSITIVITY
• DEAD TRACTS
• TRANSDUCTION THEORY
o Less sensitivity
o Odontoblastic process mediates
transmission of stimuli o occurs in tertiary dentin

o Molecular movement of odontoblast will o tubules are emptied

irritate odontoblastic plexus of nerves
sending pain signals to the brain o caused by noxious stimuli

• HYDRODYNAMIC THEORY OF BRANNSTROM

o Movement of dentinal fluid within the CLINICAL CONSIDERATIONS:

dentinal tubule that irritates the
odontoblastic processes sending pain • DENTINOGENESIS IMPERFECTA
signals to the brain
• Metallic restoration
o Most accepted theory
o Amalgam
• DIRECT CONDUCTION THEORY
• Rapid penetration and spread of caries
o Nerve endings are directly irritated
• Vitality of dentin

• Sensitivity and pain

STRUCTURAL CHARACTERISITICS OF DENTIN
• Indirect pulp capping
• INTERGLOBULAR DENTIN
o Calcium hydroxide
o Area of structural defect where
unmineralized dentin are caused by non
fusion of GLOBULES OF
CALCOSPHERITES

o Deficiency in vit.D -Rosette Go 013009 

o Exposure to high levels of fluoride

• GRANULAR LAYER OF TOMES

o Dark granules near DCJ but it lies entirely on

dentin