Dentine: Composition, Structure, and Clinical Significance

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Questions and Answers

What is the approximate percentage of inorganic minerals in dentine?

  • 50%
  • 10%
  • 20%
  • 70% (correct)

What is the main structural unit of dentine?

  • Pulp fibers
  • Cementoblasts
  • Dentine tubules (correct)
  • Enamel prisms

Which of the following describes the path of dentine tubules?

  • Straight
  • S-shaped (correct)
  • Zigzag
  • Wavy

What is the name of the dentine that forms the wall of the tubules?

<p>Peritubular/intratubular dentine (B)</p> Signup and view all the answers

Which type of dentine makes up the bulk of the dentine?

<p>Intertubular dentine (A)</p> Signup and view all the answers

What is contained within the dentine tubule?

<p>Odontoblastic process (C)</p> Signup and view all the answers

Which of the following is found only in root dentine?

<p>Granular layer of Tomes (B)</p> Signup and view all the answers

Which type of dentine is formed before the completion of root formation?

<p>Primary dentine (A)</p> Signup and view all the answers

What is another name for tertiary dentine?

<p>Reactionary/reparative (B)</p> Signup and view all the answers

In healthy teeth, what color is dentine compared to enamel?

<p>Yellow (C)</p> Signup and view all the answers

Flashcards

Composition of dentine

The composition of dentine is approximately 70% inorganic minerals, 20% organic material, and 10% water.

Dentine tubules

Minute tubes that permeate the dentine structure, extending from the DEJ to the border of the pulp chamber.

Peritubular dentine

The wall of Dentine tubules; highly calcified with minimal collagen.

Intertubular dentine

Less calcified, more collagenous dentine. Makes up the bulk of dentine.

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Periodontoblastic space

Contains the odontoblastic process and is filled with fluid.

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Interglobular dentine

Areas of unmineralized dentine that failed to fuse during dentinogenesis

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Sclerotic dentine

Calcified dentine tubules. Reducies the permeability of dentine

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Dead tracts in dentine

Empty dentine tubules where the odontoblastic process has died or retracted.

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Lines of Von Ebner

Incremental lines reflecting the pattern of dentinogenesis laid down in increments.

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Contour Lines of Owen

A more distinct incremental line between primary and secondary dentine.

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Study Notes

  • The lecture is about the histology of dentine.

  • At the end of the session students should be able to describe the composition and structure of dentine, distinguish between the 3 types of dentine (primary, secondary and tertiary), describe how the structure of dentine relates to its function, and apply this knowledge to interpret the clinical significance of dentine in health and disease.

  • GDC Learning Outcomes: 1.1.5, 1.1.6

  • Dentine is one of the tissues of the teeth and supporting structures

Prior Knowledge

  • Dentine location, dentinogenesis, embryonic origin are relevant here
  • Oral embryology and Tooth morphology are useful to refer to

Importance of Dentine

  • Understanding dentine is essential for clinical assessment, diagnosis, management, and advice.
  • Dentine knowledge relates to dentine hypersensitivity and management, restorative and bonding materials, identification of caries, affected and healthy dentine, radiographs, pathology, and repair of dentine linked to pulp

Composition of Dentine

  • Dentine is roughly 70% inorganic minerals, primarily calcium hydroxyapatite, which is smaller than enamel
  • Dentine also consists of 20% organic material, mainly a collagenous rich matrix (18%) with minority non-collagenous matrix proteins and lipids (

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