Reactionary Versus Reparative Dentine in Deep Caries

Author:

Alexandru-Andrei Iliescu1,Irina-Maria Gheorghiu2,Mihaela Tănase3,Andrei Iliescu4,Loredana Mitran5,Mitran M.6,Paula Perlea4

Affiliation:

1. Department of Oral Rehabilitation, Faculty of Dental Medicine , UMF Craiova

2. Department of Restorative Odontotherapy, Faculty of Dental Medicine , UMF “Carol Davila” Bucharest

3. Department of Oral Implantology, Faculty of Dental Medicine , UMF “Carol Davila” Bucharest

4. Department of Endodontics, Faculty of Dental Medicine , UMF “Carol Davila” Bucharest

5. Department of Otorhinolaryngology , Elias Hospital

6. Department of Obstetrics and Gynecology, Faculty of Medicine , UMF “Carol Davila” Bucharest

Abstract

Abstract The dentine-pulp complex response in deep caries is histological characterized by tertiary formation and mild chronic pulp inflammation. The quiescent primary odontoblasts are reactivated, laying down reactionary tertiary dentine. In more severe carious damage the primary odontoblasts die and reparative tertiary dentine is secreted by odontoblast-like cells, which are differentiated in adult teeth mainly from dental pulp stem cells DPSC. Though associated with reversible pulpitis DPSC still preserve in deep caries the capability of migration, proliferation and differentiation. Some common mechanisms of molecular signals involved in tertiary dentine formation might also explain the balance between inflammation and regeneration of dentine-pulp complex.

Publisher

Walter de Gruyter GmbH

Subject

General Biochemistry, Genetics and Molecular Biology

Reference24 articles.

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2. 2. Smith, A.J. Dentin formation and repair. In: Hargreaves, K.M. & Goodis, H.E. (2002). Seltzer and Bender’s dental pulp. Quintessence, Carol Stream (pp.41-62).

3. 3. Olgart, L. & Bergenholtz, G. The dentine-pulp complex: responses to adverse influences. In: Bergenholtz, G., Hørsted-Bindslev, P. & Reit, C. Textbook of endodontology. (2003). 1st ed, Blackwell Munksgaard, Oxford (pp.21-42).

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