Search PubMedSearch

SEARCH · Search PubMed

Results for “Dentin, Secondary”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

Microscopy of the junctional region between human coronal primary and secondary dentine.

The juction between human primary dentine and regular and irregular secondary dentine was examined with a number of different light and electron microscopic techniques. In decalcified material, a narrow band along the innermost surface of the primary dentine stained intensely. The walls of the tubules within the band stained intensely, whereas the tubular walls within the bulk of the primary dentine were not stained. Generally, the walls of the tubules in both types of secondary dentine were also preferentially stained. Although not readily apparent in ground sections, observations of thin sections revealed a dramatic reduction in the number of tubules in regular secondary dentine. Generally, the radiodensity of the intertubular matrix was the same in primary and secondary dentine and the intensely stained band was not seen radiographically. The pulpal ends of the tubules in primary dentine were often occluded with a material having the same radiodensity as peritubular matrix. Both patent and occluded tubules were seen in irregular secondary dentine. Scanning electron microscopy of acid-etched specimens of secondary dentine revealed that some tubules had irregular walls of highly mineralized matrix which was less acid-soluble then the peritubular matrix of primary dentine.

Cuspid

Amount of secondary dentin as an indicator of age.

The amount of secondary dentin in a tooth has been used as one of several parameters in methods for age estimation. Dentin deposition has been measured according to various scoring systems, and the Pearson correlation coefficient with age has been found to be approximately 0.6. In the present study of 1000 teeth, molars excluded, secondary dentin was estimated according to three scoring systems. The teeth were prepared according to the half tooth technique. In addition, the area of the coronal pulp and the widths of the root and pulp chamber were measured in a stereomicroscope at the cemento-enamel junction and at three other defined points along the root. The Pearson correlation coefficient between age and secondary dentin varied in different types of teeth. Of the scoring systems, scores according to Johanson were most strongly correlated with age (r = 0.59 to 0.74). Correlation between age and the coronal pulp area varied from -0.47 to -0.72, and the range between age and ratio between pulp- and tooth width at the cemento-enamel junction was from -0.46 to -0.77. Correlations between age and ratio between sum of pulp widths and the sum of tooth widths for all four such measurements ranged from -0.58 to -0.81. Multiple regression analyses showed that by combining several types of measurements, the correlation with age was increased. A tendency was also observed towards reduced speed of secondary dentin formation in the elderly and in women.

Age Determination by Teeth

[An elephant tusk with a spear injury].

This tusk specimen contains a metal spear with a wooden component, which is surrounded by a quiver-like osseous encasement. The injury was probably caused by a drop-spear trap. The spear entered the tusk through the base of the pulp. The osseous encasement is constructed by pulpocytes which turned to odontoblasts after stimulation and are responsible for the development of secondary dentine. Secondary dentine is characterized by its irregular arrangement of dentine tubules, in contrast to those of true ivory.

Animals

Non-specific induction of mineralization of incisor pulp in the rat.

Mineralized intrapulpal lesions were readily formed in the rat incisor after a single intrapulpal injection of the calcergen potassium permanganate, as well as after saline. Besides that there occurred irregular secondary dentin apposition and hard tissue overbridging at the injection site. The mechanism of topical calcinosis in relation to pulp tissue was discussed.

Animals

The study of human dentine with secondary ion microscopy and electron diffraction.

The highly polished surface of serial transverse ground sections of human coronal dentine were coated under vacuum with an aluminium grid and studied with a SMI 300 ion microanalyser (Cameca, Paris) based on mass spectrography. Secondary ion microscopy demonstrated a qualitative distribution of calcium, phosphorus, magnesium, sodium and potassium. A higher content in Ca, P and Mg was noted in peritubular dentine. Selective area electron diffreaction patterns of this zone, using LiF as standard, showed the presence of whitlockite in peritubular dentine where about 1% in weight of magnesium seemed to be incorporated.

Adolescent

Pulp reactions to silicate cement in teeth with healing pulpitis.

Unlined silicate restorations were placed in intact and experimentally altered monkey, teeth. Pulpitis had been induced experimentally by sealing soft carious human dentin in Class V cavities with amalgam for 7 d. These fillings were then removed and healing allowed by inserting zinc oxide/eugenol cement. A protective effect of the secondary dentin in teeth with healing pulpitis could be demonstrated in short-term experiments. After a 1-month observation period no difference in response to silicate cement could be found between intact and experimentally altered pulps, both groups exhibiting no or slight pulp reactions and secondary dentin formations.

Animals

Evaluation of histologic criteria applied for description of pulp reactions in replanted human premolars.

To test the reproducibility of a scoring system prepared for the study of the tissue changes in replanted teeth, 30 teeth were allocated at random from a material comprising 70 replanted and control teeth. The scoring system elaborated was applied for description of the odontoblast layer, predentin, secondary dentin, circulatory alterations, resorption, Weil's zone, cellular infiltration and calcification. The registrations were performed twice with a time interval of approximately 2 months. The scores were subsequently compared. Generally speaking, the double determinations were in good agreement as only 4.7% of the pairs of registrations failed to correspond. The agreement was particularly good for secondary dentin, cellular infiltration, resorption, Weil's zone and calcification scores. These criteria are accessible for group comparisons when differences in pulp tissue characteristics are small. The remaining three criteria may prove not to be useful unless the tissue response is substantial.

Bicuspid

An attempt to correlate dentin and pulp changes in human carious teeth.

The purpose of the present investigation was to study the dentin and pulp changes in the two halves of bisected carious teeth in order to determine if they are comparable. The dentin was studied by means of contact microradiography. Hypo- and hypermineralized zones, which were fairly similar in extension and degree of mineralization, were seen in the primary dentin of both halves of the teeth. If secondary dentin had formed, comparable amounts were usually present in the two halves. The pulp was studied, using demineralized 5 mum thick paraffin serial sections. In teeth with deep carious lesions severe inflammation with abscess formation was often observed in one half, whereas only scattered inflammatory cells were present in the other half. It seems questionable, therefore, whether the study of dentin and pulp reactions to caries in different halves of bisected teeth is a suitable method in investigations concerning a possible correlation between these reactions.

Dental Caries

Enzyme activity in the pulp following preparation of cavities and insertion of medicaments in cavities in monkey teeth.

The effect of cavity preparation, calcium hydroxide and a corticosteroid on pulpal enzymes (Alkaline phosphatase, acid phosphatase, beta-glucuronidase, cytochrome oxidase and succinate, lactate and glucose-6-phosphate dehydrogenase) in monkey teeth has been studied by histochemical means. Cavity preparation with an air turbine and sufficient spray apparently did not affect the enzyme activity of the pulp, nor did application of a corticosteroid to the cavity floor. Twenty-four hours after calcium hydroxide application an increase in enzyme activity was found in the ondontoblastic and subodontoblastic cell layers subjacent to the calcium hydroxide-covered dentin. This activity seemed to demonstrate an onset of dentin formation, and 15 days after the application a slight amount of secondary dentin was found subjacent to the cavities in these teeth.

Acid Phosphatase

Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp.

Experimental breakdown of the periodontal attachment apparatus was produced in six young adult monkeys to study the effect on the tissue of the dental pulp by (1) periodontitis, (2) scaling and plaque accumulation on exposed root dentin. Periodontal tissue breakdown was induced by the placement of ligatures around the neck of 92 permanent teeth. Subsequent plaque formation caused marked loss of periodontal tissue support, which after a period of 5--7 months amounted to 30--40% of the root length. One group of teeth received no further treatment. Other teeth were subjected to scaling and root planing. Following treatment, plaque was allowed to accumulate for 2, 10, and 30 days on the freshly planed root dentin surfaces. Histologic examination revealed that in comparison to teeth with normal periodontal conditions, 57% of the teeth exposed to periodontitis exhibited pathologic pulp tissue alterations. Secondary dentin formation and/or inflammatory cell infiltrates were observed within localized areas of the pulp subjacent to root surfaces exposed to periodontal tissue destruction. The changes within the pulp were of "mild" nature and only one tooth displayed signs of total pulp necrosis. Lateral canals communicating with both the pulp cavity and the exposed root surface were never detected. Teeth subjected to scaling and subsequent plaque accumulation in comparison with teeth with periodontitis alone exhibited no obvious aggravation or increased incidence of pathologic pulp reactions. The findings show that in the monkey (1) periodontal destruction limited to the cervical half of the root and (2) plaque accumulation on exposed root dentin does not cause severe alteration in the pulp of the roots involved.

Animals

Remodeling of teeth by grinding.

Pulp and dentin reactions to extensive grinding of human teeth were studied clinically and histologically. The facial portions of forty-eight premolars to be extracted for orthodontic reasons were reshaped to "lateral incisors" using diamond instruments and abundant water cooling. Following grinding and polishing with sandpaper discs and pumice, topical fluoride was administered. The patients were asked to report any increased sensitivity reactions. The teeth were extracted at 0, 1, or 3 weeks or 3 to 5 months and examined histologically. No significant discomfort was reported by the patients except for an initial period of a few days during which there was increased sensitivity to temperature changes. The histologic findings indicated that extensive remodeling of young permanent teeth is possible with no or only minor pulp and dentin reactions. Some initial localized effects in terms of aspiration of odontoblast nuclei, hyperemia, absence of a cell-free zone, and slight cellular infiltration were sometimes observed, but the long-term observations indicated that these reactions were transient. Secondary dentin formation was not registered. It is important that gentle grinding techniques with abundant water spray be used and that smooth and self-cleansing surfaces which allow hypermineralization of the ground enamel and dentin be prepared. In a few teeth in which proximal retention areas were unintentionally prepared, caries developed and marked pulp reactions occurred. Therefore, great care must be taken not to introduce proximal steps when mesiodistal tooth width adjustments are performed. The present study has provided histological and clinical evidence to indicate that even extensive recontouring by grinding may not be harmful to the teeth. This should encourage orthodontists to remodel teeth by grinding to improve the final occlusal and esthetic results in a number of different cases.

Bicuspid

Effects of electrosurgery on the gingival attachment in rhesus monkeys.

A biometric and histometric study of electrosurgical gingival "troughing" with a fully rectified current was accomplished in four Rhesus monkeys. The operation resulted in a statistically significant recession of the free gingival margin and loss of connective tissue attachment associated with apical migration of the junctional epithelium. Burn marks from contacts with the electrodes were observed on the cemental surfaces and in the dentin under the enamel close to the cemento-enamel junction. The cemental burn marks usually were covered by epithelium, which may explain the apical migration of the junctional epithelium observed in the experiemtal teeth. A slight loss of crestal alveolar bone occurred in the experimental areas and a bone sequestrum formed in one instance. Secondary dentin was found in response to electrosurgical contact of the cemental surface.

Animals

Attrition: possible mechanisms of compensation.

Attrition, or wear of the occlusal surfaces of the teeth, may not only be physiologically normal, but necessary for function. Since occlusal wear must lead to reduction in tooth length, significant dimensional changes in facial morphology are inevitable unless mechanisms exist to compensate for attrition. Secondary dentine formation, alveolar growth, and adaptive changes in the masticatory muscles can provide this compensation, and may be part of a complex system by which an effective level of masticatory function is maintained even when attrition is extreme.

Adult