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Endodontium — together or separately?
Affiliations- Private Dental Practice, Jestetten, Germany, Germany
- Private Dental Practice, Warsaw, Poland, Poland
- Department of Oral Medicine, Medical University of Lublin, Lublin, Poland
open access
Abstract
Endodontium, otherwise referred to as pulp-dentin complex or endodont. This term includes two tooth tissues: dentin and pulp, which constitute a structural and functional unity. These tissues have a huge, inseparable influence on each other — the pulp (inter alia) nourishes the dentine, while the dentin forms a protective barrier for the pulp. They develop from the papillary tissue (Latin: papilladentis) from mesenchymal tissue. Nevertheless, in clinical practice this structural-functional complex is often treated as two separate tissues, and not as a whole. Adequate knowledge of the structure, function and protective mechanisms of the endodontium produces successful results in the treatment. The appropriate choice and application of the therapeutic methods and materials to the dentin secures vitality of both tissues of this complex.
Abstract
Endodontium, otherwise referred to as pulp-dentin complex or endodont. This term includes two tooth tissues: dentin and pulp, which constitute a structural and functional unity. These tissues have a huge, inseparable influence on each other — the pulp (inter alia) nourishes the dentine, while the dentin forms a protective barrier for the pulp. They develop from the papillary tissue (Latin: papilladentis) from mesenchymal tissue. Nevertheless, in clinical practice this structural-functional complex is often treated as two separate tissues, and not as a whole. Adequate knowledge of the structure, function and protective mechanisms of the endodontium produces successful results in the treatment. The appropriate choice and application of the therapeutic methods and materials to the dentin secures vitality of both tissues of this complex.
Keywords
dentin; pulp; endodontium; dentin-pulp complex; types of dentin; endodontium functions; pulp capping materials
About this articleTitle
Endodontium — together or separately?
Journal
Issue
Article type
Review article
Pages
409-415
Published online
2018-01-11
Page views
2337
Article views/downloads
1768
DOI
Pubmed
Bibliographic record
Folia Morphol 2018;77(3):409-415.
Keywords
dentin
pulp
endodontium
dentin-pulp complex
types of dentin
endodontium functions
pulp capping materials
Authors
A. Kleinert
L. Kleinert
M. Ozimirska
R. Chałas
References (19)- About I, Mitsiadis TA. Molecular aspects of tooth pathogenesis and repair: in vivo and in vitro models. Adv Dent Res. 2001; 15: 59–62.
- Aeinehchi M, Eslami B, Ghanbariha M, et al. Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report. Int Endod J. 2003; 36(3): 225–231.
- Bjørndal L, Mjör IA. Pulp-dentin biology in restorative dentistry. Part 4: Dental caries--characteristics of lesions and pulpal reactions. Quintessence Int. 2001; 32(9): 717–736.
- Chalas R, Mielko E, Zubrzycka-Wrobel J, et al. A chemical activity evaluation of two dental calcium silicate-based materials. Curr Iss Pharm Med Sci. 2015; 28(2).
- Chałas R, Mielko E, Bachanek T, et al. Assessment of dentin reaction after Biodentine application. Curr Iss Pharm Med Sci. 2013; 26(4): 435–439.
- Hellwig E, Klimek J, Gattin T. Einführung in die Zahnerhaltung. . Deutscher Zahnärzte Verlag Köln. 2009; 8-11: 311–315.
- Kiatwateeratana T, Kintarak S, Piwat S, et al. Partial pulpotomy on caries-free teeth using enamel matrix derivative or calcium hydroxide: a randomized controlled trial. Int Endod J. 2009; 42(7): 584–592.
- Lan WH, Lan WC, Wang TM, et al. Cytotoxicity of conventional and modified glass ionomer cements. Oper Dent. 2003; 28(3): 251–259.
- Lapińska J, Dąbrowska E, Stokowska W. Możliwości naprawcze i obronne miazgi w procesie próchnicowym – przegląd piśmiennictwa. Nowa Stomatol. 2004; 2: 83–86.
- Magloire H, Romeas A, Melin M, et al. Molecular regulation of odontoblast activity under dentin injury. Adv Dent Res. 2001; 15: 46–50.
- Makowiecki P. Trusewicz M, Tyszler Ł, Buczkowska-Radlińska J. Leczenie biologiczne miazgi zębów stałych. Rocznik PAM w Szczecinie. 2014; 60(2): 80–88.
- Mjör IA. Pulp-dentin biology in restorative dentistry. Part 7: The exposed pulp. Quintessence Int. 2002; 33(2): 113–135.
- Nowicka A, Lipski M, Parafiniuk M, et al. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod. 2013; 39(6): 743–747.
- Onur MA, Taşman F, Cehreli ZC, et al. Effect of a fifth-generation bonding agent on vascular responses in rats. J Endod. 2000; 26(7): 407–409.
- Postek-Stefańska L, et al. Leki i materiały stosowane do bezpośredniego pokrycia miazgi zębowej - przegląd piśmiennictwa. Prz Stom Wieku Rozw. 2001; 1: 12–16.
- Schuurs AH, Gruythuysen RJ, Wesselink PR. Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review. Endod Dent Traumatol. 2000; 16(6): 240–250.
- Smith AJ, Murray PE, Sloan AJ, et al. Trans-dentinal stimulation of tertiary dentinogenesis. Adv Dent Res. 2001; 15: 51–54.
- Taşman F, Cehreli ZC, Onur MA, et al. Effect of different single-bottle dentin adhesives on vascular responses in rat carotid artery. Am J Dent. 2000; 13(6): 337–339.
- Tran XV, Gorin C, Willig C, et al. Effect of a calcium-silicate-based restorative cement on pulp repair. J Dent Res. 2012; 91(12): 1166–1171.
