Characteristics and effects of calcified degenerative zones on the formation of hard tissue barriers in amputated canine dental pulp. 1996

T Higashi, and H Okamoto
Department of Endodontology and Periodontology, Hiroshima University School of Dentistry, Japan.

The purpose of this research was to study under undecalcified conditions the presence, ultrastructural features, and contributions of the degenerative zone beneath the necrotic zone and whether it had effects on the formation of reparative dentin in canine incisors and premolars. The research was conducted over a period of 14 days after experimental pulpotomy using calcium hydroxide as a pulp-capping agent. On the first day following pulp exposure and capping with calcium hydroxide, electron-dense spherical bodies were observed under the necrotic zone. Energy dispersive X-ray point analysis confirmed that these electron-dense deposits contained calcium and phosphorus. By the third day, varying amounts of minute von Kossa-positive granules could be observed light-microscopically between the two zones of necrosis and underlying vital pulp tissue. Migration and proliferation of pulpal cells, most probably mesenchymal cells, were observed adjacent to the von Kossa-positive zone. The ultrastructure of the von Kossa-positive zone consisted of degenerated cells, electron-dense spherical bodies, and electron-dense shortened dilating fibrils. By the seventh day, short cylindrical-shaped cells collected at the coronal end of the vital pulp tissue. By the fourteenth day, the specimens having a uniform von Kossa-positive zone exhibited rapid differentiation of odontoblasts and tubular dentin formation. In contrast, only some specimens having an irregular von Kossa-positive zone exhibited osteodentin formation and the beginning of odontoblast differentiation beneath the osteodentin. These findings suggest that this calcified degenerative zone has an important effect on the reparative process of pulp tissue after pulpotomy.

UI MeSH Term Description Entries
D008854 Microscopy, Electron Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen. Electron Microscopy
D009804 Odontoblasts The mesenchymal cells which line the DENTAL PULP CAVITY and produce DENTIN. They have a columnar morphology in the coronal pulp but are cuboidal in the root pulp, or when adjacent to tertiary dentin. Odontoblast
D011672 Pulpotomy Dental procedure in which part of the pulp chamber is removed from the crown of a tooth. Pulpotomies
D002454 Cell Differentiation Progressive restriction of the developmental potential and increasing specialization of function that leads to the formation of specialized cells, tissues, and organs. Differentiation, Cell,Cell Differentiations,Differentiations, Cell
D003782 Dental Pulp A richly vascularized and innervated connective tissue of mesodermal origin, contained in the central cavity of a tooth and delimited by the dentin, and having formative, nutritive, sensory, and protective functions. (Jablonski, Dictionary of Dentistry, 1992) Dental Pulps,Pulp, Dental,Pulps, Dental
D003784 Dental Pulp Calcification CALCINOSIS of the DENTAL PULP or ROOT CANAL. Dental Pulp Stones,Denticle,Anomalous Dysplasia of Dentin,Calcification, Dental Pulp,Coronal Dentin Dysplasia,Dental Pulp Stone,Denticles,Dentin Dyspalsia, Shields Type 2,Dentin Dysplasia, Coronal,Dentin Dysplasia, Shields Type II,Dentin Dysplasia, Type II,Pulp Calcification, Dental,Pulp Stone, Dental,Pulp Stones,Pulp Stones, Dental,Pulpal Dysplasia,Stone, Dental Pulp,Stones, Dental Pulp,Calcifications, Dental Pulp,Coronal Dentin Dysplasias,Dental Pulp Calcifications,Dentin Anomalous Dysplasia,Dentin Anomalous Dysplasias,Dentin Dysplasias, Coronal,Dysplasia, Coronal Dentin,Dysplasia, Pulpal,Dysplasias, Coronal Dentin,Dysplasias, Pulpal,Pulp Calcifications, Dental,Pulp Stone,Pulpal Dysplasias,Stone, Pulp,Stones, Pulp
D003789 Dental Pulp Exposure The result of pathological changes in the hard tissue of a tooth caused by carious lesions, mechanical factors, or trauma, which render the pulp susceptible to bacterial invasion from the external environment. Exposure, Dental Pulp,Pulp Exposure, Dental
D003790 Dental Pulp Necrosis Death of pulp tissue with or without bacterial invasion. When the necrosis is due to ischemia with superimposed bacterial infection, it is referred to as pulp gangrene. When the necrosis is non-bacterial in origin, it is called pulp mummification. Dental Pulp Autolysis,Dental Pulp Gangrene,Necrosis, Dental Pulp,Pulp Gangrene,Pulp Mummification,Pulp Necrosis,Autolysis, Dental Pulp,Gangrene, Dental Pulp,Necroses, Pulp,Pulp Autolysis, Dental,Pulp Gangrene, Dental,Pulp Necroses,Pulp Necrosis, Dental,Autolyses, Dental Pulp,Dental Pulp Autolyses,Dental Pulp Necroses,Gangrene, Pulp,Gangrenes, Pulp,Mummification, Pulp,Mummifications, Pulp,Necroses, Dental Pulp,Necrosis, Pulp,Pulp Autolyses, Dental,Pulp Gangrenes,Pulp Mummifications,Pulp Necroses, Dental
D003809 Dentin, Secondary Dentin formed by normal pulp after completion of root end formation. Secondary Dentin,Dentins, Secondary,Secondary Dentins
D003810 Dentinogenesis The formation of dentin. Dentin first appears in the layer between the ameloblasts and odontoblasts and becomes calcified immediately. Formation progresses from the tip of the papilla over its slope to form a calcified cap becoming thicker by the apposition of new layers pulpward. A layer of uncalcified dentin intervenes between the calcified tissue and the odontoblast and its processes. (From Jablonski, Dictionary of Dentistry, 1992) Dentinogeneses

Related Publications

T Higashi, and H Okamoto
January 2012, Acta histochemica,
T Higashi, and H Okamoto
May 2007, Journal of dental research,
T Higashi, and H Okamoto
January 1953, Stomatologiia,
T Higashi, and H Okamoto
January 2006, Evidence-based dentistry,
T Higashi, and H Okamoto
February 2009, Tissue engineering. Part A,
T Higashi, and H Okamoto
January 2023, Biomedical research (Tokyo, Japan),
T Higashi, and H Okamoto
October 2018, Journal of the American Dental Association (1939),
T Higashi, and H Okamoto
December 1978, Fogorvosi szemle,
Copied contents to your clipboard!