Review Article | Vol. 3, Issue 1 | Journal of Clinical Medical Research

Re-Formation: Reactionary or Reparative Dentin

 

Michel Goldberg1*

1Department of Oral Biology, Faculty of Fundamental and Biomedical Sciences, INSERM UMR-S 1124 Paris Cite University, France

*Corresponding Author: Michel Goldberg, Department of Oral Biology, Faculty of Fundamental and Biomedical Sciences, INSERM UMR-S 1124 Paris Cite University, France; Email: [email protected]

Published Date: 20-01-2022

Copyright© 2022 by Goldberg M. All rights reserved. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received
13 Dec, 2021
Accepted
12 Jan, 2022
Published
20 Jan, 2022

Abstract

Dentin (s) are complex structures including in the crown, the formation of the mantle dentin mostly atubular, and circumpulpal dentin, crossed along its entire length by 180,000-240,000 tubules per mm2. In the root, two superficial layers (the Tomes’ granular and the hyaline Hopewell-Smith layers) limit the dentin just beneath the acellular and cellular cementum. Circumpulpal dentin is formed by intertubular and peritubular dentine. The lumens of the tubules are apparently empty or they contain unmineralized collagen fibers and/or odontoblast processes. Circumpulpal dentin includes the primary and secondary dentin, both physiological. Apexogenesis and apexification constitute two crucial events contributing to root formation, and to apical closure. The tertiary dentin is formed in reaction to caries, or wear. Intraluminal mineralization, reactionary and reparative dentins constitute a response to noxious events. Non-collagenous molecules contribute to dentin mineralization or are acting as mineralization inhibitors. Osteopontin is essential for the formation of tertiary dentin after a trauma, whereas tunnels and osteodentin labeling persisted during the formation or re-formation of a dentinal bridge.

Keywords

Dentinogenesis; Mantle Dentin; Circumpulpal Dentin; Intertubular Dentin; Peritubular Dentin; Odontoblasts; Tomes’ Granular Layer; Hyaline Hopewell-Smith Layer; Reactionary Dentin; Reparative Dentin; Tertiary Dentin; Osteopontin; Apexogenesis; Apexification

Regeneration and repair process in dentin

Figure 1: Regeneration and repair process in dentin [5]. a)   Reactionnay dentin, b) reparative dentin, c) closure of a reparative dentinal bridge. A biodegradable collagen matrix was used as scaffold and small-molecule GSK-3 inhibitors, connected to reparative dentinogenesis acting as Wnt agonists.

mesenchymal stem cells in teeth

Figure 2: Schematic representation of the mesenchymal stem cells found in the teeth. DPSCs, dental pulp stem cells; SCAPs, stem cells from the apical papilla; SHEDs, stem cells from human exfoliated deciduous teeth. MSCs derived from bone marrow (BMMSCs) are capable of giving rise to various lineages of cells, such as osteogenic, chondrogenic, adipogenic, myogenic, and neurogenic cells. The dental-tissue-derived stem cells are isolated from specialized tissue with potent capacities to differentiate into odontogenic cells.

Mineral phase

70% in weight

40-45% in vol

Organic matrix

20% in weight

30% in vol

Water

10% in weight

20-25% in vol

Table 1: Global composition of dentin [1].

collagen synthesis

Table 2: The successive steps of collagen synthesis: Reprinted from [7].

Composition of the dentin extracellular matrix

Table 3: Composition of the dentin extracellular matrix (Essentials of Oral histology and embryology (Mosby) [8].