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Molecular characterisation of odontoblast during primary, secondary ...

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Introduction<br />

In summary, <strong>primary</strong> dentinogenesis occurs <strong>during</strong> development leading to formation<br />

<strong>of</strong> the crown and root <strong>of</strong> the tooth, whereas <strong>secondary</strong> dentine is secreted<br />

throughout the life <strong>of</strong> the tooth, and is responsible for reduction in the size <strong>of</strong> the<br />

pulp chamber, root canals and continued deposition <strong>of</strong> peritubular dentine (Baume<br />

1980).<br />

Tertiary dentine: is secreted in response to external stimuli, such as caries or<br />

abrasion, in order to protect the underlying pulp. In the case <strong>of</strong> moderate stress,<br />

which does not result in destruction <strong>of</strong> <strong>odontoblast</strong>s, the secreted dentine is termed<br />

“reactionary dentine”; when the stress is more intense and <strong>odontoblast</strong> survival is<br />

compromised (i.e., dentine bridge formation at sites <strong>of</strong> exposure), it is termed<br />

“reparative dentine” (Figure 3).<br />

Figure 3: The two types <strong>of</strong> tertiary dentinogenesis.<br />

.<br />

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