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Molecular characterisation of odontoblast during primary, secondary ...

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Introduction<br />

superficial cells move to the centre <strong>of</strong> the injury regenerating and repairing the<br />

tissue and allowing its reorganisation.<br />

Odontoblasts are differentiated post-mitotic cells and are unable to divide to<br />

produce new secretory cells. When these cells are lost, cellular replacement occurs<br />

which involves stem or progenitor cells resident in the pulp (Fitzgerald 1979;<br />

Fitzgerald, Chiego et al. 1990) (Figure 11). Following pulp exposure, and after<br />

placement <strong>of</strong> an appropriate material, a dentine bridge is formed in a few weeks<br />

(Figure 12) by new <strong>odontoblast</strong>-like cells. The origin <strong>of</strong> these <strong>odontoblast</strong>-like cells in<br />

the dentine pulp healing process is not clearly established. Several authors believe<br />

that these processes are likely to be the same as those involved in tooth development<br />

(Smith and Lesot 2001; Mitsiadis and Rahiotis 2004), however, the derivation <strong>of</strong> these<br />

cells is still unclear with an origin from outside the tooth via the vasculature cannot<br />

be excluded.<br />

Figure 11 : Dentine bridge formation five weeks after pulp capping with MTA® in a<br />

mouse first molar (frontal semi-thin section, x50 magnification, methylene blue –<br />

Blue Azur II) Scale bar=200µm.<br />

47

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