PULP (TOOTH)

The 'dental pulp' is the part in the center of a tooth made up of living soft tissue and cells called odontoblasts.

Contents

Anatomy

Structural features

Clinical significance

Anatomy

Each person has a total of 52 pulp organs, 32 in the permanent and 20 in the primary teeth.
The total volumes of all the permanent teeth organs is 0.38cc and the mean volume of a single adult human pulp is 0.02cc. Maxillary central incisor has shovel shaped coronal pulp with three short horns on the coronal roof and triangular in cross section. Cuspid has the longest pulp with elliptical cross section.
Crowns of the teeth contain coronal pulp. The coronal pulp has six surfaces: the occlusal, the mesial, the buccal, the lingual and the floor. Because of continuous deposition of dentin, the pulp becomes smaller with age. This is not uniform throught the coronal pulp but progresses faster on the floor than on the roof or side walls.
Radicular pulp is that pulp extending from the cervical region of the crown to the root apex. They are not always straight but vary in shape , size and number. The radicular portion is continuous with the periapical tissues through the apical foramen or foramina.
Apical foramen is the opening of the radicular pulp into the periapical connective tissue. The average size is 0.3 to 0.4 mm in diameter. There can be two or more foramina separated by a portion of dentin and cementum or by cementum only. Most infections spread through the apical foramen from the periapical tissue to the pulp or from the pulp to periapical tissue.
Accessory canals are pathways from the radicular pulp , extending laterally through the dentin to the periodontal tissue seen especially in the apical third of the root.

Structural features

The central region of the the coronal and radicular pulp contains large nerve trunks and blood vessels.
Peripherally the pulp is circumscribed by
1. odontoblasts (dentin forming cells)
2. the cell free zone (Weil's zone)
3. the cell rich zone consisting of fibroblasts, collagen fibres and undifferentiated mesenchymal cells
4. nerve plexus of rashkow
Defence cells like histiocytes, macrophages, granulocytes, mast cells and plasma cells are also found

Clinical significance

An inflammation of a pulp is known as pulpitis. Pulpitis can be extremely painful and in serious cases calls for the removal of the infected tooth or teeth.