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Pulp
Objectives
At the end of this chapter the student should be able
to understand the process of formation of dental pulp
and the cells that make up the pulp tissue.


Sub topics
Topic 1. Development of dental pulp
Topic 2. Cells of pulp tissue
Topic 3. Vessels and nerves of pulp
1 Development of dental pulp

Dental pulp is soft connective tissue that is derived from
the ectomesenchymal cells of the dental papilla
Pulp resides in the inner most part of the tooth and
supports the dentine
During dentinogenesis the dental papilla gets surrounded
by the newly formed dentine and it is then termed dental
pulp
Pulp provides with odontogenic, nutritive, sensory, and
defensive functions
The dental pulp and dentine are closely related to form
the dentin-pulp complex
2 Cells of pulp tissue

The principle cells of pulp are the odontoblasts,
fibroblasts and undifferentiated mesenchymal cells
When pulp is examined microscopically four distinct
zones can be distinguished.
1.Odontoblastic zone
2.Cell free zone of Weil
3.Cell rich zone
4.Pulp core
Odontoblastic zone

Odontoblasts are pulp cells that are found in the
peripheral layer closely related to the predentine
The cells have a basally located nucleus with
supraneuclear rough endoplasmic reticulum and golgi
apparatus. Mitochondria and lysosomes are found
throughout the cytoplasm
The major function of odontoblast is to produce and
secrete extracellular matrix of the predentine and bio-
mineralization of the dentine
They continue to produce predentine throughout life but
the rate of depositions reduces as age advances
 The major protein secreted by odontoblast is Type I
  Collagen
 Odontoblasts have a process extending from the cell
  body up till the DEJ contained in a dentinal tubule,
  called the odontoblastic process
 There are multiple lateral odontoblastic processes
  originating from the main process


Cell free zone of Weil
 This zone lies below the odontoblast and is prominent in
   the coronal pulp
 As the name suggests this area of pulp is nearly devoid
   of any cells
Cell rich zone
This zone is beneath the cell free zone and the cell
density is high


Pulp core
This area of pulp is characterized by the presence of
major nerves and vessels of the pulp
Fibroblasts
 Fibroblasts are the most numerous cells found in the
   pulp
 They are stellate shaped cells with long cytoplasmic
   extensions that contact adjacent fibroblasts or
   odontoblasts
 Fibroblasts synthesise and secrete collagen and other
   extracellular components of pulp. They also play an
   important role in wound healing mechanism in pulp


Undifferentiated mesenchymal cells
 These cells represent the pool from which the cells of
  pulp arise
 Depending on the stimulus they give rise to
  odontoblasts and fibroblasts
 Other cells of pulp include macrophages, lymphocytes,
  perivascular cells, Schwan cells and endothelial cells
3 Vessels and nerves of pulp
Vessels
Blood vessels enter the pulp through the apical foramen
The provide nutrients and oxygen needed for cellular
metabolism and remove the by-products of cellular
metabolism
Lymphatic vessels are also located in the pulp


Nerves
The nerves that innervate pulp originate from the
trigeminal ganglion and superior cervical ganglion
They enter the pulp through the apical foramen

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Pulp

  • 2. Objectives At the end of this chapter the student should be able to understand the process of formation of dental pulp and the cells that make up the pulp tissue. Sub topics Topic 1. Development of dental pulp Topic 2. Cells of pulp tissue Topic 3. Vessels and nerves of pulp
  • 3. 1 Development of dental pulp Dental pulp is soft connective tissue that is derived from the ectomesenchymal cells of the dental papilla Pulp resides in the inner most part of the tooth and supports the dentine During dentinogenesis the dental papilla gets surrounded by the newly formed dentine and it is then termed dental pulp Pulp provides with odontogenic, nutritive, sensory, and defensive functions The dental pulp and dentine are closely related to form the dentin-pulp complex
  • 4.
  • 5.
  • 6. 2 Cells of pulp tissue The principle cells of pulp are the odontoblasts, fibroblasts and undifferentiated mesenchymal cells When pulp is examined microscopically four distinct zones can be distinguished. 1.Odontoblastic zone 2.Cell free zone of Weil 3.Cell rich zone 4.Pulp core
  • 7.
  • 8.
  • 9. Odontoblastic zone Odontoblasts are pulp cells that are found in the peripheral layer closely related to the predentine The cells have a basally located nucleus with supraneuclear rough endoplasmic reticulum and golgi apparatus. Mitochondria and lysosomes are found throughout the cytoplasm The major function of odontoblast is to produce and secrete extracellular matrix of the predentine and bio- mineralization of the dentine They continue to produce predentine throughout life but the rate of depositions reduces as age advances
  • 10.  The major protein secreted by odontoblast is Type I Collagen  Odontoblasts have a process extending from the cell body up till the DEJ contained in a dentinal tubule, called the odontoblastic process  There are multiple lateral odontoblastic processes originating from the main process Cell free zone of Weil  This zone lies below the odontoblast and is prominent in the coronal pulp  As the name suggests this area of pulp is nearly devoid of any cells
  • 11. Cell rich zone This zone is beneath the cell free zone and the cell density is high Pulp core This area of pulp is characterized by the presence of major nerves and vessels of the pulp
  • 12. Fibroblasts  Fibroblasts are the most numerous cells found in the pulp  They are stellate shaped cells with long cytoplasmic extensions that contact adjacent fibroblasts or odontoblasts  Fibroblasts synthesise and secrete collagen and other extracellular components of pulp. They also play an important role in wound healing mechanism in pulp Undifferentiated mesenchymal cells  These cells represent the pool from which the cells of pulp arise  Depending on the stimulus they give rise to odontoblasts and fibroblasts
  • 13.  Other cells of pulp include macrophages, lymphocytes, perivascular cells, Schwan cells and endothelial cells
  • 14. 3 Vessels and nerves of pulp Vessels Blood vessels enter the pulp through the apical foramen The provide nutrients and oxygen needed for cellular metabolism and remove the by-products of cellular metabolism Lymphatic vessels are also located in the pulp Nerves The nerves that innervate pulp originate from the trigeminal ganglion and superior cervical ganglion They enter the pulp through the apical foramen