Age and functional changes in dentin
(1) Primary dentin
Primary dentin is formed till root completion.
By age, primary dentin may show gradual reduction in the diameter of the dentinal tubules due to continual deposition of peritubular dentin.
This may lead to decreased permeability and sensitivity of dentin.
(2) Secondary dentin
Any dentin formed after complete formation of the primary dentin is considered secondary dentin.
After tooth eruption, dentin formation continues at a slower rate throughout life.
This later formed dentin is known as regular or physiologic secondary dentin which may be separated from the primary dentin by a darkly stained line along which the dentinal tubules show sharp bending.
Secondary dentin shows less tubular number per unit area. This change in the structure from primary to secondary dentin is due to the crowding of the odontoblasts which leads finally to elimination of some of them and rearrangement of the remaining odontoblasts.
Secondary dentin may be deposited on the entire pulpal surface of the dentin at uneven rate. It is more pronounced on the floor and roof of the pulpal chamber of posterior teeth. The pulp horns may be obliterated and pulp cavity becomes reduced in size.
in older teeth.

Formation of secondary dentin protects the pulp from exposure
(3) Transparent or Sclerotic dentin
It is regressive alteration in the primary dentin which is characterized by calcification of the dentinal tubules.
- Mild sufficient stimuli are generated to cause active response on the part of the odontoblasic processes which produce collagen fibers and apatite crystals to begin appearing in the dentinal tubules.
Deposition of apatite crystals is initially only sporadic in the dentinal tubules, but gradually the tubules become filled with a fine meshwork of crystals causing their blocking.
- Or the odontoblastic processes may undergo fatty degeneration due to mild stimuli and then calcification occurs intratubular.
The refractive indices of dentin in which the tubules are occluded are equalized and such areas become transparent.
Transparent dentin can be demonstrated in ground sections. It appears light in transmitted light and dark in reflected light. Transparent dentin occurs in cases of mild stimuli;
- As a manifestation of the normal aging process. It is met with, in the teeth of elderly people especially in the roots (particularly near apex), and in the crown midway between the DEJ and the pulp surface.
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Zones of transparent dentin develop around the dentinal part of type B and C enamel lamellae.• It is found under slowly progressive caries, abrasions, attrition, erosion, cavity preparation.
Such areas of sclerotic dentin are denser and more harder than normal dentin and show decreased permeability.
Sclerotic dentin is regarded as a defensive reaction to dentin and may help prolong pulp vitality.
(4) Dead tract
In case of severe dentin injury or stimulation, the dentinal tubules are in occasion emptied either by complete retraction of the odontoplastic processes or by their complete degeneration. Dead tract is noticed in the primary dentin.
Dentin areas characterized by degenerated odontoblastic processes give rise to dead tracts which demonstrate decreased sensitivity.
Dead tracts occur most often in coronal dentin in the area of narrow pulp horns and are frequently surrounded by bands of sclerotic dentin.
Where reparative dentin seals the affected tubules at their pulpal ends, dentinal tubules fill with fluid or gaseous substances.
In the ground sections, empty dentinal tubules entrap air and appear black in transmitted light and white in reflected light.

This dead tract should not be mistaken from normal dentin when ground sections are made and the odontoblastic processes disintegrate.
(5) Reparative dentin (Tertiary dentin)
It is a localized formation of dentin on the pulp dentin border formed in reaction to severe stimuli such as caries, operative procedures and erosion.
In such cases the odontoblastic processes become exposed or cut and the cells are severely damaged and may degenerate.
The reparative dentin is characterized by great reduction of the tubules that run in twisted course and irregular manner.
Atubuiar dentin
In case of degenerated odontoblasts the undifferentiated cells from the pulp may migrate to the site of injured odontoblasts and differentiate into cells that form dentin.
The structure of the formed dentin is atypical and appears as calcific barrier without the characteristic dentinal tubules and known as a tubular dentin. Osteodentin
During rapid formation of the reparative dentin, some dentin forming cells are often included in the rapidly produced dentin substance. Such cells degenerate and vacate the spaces that they formally occupied and gives similarity to bone tissue and so called osteodentin.
In many cases a combination of types of reparative dentin may be noticed. Frequently reparative dentin is separated from the primary dentin or secondary dentin by a deeply staining demarcation line



(6) Ability to repair
Because the cells of young pulps have high metabolism, so in case of injury recovery occurs rapidly. The potential ability of the pulp-dentin complex to repair itself is reduced by age.




















