Dentine permeability and its role in the pathobiology of dentine sensitivity.

Abstract:

:The classical hydrodynamic theory implicated fluid movement as a transducing mechanism in the production of dental sensitivity. This theory assumes that sensitive dentine must be permeable. Various measurements of dentine permeability are discussed, including: (1) factors that influence diffusive permeation across dentine; (2) factors that influence convective fluid movement across dentine; (3) osmotic activities of solutions; (4) comparison of evaporative and convective fluid movement; (5) the interaction between outward convective fluid flux on the inward diffusive flux of molecules; and (6) the importance of pulpal blood flow in the clearance of noxious substances from dentine and pulp, a balance concept. The variables involved in achieving good penetration of desensitizing agents in the presence of outward movement of dentinal fluid are also discussed, along with the presentation of a new hypothesis which emphasizes the importance of dentine as a dynamic physiological barrier that works in harmony with neurovascular elements in the pulp in an attempt to maintain the health of the pulp-dentine complex.

journal_name

Arch Oral Biol

journal_title

Archives of oral biology

authors

Pashley DH

doi

10.1016/0003-9969(94)90191-0

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

73S-80S

eissn

0003-9969

issn

1879-1506

journal_volume

39 Suppl

pub_type

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