Endodontics · single question

According to the hydrodynamic theory of dentin sensitivity, what best explains the pain mechanism?

  1. ATP in the dental pulp
  2. Movement of dentinal fluid within the tubules
  3. Changes in ameloblasts
  4. Apoptosis of odontoblasts
Show answer and explanation

Correct answer: B. Movement of dentinal fluid within the tubules

  • A. INCORRECT. ATP signaling is not the basis of the hydrodynamic theory.
  • B. CORRECT. Stimuli cause fluid shifts within dentinal tubules, which mechanically activate pulpal A-delta nerve fibers and produce sharp pain.
  • C. INCORRECT. Ameloblasts are lost after enamel formation and play no role in sensitivity.
  • D. INCORRECT. Odontoblast apoptosis is not the proposed mechanism.

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