Restorative & Materials · single question

Caries progression does NOT cause which of the following?

  1. Formation of dead tracts (dentinal tubule sclerosis pathways)
  2. Sclerotic dentin (tertiary/reparative dentin formation)
  3. Formation of dead tracts and sclerotic changes
  4. Increase in serum immunoglobulin — this is NOT a direct caries effect
  5. Irritation dentin/reactionary dentin
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Correct answer: D. Increase in serum immunoglobulin — this is NOT a direct caries effect

✓ D) Increase in serum immunoglobulin is NOT caused by caries.
Pulp responses to caries progression: (1) SCLEROTIC DENTIN: odontoblasts deposit mineral in tubules ahead of the caries front → reduced permeability = defensive response; (2) DEAD TRACTS: dentin tubules where odontoblastic processes have died → appear dark on transmitted light, empty tubules; (3) REACTIONARY (IRRITATION) DENTIN: new dentin deposited by surviving odontoblasts; (4) INFLAMMATORY PULP RESPONSE (pulpitis). Immunoglobulins increase systemically in response to systemic infection — caries is a LOCAL process. Caries does not significantly alter serum immunoglobulin levels.

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