Pathology · single question

Sclerotic dentin — what type of dentin formation is it?

  1. Reactionary dentin
  2. Intratubular (peritubular) dentin
  3. Reparative dentin
  4. Primary dentin
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Correct answer: B. Intratubular (peritubular) dentin

  • A. Reactionary dentin is newly formed dentin produced by existing odontoblasts in response to a mild stimulus, a distinct process from sclerosis of existing tubules.
  • B. Correct. Sclerotic dentin results from increased mineralization within the dentinal tubules (intratubular/peritubular dentin deposition), narrowing/occluding the tubules in response to slow, chronic irritation (e.g., aging, slowly progressing caries, or attrition).
  • C. Reparative (tertiary) dentin is formed by newly differentiated odontoblast-like cells after pulp injury, a different process from tubular sclerosis.
  • D. Primary dentin is the dentin formed during initial tooth development, unrelated to the sclerotic process.

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