Enamel forms the outer covering of the tooth and forms an impermeable barrier protecting the underlying tooth components. If enamel is poorly formed or missing completely the underlying dentine is exposed, resulting in sensitivity and severe pain in some cases. The sensitivity is caused by changes in the hydrostatic pressure in the dentinal tubules which contain odontoblast processes which trigger a pain pathway. In mild cases, the pulp will often respond to the stimulation by laying down more dentine, reparative (tertiary) dentine, which obliterates the dentinal tubule space. In severe cases of dysplasia, the pulp can become chronically inflamed and undergo irreversible pulpitis as a result of bacterial ingression through the exposed dentinal tubules; periapical disease then develops. <font color="red">Pic13-enamel dysplasiaRad</font color> | Enamel forms the outer covering of the tooth and forms an impermeable barrier protecting the underlying tooth components. If enamel is poorly formed or missing completely the underlying dentine is exposed, resulting in sensitivity and severe pain in some cases. The sensitivity is caused by changes in the hydrostatic pressure in the dentinal tubules which contain odontoblast processes which trigger a pain pathway. In mild cases, the pulp will often respond to the stimulation by laying down more dentine, reparative (tertiary) dentine, which obliterates the dentinal tubule space. In severe cases of dysplasia, the pulp can become chronically inflamed and undergo irreversible pulpitis as a result of bacterial ingression through the exposed dentinal tubules; periapical disease then develops. <font color="red">Pic13-enamel dysplasiaRad</font color> |