ZONES OF DENTINAL CARIES | | |
ZONE 1 | Normal Dentin | |
Zone 2 | Subtransarent Dentin |
- Zone of demineralization (by acid from caries)
- Damage to the odontoblastic process is evident.
- However, no bacteria are found in the zone.
- Stimulation of the dentin produces pain, and the dentin is capable of remineralization.
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Zone 3 | Transparent dentin |
- Softer than normal dentin
- Further loss of mineral from the intertubular area.
- Stimulation of this region produces pain. There are no bacteria present.
- The collagen cross-linking remains intact in this zone, can serve as a template for remineralization.
- The intact collagen of the intertubular dentin, and thus this region remains capable of self-repair, provided the pulp remains vital.
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Zone 4 | Turbid dentin |
- Turbid dentin is the zone of bacterial invasion
- Widening and distortion of the dentinal tubules which are filled with bacteria.
- There is very little mineral present and the collagen in this zone is irreversibly denatured.
- The dentin in this zone will not self-repair.
- This zone cannot be remineralized and must be removed prior to restoration
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Zone 5 | Infected Dentin |
- The outermost zone, infected dentin, consists of decomposed dentin that is teeming with bacteria.
- There is no recognizable structure to the dentin.
- Absence of collagen and mineral content.
- Great numbers of bacteria are dispersed in this granular material.
- Removal of infected dentin is essential to sound, successful restorative procedures as well as prevention of spread of the infection
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