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Dentistry · Oral histology and anatomy: secondary dentine
Sample itemRadiographs of an elderly patient's teeth show smaller pulp chambers than in a young adult, with no caries. Which process best explains this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Continued physiological deposition of secondary dentine
Odontoblasts persist after tooth eruption and continue to lay dentine slowly throughout life. This gradually narrows the pulp chamber and canals with age.
Option by option
A. Continued physiological deposition of secondary dentine (correct)
Correct. Secondary dentine forms slowly after root completion and shrinks the pulp space.
B. Rapid formation of tertiary dentine from caries
Tertiary dentine forms locally in response to caries or trauma, and none is present here.
C. Resorption of pulp by osteoclasts
Osteoclasts do not remove pulp tissue in normal ageing.
D. Overgrowth of cementum into the pulp
Cementum covers the root surface and does not grow into the pulp space.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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