Cementum-Like Tissue Deposition on the Resorbed Pulp Chamber Wall of Human Deciduous Teeth Prior to Shedding

Abstract

In the later stage of exfoliation in human deciduous teeth, odontoclastic resorption takes place at the pulpal surface of the coronal dentin. However, this resorption does not continue until the teeth are shed, and the resorbed pulp chamber wall is usually repaired by cementum-like tissue deposition. In this study, we examined the formation and characteristics of the cementum-like hard tissue on the resorbed dentin surface in the pulp chamber of deciduous teeth prior to shedding. The site and degree of deposition of newly formed cementum-like tissue on the resorbed pulp chamber wall varied from tooth to tooth. Furthermore, they also showed compositional and structural variations. Generally, however, the matrix of the cementum-like tissue was composed of intrinsic collagen fibers, acellular or cellular. There was a tendency for acellular cementum-like tissue to be deposited on small and shallow resorption bays, whereas the cellular type was found on larger and deeper ones. In both cases, the surface of the deposited cementum-like tissue on the resorbed dentin surface usually became flat. However, unlike the cementum repair of resorbed areas on the root surface, no acellular extrinsic fiber cementum-like tissue was found on the resorption pulp chamber wall. Although the role of the repair of the resorbed pulp chamber wall with cementum-like tissue deposition just before shedding is unknown, it might play some role in the retention of deciduous teeth until shedding.