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Dentistry · Dental anatomy: reactionary dentin
Sample itemSlowly progressing caries stimulates existing odontoblasts to lay down dentin beneath the lesion. What is this dentin called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Reactionary (tertiary) dentin
Tertiary dentin forms locally in response to injury. Reactionary dentin is secreted by pre-existing odontoblasts, while reparative dentin comes from new odontoblast-like cells. Secondary dentin forms physiologically after root completion.
Option by option
A. Reactionary (tertiary) dentin (correct)
Correct. Existing odontoblasts form reactionary dentin.
B. Secondary dentin
Secondary dentin is physiological and not injury-driven.
C. Mantle dentin
Mantle dentin is the first-formed outer layer.
D. Predentin
Predentin is the unmineralised layer at the pulp border.
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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