Table Of ContentDynamic Aspects 
of Dental Pulp
Dynamic Aspects 
of Dental Pulp 
Molecular biology, pharmacology and 
pathophysiology 
REIZO INOKI 
Professor of Dentistry 
Osaka University 
TERUOKUDO 
Associate Professor of Dentistry 
Osaka University 
LEIF M.  OLGART 
Professor of Endodontics 
University of Lund 
CHAPMAN AND HALL 
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First edition 1990 
© 1990 Chapman and Hall 
Softcover reprint of the hardcover 1st edition 1990 
Typeset in lOpt Palatino by Photoprint, Torquay, Devon 
ISBN -13 :978-94-010-6675-4 
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British Library Cataloguing in Publication Data 
Dynamic aspects of dental pulp. 
1. Man. Teeth. Pulp 
I. Inoki, Reizo II. Kudo, Teruo III. Olgart, Leif 
617.6'342 
ISBN-13:978-94-010-6675-4  e-ISBN-13:978-94-009-0421-7 
DOl: 10.1007/978-94-009-0421-7 
Library of Congress Cataloging-in-Publication Data 
Inoki, Reizo, 1929-
Dynamic aspects of dental pulp: molecular biology, pharmacology 
and pathophysiology / Reizo Inoki, Teruo Kudo, Leif Olgart. 
p.  cm. 
ISBN-13:978-94-010-6675-4 
1. Dental pulp-Physiology. 2. Dental pulp-Pathophysiology. 
3. Dental pulp-Effect of drugs on.  I. Kudo, Teruo, 1929-. 
II. Olgart, Leif, 1938-.  III. Title. 
QP88.6.156  1990 
612.3'1l-dc20  89-25249 
CIP
Contents 
Contributors  ix 
Foreword 
J.K. AVERY  xiii 
Preface 
R. INOKI, T. KUDO and L.M. OLCART  xvii 
Part One  Cells and Development 
1 Innervation of teeth: developmental aspects 
D.C JOHNSEN  3 
2 Odontoblasts: developmental aspects 
J.V. RUCH  29 
3 Dental pulp fibroblasts in culture 
CA. SHUTTLEWORTH  51 
4 Concluding remarks 
CA. SHUTTLEWORTH  69 
Part Two  Anatomical Aspects of the Pulp - Odontoblast 
and Vascular Architecture 
5 Role of the odontoblast process 
C.R. HOLLAND  73 
6 Change of vascular architecture of dental pulp with 
growth 
Y. IGSHI and K. TAKAHASHI  97 
7 Concluding remarks 
K. TAKAHASHI  131
vi  Contents 
Part Three  Physiological Aspects of the Pulp -
Microcirculatory and Sensory Functions 
8 Intradental sensory units 
M. V. O. NARHI  137 
9 Microcirculation: function and regulation in 
microvasculature 
E. OKABE, K. TODOKI and H. ITO  151 
10 Haemodynamic regulation of the dental pulp 
S. KIM and J. DORSCHER-KIM  167 
11  Interstitial fluid pressure and trans microvascular fluid 
flow 
K. J. HEYERAAS  189 
12 Concluding remarks 
S. KIM  199 
Part Four  Biochemical Aspects of the Pulp - Enzymes 
and Matrix 
13 Enzymes of the glycolytic pathway 
phosphofructokinase, pyruvate kinase and lactate 
dehydrogenase 
N. NAKANISHI, K. OZAWA and S. YAMADA  203 
14 Collagenase synthesis by odontoblast-like cells 
(RP cells) preparation of monoclonal antibodies against 
RP cell collagenase and characterization of the enzyme 
S. SAKAMOTO, Y. BOLENDER and M. SAKAMOTO  221 
15 Dental pulp matrix - collagens and glycoproteins 
C. A. SHUTTLEWORTH  239 
16 Glycosaminoglycans in dental pulp 
J. P. VAN AMERONGEN, A. G. LEMMENS and G. J. M. 
TONINO  259 
17 Concluding remarks 
S. YAMADA  277 
Part Five  Neuroregulators - Classic Neurotransmitters 
18 The adrenergic system and dental pulp 
J. DORSCHER-KIM and S. KIM  283
Contents  vii 
19 The cholinergic system and the dental pulp 
J. K. AVERY and D. CHIEGO, JR  297 
20  Concluding remarks 
J. K. AVERY  333 
Part Six  Neuroregulators - Neuropeptides 
21  Distribution of peptidergic nerves 
M. AKAI and S. WAKISAKA  337 
22 Functions of peptidergic nerves 
L. M. OLGART  349 
23  Concluding remarks 
L. M. OLGART  363 
Part Seven  Bioactive Substances 
24  Neurotrophic substances 
J. P. NAFTEL  369 
25  Bradykinin and enkephaIins 
R. INOKI and T. KUDO  385 
26 Prostaglandins and leukotrienes in dental pulp: their 
possible roles in pulp pathophysiology 
M. HlRAFUJI and Y. OGURA  403 
27 Concluding remarks 
R. INOKI  417 
Part Eight  Pathological Aspects of the Pulp and 
Medication 
28 Reactions of dental sensory innervation to injury and 
inflammation 
M. R. BYERS and P. E. TAYLOR  425 
29 Proteases in inflammation 
T. KUDO, E. -Q. WEI and R. INOKI  445 
30 Arachidonic acid metabolism and antiseptics 
T. DOHI, H. OKAMOTO and A. TSUJIMOTO  471 
31  Concluding Remarks 
T. KUDO  489 
Index  493
Contributors 
M. AKAI 
First Department of Oral Anatomy, Osaka University Faculty of 
Dentistry, 1-8 Yamadaoka, Suita, Osaka 565, Japan 
J.K. AVERY 
Department of Biological and Material Science, The University of 
Michigan School of Dentistry, Ann Arbor, Michigan, USA 
Y. BOLENDER 
Faculty of Dental Surgery, Louis Pasteur University, 1 Place de 
L'Hopital 67000 Strasbourg, France 
M.R. BYERS 
Departments of Anaesthesiology, Biological Structure and Endodontics, 
University of Washington, Seattle, Washington 98195, USA 
D.J. CHIEGO Jr 
Department of Biological and Material Science, The University of 
Michigan School of Dentistry, Ann Arbor, Michigan, USA 
T. DOHI 
Department of Pharmacology, Hiroshima University School of 
Dentistry, 1-2-3 Kasumi 1-chome, Minami-Ku, Hiroshima 734, Japan 
J. DORSCHER-KIM 
Laboratory of Oral Physiology and Department of Endodontics, School 
of Dental and Oral Surgery, Columbia University, 630 West 168th Street, 
New York 10032, USA 
K.J. HEYERAAS 
Department of Physiology, University of Bergen, 5009 Bergen, Norway
x  Contributors 
M. HIRAFUJI 
Department of Pharmacology, Tohoku University School of Dentistry, 
4-1 Seiryo-machi, Sendai 980, Japan 
G.R. HOLLAND 
Faculty of Dentistry, University of Alberta, Edmonton, Alberta, Canada 
T6G 2N8 
R.INOKI 
Osaka University Faculty of Dentistry, 1-8 Yamadaoka, Suita, Osaka 
565, Japan 
H. ITO 
Department of Pharmacology, Kanagawa Dental College, 82Inaoka 
cho, Yokosuka, Kanagawa 238, Japan 
D.C. JOHNSEN 
Department of Pediatric Dentistry, School of Dentistry, Case Western 
Reserve University, Cleveland, Ohio 44106, USA 
S. KIM 
Laboratory of Oral Physiology and Department of Endodontics, School 
of Dental and Oral Surgery, Columbia University, 630 West 168th Street, 
New York 10032, USA 
Y. KISHI 
Kanagawa Dental College, 82 Inaoka-cho, Yokosuka, Kanagawa 238, 
Japan 
T. KUDO 
Department of Pharmacology, Osaka University Faculty of Dentistry, 1-8 
Yamadaoka, Suita, Osaka 565, Japan 
A.G. LEMMENS 
Department of Cariology and Endodontology, Academic Centre for 
Dentistry Amsterdam, Louwesweg I, Amsterdam 1066EA, The 
Netherlands 
J.P. NAFTEL 
Department of Anatomy, University of Mississippi Medical Centre, 
2500 North State Street, Jackson, Mississippi 39216, USA 
N. NAKANISHI 
Department of Biochemistry, Meikai University School of Dentistry, 1-1 
Keyakidai, Sakado, Saitama 350-02, Japan
Contributors  xi 
M.V.O. NARHI 
Department of Physiology, University of Kuopio, P.o. Box 6, SF-70211 
Kuopio, Finland 
Y.OGURA 
Department of Pharmacology, Tohoku University School of Dentistry, 
4-1 Seiryo-machi, Sendai 980, Japan 
E. OKABE 
Department of Pharmacology, Kanagawa Dental College, 82Inaoka 
cho, Yokosuka, Kanagawa 238, Japan 
H. OKAMOTO 
Department of Endodontology and Periodontology, Hiroshima 
University School of Dentistry, 1-2-3 Kasumi, Minami-Ku, 
Hiroshima 734, Japan 
L.M.OLGART 
Department of Pharmacology, Karolinska Institute, S-104 01 Stockholm, 
Sweden 
K. OZAWA 
Meikai University School of Dentistry, Sakado, Saitama 350-02, Japan 
J.V. RUCH 
Faculte de Medecine, Universite Louis Pasteur, Strasbourg, France 
M. SAKAMOTO 
Laboratory for the Study of Connective Tissue Metabolism, Harvard 
School of Dental Medicine, 188 Longwood Avenue, Boston, 
Massachusetts 02115, USA 
S. SAKAMOTO 
Laboratory for the Study of Connective Tissue Metabolism, Harvard 
School of Dental Medicine, 188 Longwood Avenue, Boston, 
Massachusetts 02115, USA 
c.A. SHUTTLEWORTH 
Department of Biochemistry and Molecular Biology, Manchester 
University Medical School, Stopford Building, Oxford Road, 
Manchester M13 9PT, UK 
K. TAKAHASHI 
Kanagawa Dental College, 82 Inaoka-cho, Yokosuka, Kanagawa 238, 
Japan
xii  Contributors 
P.E. TAYLOR 
Department of Endodontics, University of Washington, Seattle, 
Washington 98195, USA 
K. TODOKI 
Department of Pharmacology, Kanagawa Dental College, 
82 Inaoka-cho, Yokosuka, Kanagawa 238, Japan 
G.J.M. TONINO 
Department of Cariology and Endodontology, Academic Centre for 
Dentistry Amsterdam, Louwesweg 1, I066EA Amsterdam, 
The Netherlands 
A. TSUJIMOTO 
Department of Pharmacology, Hiroshima University School of 
Dentistry, 1-2-3 Kasumi I-chome, Minami-Ku, Hiroshima 734, Japan 
J.P. VAN AMERONGEN 
Department of Cariology and Endodontology, Academic Centre for 
Dentistry Amsterdam, Louwesweg 1, 1066EA Amsterdam, The 
Netherlands 
S. WAKISAKA 
First Department of Oral Anatomy, Osaka University Faculty of 
Dentistry, 1-8 Yamadaoka, Suita, Osaka 565, Japan 
E.-Q. WEI 
Osaka University Faculty of Dentistry, 1-8 Yamadaoka, Suita, Osaka 
565, Japan 
S. YAMADA 
Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 
350-02, Japan
Description:This book presents a circumspective overview and update of the present existing knowledge of the biology, chemistry and pathophysiology of the dental pulp. It details numerous observations of a group of highly specialized investigators who have united in the common purpose of presenting their observ