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Dentinal tubules are microscopic, fluid-filled channels that radiate from the dental pulp to the dentinoenamel junction, serving as the primary pathway for sensory stimuli and nutrient transport within the tooth (Brännström, 1986). The smear layer is an artificial, adherent layer of organic and inorganic debris—including fragmented collagen and hydroxyapatite—that forms on the dentin surface following mechanical instrumentation (Pashley, 1989). In clinical practice, these structures are critical therapeutic targets; for instance, dentin hypersensitivity is treated by occluding the tubules to prevent the hydrodynamic movement of fluid that triggers pain (StatPearls, 2023). Conversely, in restorative dentistry and endodontics, the smear layer is often removed using chelating agents like EDTA or acid etchants to allow for better penetration of adhesives and disinfectants into the tubules (PubMed, 2020). Managing the patency of these tubules and the integrity of the smear layer is essential for protecting the pulp from bacterial invasion and ensuring the longevity of dental restorations.
Occlusion of dentinal tubules to inhibit fluid movement and nerve stimulation; chemical chelation or acid etching to remove or modify the smear layer for restorative bonding.
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