National Dental Assisting Examining Board (NDAEB) Practice Exam

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What does pulp fibrosis refer to in dental health?

  1. Formation of new pulp tissue

  2. Blocking of blood supply to the pulp

  3. Aging or degeneration of pulp forming fibrous tissue

  4. Inflammation of the dental pulp

The correct answer is: Aging or degeneration of pulp forming fibrous tissue

Pulp fibrosis refers specifically to the aging or degeneration of the dental pulp, where the pulp tissue becomes progressively fibrous due to changes in its cellular structure and composition. As the pulp ages, it may lose some of its vascularity, cellularity, and overall functionality, leading to an increase in fibrous tissue. This transformation is a natural consequence as teeth age or in response to various stimuli, including trauma or chronic irritation. In this context, the formation of new pulp tissue doesn't accurately describe pulp fibrosis. Pulp tissue regeneration, rather than degradation into fibrous tissue, would be a different process altogether. The blocking of blood supply to the pulp pertains more to conditions that lead to necrosis rather than the constructive fibrosis itself. Inflammation of the dental pulp is indicative of pulpitis and involves a reactive process often due to infection or injury, which does not align with the degenerative aspect of pulp fibrosis. Thus, the correct understanding of pulp fibrosis is its association with the aging and degeneration of the pulp, leading to changes in fibrous tissue composition.