Published online by Cambridge University Press: 17 January 2013
Clinical and pathological observation both show that the dentine of the tooth is very closely connected with the nervous system, and is in consequence highly sensitive. Upon what structures does the sensibility of the dentine depend? In what manner is the dentine connected with the nerves of the pulp so as to become so sensitive to external stimuli?
Perhaps there is no other structure in the body which is so largely supplied with nerves as the pulp of the tooth; even in the smallest fragment we find many nerve fibres. If we take the pulp from the incisor tooth of an ox and examine it after having allowed it to lie in a solution of osmic acid for a few minutes, we can see clearly through the darkened semi-transparent tissue a large blackened nerve trunk passing up the centre of the pulp, giving off on its way innumerable lateral branches, and dividing in a brush-like manner near the upper part of the pulp. All the fine branches are directed towards the periphery of the pulp. In longitudinal sections of the pulp we can see the same in greater detail; many large bundles of medullated and non-medullated nerve fibres running longitudinally near the centre and giving off lateral branches, which are found in great numbers near the periphery and divide into single nerve fibres just under the odontoblastic layer, being specially numerous at the apex of the pulp.