Beruflich Dokumente
Kultur Dokumente
EBTISAM ELHAMALAWY
MFDS RSC (Edh.), MJDF RSC (Lon.), BDS (Misr International
University)
1. Intiaiton
2. Bud
3. Cap
4. Bell
5. Apposition
6. Maturation
• One of the earliest signs in the formation of a tooth that can be
seen microscopically is the distinction between the vestibular
lamina and the dental lamina.
• The dental lamina connects the developing tooth bud to
the epithelial layer of the mouth for a significant time.
• Disturbance at this stage will lead to????
• The stage technically begins once epithelial cells proliferate into
the ectomesenchyme of the jaw.
• 8 weeks old.
• Along with the formation of the dental lamina, 10 round BUDS
epithelial structures
• Permanent tooth buds develops lingual to them.
• Disturbance??????????
• 9 -10 week in utero
• A condensation of ectomesenchymal cells called the dental sac
or follicle
• Morpho-differentiation and histo-differentiation occurs.
• Enamel organ / Dental follicle/ Dental papilla
• 11-12th week in UTERO
• Enamel organ separate into four important layers:
1. Cuboidal cells outer enamel epithelium (OEE)
2. The columnar cells inner enamel epithelium (IEE).
The cells between
3. stellate reticulum form
4. stratum intermedium
Cervical loop
• Histologic slide showing a tooth bud.
A: enamel organ
B: dental papilla
C: dental follicle
WHAT ARE THE STUCTURES THE ARISES FROM:
1. Enamel organ?
2. Dental papilla?
3. Dental follicle?
1. Preameloblast
2. Odontoblast
3. Perdentine
4. Basement membrane disintegrates
5. Predentine becomes mineralized
6. Preameloblast changes to ameloblast and start forming
enamel {Amelogensis}
• 1.cerival loop
• 2. Epitheial root sheath of hertwig
• 3. Epithelia diaphragm
• Rests of malassez
Enamel:
• Hydroxyapatite crystals
• 96% by weight , matrix tyrosine rich amelogenin
protein
• Knife edge neck of tooth (cemento-enamel
junction)
• Hard/ acellular/ avascular
• Inter rod region – area surrounding each rod, here crystals have a different
orientation to those making the rods
• Rod sheath – boundary where the crystals of the rod meet those of interrod
region at sharp angles
- the x-section gives a keyhole pattern to enamel
• Enamel rods
• Striations
• Hunter-Schreger bands
• Incremental lines of Retzius
• Surface characteristics
- perikymata
- rod ends
- cracks (lamella)
• Basic structural unit of enamel
• In turn are made up of enamel crystals
• 5 million in lower laterals and 12 million in upper first
molars
• Run from DEJ to surface – wavy tortuous course, hence
length is greater than thickness of enamel
• Rods in cusps are thicker than those located in cervical
areas
• Diameter approx 4µm, Length - 9µm
• diameter at surface of enamel is double that at DEJ
Perikymata
- external manifestations striae of retzius
- transverse wave-like grooves
- run circumferentially (horizontally) around the tooth
Enamel lamelle
• Type A – poorly calcified rods
• Type B – degenerated cells
• Type C – organic matter from saliva
• Enamel Cuticle (Nasmyth membrane)
Clinical effects:
Local: { Rednes ,heat, pain, swelling, loss of function}
Systemic: Malaise, Pyrexia, Rapid pulse
• Primary chronic inflammation:
Granulomatous inflammation { tuberculosis / sarcodiosis/ crohns
disease} autoimmune { rheumatoidarthrits}
• Secondary chronic inflammation {osteomylitis