amelogenesis Flashcards

1
Q

what are the stages of amelogenesis?

A
  1. induction
  2. enamel secretion
  3. enamel maturation & mineralisation
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2
Q

where does ameloblast differentiation begin?

A

begins at the cusps and goes down slopes

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3
Q

what happens during the induction stage of amelogenesis?

A
  • occurs after dentinogenesis
  • signal sent from odontoblasts across ADJ to inner enamel epithelium cells to induce differentiation into secretory ameloblasts
    • reciprocal induction
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4
Q

what happens during enamel secretion stage of amelogenesis?

A
  • after dentine formation
  • ameloblasts secrete enamel matrix
    • structureless enamel layer first
  • ameloblasts migrate away from ADJ - results in formation of Tomes process
    • can deposit prismatic structured enamel
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5
Q

structure of ameloblasts

A
  • Large columnar cells
  • Deposit structured enamel
  • Each cell deposits one unit of enamel
  • Very large cells - larger than other cells
  • Nuclei are arranged proximally
  • Have terminal bar apparatus
    • Formed from desmosomes
    • Links the cells together
    • Forms seal between cells
      • No exchange of ions occurs
      • Important for mineralisation process
  • Rich in endoplasmic reticulum
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6
Q

what is the tomes process? what is its role

A
  • Specialised organ
  • Allows directional secretion of the tissue being formed
    • Secretes perpendicular to the cell surface
  • Will secrete enamel in a structured form
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7
Q

role of the stratum intermedium in amelogenesis

A
  • SI cells are involved in transport of organic and inorganic material to and from ameloblasts
  • Involved in ion transport
    • Relevant for mineralisation process
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8
Q

why does enamel formation occur when distant from the pulp? how is this achieved?

A

Enamel formation is initiated in presence of poor nutritive support as distant from pulp

Compensation for this is achieved by internal enamel epithelial cells accumulating glycogen

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9
Q

what occurs during the enamel maturation stage of amelogenesis?

A
  • after enamel matrix has reached full thickness
  • further differentiation of ameloblasts
    • lose tomes processes
  • cyclical process
    • water and organic material are selectively removed from the enamel while additional inorganic material is introduced
      • aim to increase level of mineralisation
  • ameloblasts reduce in number -
    • apoptosis
  • basement membrane re-synthesised
  • remaining ameloblasts differentiation into flattened epithelial cells
    • form the reduced enamel epithelium
  • enamel organ becomes vascularised
  • cells from EEE, SR, SI because contiguous with dental follicle tissue
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10
Q

how does the appearance of the ameloblasts change during the maturation stage of amelogenesis?

A
  • further differentiation
    • lose their tomes processes
  • Ameloblasts alternate between possessing a ruffled border (introduction of inorganic material) and a smooth border (removal of protein and water)
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11
Q

how does reduced enamel epithelium form?

A
  • during maturation stage of amelogenesis
  • ameloblasts differentiate into flattened epithelial cells which form the REE
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12
Q

what occurs during the mineralisation stage of amelogenesis?

A

4 stages

  1. deposition of enamel template
    * formation of partially mineralised enamel matrix during enamel deposition
  2. increase in mineralisation
    * starts at surface of enamel and goes into deeper layers
  3. increase in mineral rebounding from innermost layer out to enamel surface
  4. complete mineralisation of outer layer
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13
Q

where is enamel most highly mineralised?

A

at the surface

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14
Q

how do ameloblasts change during their life cycle?

A
  1. differentiate into secretory ameloblasts from inner enamel epithelium cells
    * secrete structureless enamel matrix
  2. ameloblasts migrate from ADJ and form Tomes processes
    * secrete structured enamel matrix
  3. undergo further differentiation - when thickness of enamel matrix has been secreted
  • lose tomes processes
  • Ameloblasts alternate between
    • a ruffled border (introduction of inorganic material)
    • a smooth border (removal of protein and water)
  1. ameloblasts either undergo apoptosis or differentiate into cells of reduced enamel epithelium
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15
Q

what is the role of the reduced enamel epithelium?

A

protects enamel surface during eruption

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16
Q

functions of the internal enamel epithelium

A
  • Determining crown pattern of tooth
  • Induction of odontoblasts differentiation
  • Differentiation into ameloblasts through reciprocal induction
  • Secretion of enamel matrix
  • Maturation/mineralisation of enamel
  • Protection of newly formed enamel surface
17
Q

what makes up the cervical loop area?

A
18
Q

what occurs during assymetric cell division?

A
  • One daughter cell will go on to become a stem cell
  • One cell develops into a differentiated cell type
19
Q

what is a niche?

A

environment that

  • houses stem cells
  • allows for self renewal of stem cells
  • instructive in generation of differentiating progeny
20
Q

what is the epithelial stem cell niche

where is it

what are its roles

A

located at the apical end of the tooth

its descendent gives rise to the ameloblasts that form the hard enamel

21
Q

what regulates epithelial stem cell niche?

A

FGF10

  • Stimulates lunatic fringe expression in epithelium
    • Leads to differentiation of the cell
22
Q

where is FGF10 expressed?

A

dental mesenchyme near the cervical loop at the time of crown development

23
Q

what happens to the stem cell progenies?

A
  • If progenies remains in stellate reticulum which is notch 1 positive then it remains a stem cells
  • If daughter cell comes into close proximity to the epithelium then it will experience lunatic fringe
    • Leads to differentiation of the cell
24
Q

fate of the cervical loop

A

two options

  • can remain ‘crown’ and continue enamel production
  • adopt ‘root’ fate
    • irreversible
25
Q

when does HERS form and what is its role

A
  • after crown formation, the stellate reticulum is lost
  • this leads double layer of epithelium - HERS
  • HERS directs root formation