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OB > Development > Flashcards

Development Flashcards

1
Q

Stages of tooth germ development

A
  1. Initiation
  2. Morphogenesis
  3. Histogenesis (Differentiation)
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2
Q

What do interactions between epithelium (ectoderm) give rise to? (x2)

A

Enamel and Hyaline layer of the root

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3
Q

What do interactions between mesenchyme (ectomesenchyme) give rise to? (x4)

A
  • Dentine
  • Pulp
  • Cementum
  • Periodontium (PDL & Bone)
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4
Q

When does initiation (1st sign) of tooth development begin?

A

6 weeks i.u.l

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5
Q

Which tissue initiates tooth development?

A

(Dental) epithelium has the odontogenic potential, then ECTOMESENCHYME

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6
Q

What does the primary epithelial band give rise to?

A

Dental lamina

Vestibular lamina

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7
Q

What happens with the vestibular lamina?

A

Grows then break down (undergoes apoptosis)

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8
Q

What does the vestibular lamina form?

A

Vestibule between teeth and lips/cheeks

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9
Q

List the stages of tooth development

A

Bud
Cap
Bell
Crown

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10
Q

List the components of the tooth germ (x3)

A
  • Enamel organ
  • Dental papilla
  • Dental follicle
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11
Q

Which week is the bud stage in?

A

Week 8

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12
Q

Describe the bud stage

A

Week 8

  • spherical/ovoid epithelial condensation
  • cell proliferation
  • no histodifferentiation/morphogenesis
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13
Q

Describe the cap stage

A

Week 11

  • Cap shaped enamel organ
  • Poorly histodifferentiated
  • Little morphogenesis
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14
Q

Which week is the cap stage in?

A

Week 11

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15
Q

What does the enamel organ give?

A

(from outer to inner)

  1. Outer enamel epithelium
  2. Stellate Reticulum
  3. Stratum Intermedium
  4. Inner enamel epithelium
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16
Q

What is the role of the outer enamel epithelium?

A

Maintenance of shape and exchange

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17
Q

What is the role of the stellate reticulum?

A

Maintenance of shape and protection

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18
Q

What is the role of the stratum intermedium?

A

Synthesis and transport to and from inner enamel epithelium

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19
Q

What is the role of the inner enamel epithelium?

A

Forms ameloblasts –> enamel

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20
Q

At which stage does the enamel organ break down into its specific components? List the components.

A 
Bell stage (Early-14weeks)
OEE, SR, SI, IEE
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21
Q

What does the ectomesenchyme differentiate into? What structures do each form?

A

Ectomesenchyme differentiates into dental follicle and dental papilla.
Dental follicle gives: cementum, PDL, bone
Dental papilla gives: odontoblasts (dentine) & pulp

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22
Q

At which stage does the ectomesenchyme differentiate?

A

Bell stage (Early-14 weeks)

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23
Q

When does the dental lamina breakdown? At what stage is this?

A

Week 17; Bell stage

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24
Q

What is the cervical loop with respects to the enamel organ?

A

It is where the outer enamel epithelium meets the inner enamel epithelium

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25
Q

What is the enamel knot?

A

A localisation of cells on an enamel organ that appears thickened in the centre of the inner enamel epithelium

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26
Q

When is the enamel knot formed and what happens in the next stage?

A

Formed in the cap stage

Undergoes apoptosis in the bell stage

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27
Q

Function of the enamel knot

A

Signalling centre of the tooth that provides:

  • positional information for tooth morphogenesis
  • patterning of tooth cusps
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28
Q

Molecular signals produced by the enamel knot (x3)

A
  1. SHh (Sonic Hedgehog)
  2. FGF (Fibroblast growth factor)
  3. BMP (Bone morphogenetic proteins)
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29
Q

Composition of Dentine

A

Mineral - 70%
Organic Matrix - 20%
Water - 10%

30
Q

Properties of dentine (x4)

A

Hard (KHN: 75)
Strong and resilient
Tubular/porous
Vital

31
Q

What forms dentine

A

Odontoblasts

32
Q

What is odontoblast derived from?

A

Cells of dental papilla (ectomesenchymal - specialised cells from neural crest)

33
Q

When does dentine formation begin?

A

At the end of bell stage

34
Q

Stages of dentine formation (x3)

A
  1. Cytodifferentiation
  2. Matrix formation
  3. Mineralisation
35
Q

What is the organic matrix of dentine made up of?

A 
Collagen (mainly type I);
Ground substance (ECM) - dentine phosphoproteins, proteoglycans, lipids
36
Q

Direction of dentine formation

A

Inwards (i.e. from enamel to pulp)

37
Q

What is the first formed dentine called?

A

Mantle dentine

38
Q

Compare mantle dentine vs circumpulpal dentine (x4)

A
  1. Mantle dentine is the first formed dentine; Circumpulpal dentine is the rest of it
  2. Mantle dentine has large collagen fibrils that run perpendicular to the ADJ; Circumpulpal dentine has small collagen fibrils that run parallel to the ADJ
  3. Ground substance of mantle dentine is not solely of odontoblast origin; Ground substance of circumpulpal dentine is formed from odontoblasts
  4. Matrix vesicles required for mineralisation of mantle dentine, whereas circumpulpal dentine involves the use of heterogenous nucleation
39
Q

Composition of enamel

A
  • 96% mineral
  • 1-2% matrix
  • 2% water
40
Q

What makes up the enamel matrix?

A 
Enamel proteins (NOT COLLAGEN)
Enzymes (present to break down enamel proteins via a self-destruct process)
41
Q

Name the enamel proteins (x3)

A
  1. Enamelins (2%)
  2. Tuftelins
  3. Amelogenins (90%)
42
Q

What is the main mineral of enamel/dentine?

A

Hydroxyapatite

43
Q

Name the 3 theories of mineralisation

A
  1. Alkaline phosphatase hypothesis
  2. Nucleation (homogenous / heterogenous)
  3. Matrix vesicles
44
Q

What is Tomes process responsible for?

A

Prismatic structure of enamel;

1st and last formed enamel does not have the Tomes process and hence are aprismatic

45
Q

When are epithelial cells at their longest?

A

Just before they produce enamel / before the basal lamina disintegrates

46
Q

Direction that ameloblasts go

A

upwards and outwards

47
Q

Which enamel protein is removed and which remains?

A

Amelogenin is removed; Enamelin remains

48
Q

Which feature of amelogenin allows it to be removed during enamel mineralisation?

A

It is thixotropic - flows/changes their properties under pressure

49
Q

Final secretion of ameloblasts

A

Enamel cuticle

50
Q

Functions of the reduced enamel epithelium (x3)

A
  1. Provides an epithelial lined pathway for eruption of teeth
  2. Forms the initial junctional epithelium, which attaches mouth epithelium to teeth
  3. Protection of enamel surface from resorption and prevention of cementum formation
51
Q

Fate of the reduced enamel epithelium (x2)

A
  1. Fusion with basal lamina to become junctional epithelium

2. Cell death

52
Q

What must happen for mineralisation to occur?

A

Crystal growth and protein removal

53
Q

Role of enamel proteins (x3)

A
  1. Aid nucleation of hydroxyapatite
  2. Orientate and stabilise crystal growth
  3. Broken down and lost during maturation
54
Q

Compare enamel mineralisation VS dentine mineralisation (x2)

A

no pre-enamel for enamel mineralisation

no MVs for enamel mineralisation

55
Q

What is the basic unit of enamel?

A

Enamel prism / rod

56
Q

What are the 2 components of the enamel prism?

A

Prism core

Prism sheath

57
Q

What does the prism core comprise?

A

Tightly packed hydroxyapatite crystals

58
Q

What governs the prismatic shape of the enamel prism?

A

Tomes process

59
Q

Name the regions of the enamel found without Tomes process

A 
First formed (innermost) - 5um
Last formed (outermost) - 30um
60
Q

What are incremental growth lines of enamel termed?

A

Striae of Retzius

61
Q

What does the Striae of Retzius represent?

A

incremental growth line - represent where the ameloblasts were at each different stage

62
Q

What can result in accentuated incremental enamel growth lines? (x2)

A
  1. Systemic disturbance e.g. illness

2. Birth - neonatal line

63
Q

What is perikymata?

A

Shallow furrow where the striae meets the surface

64
Q

What are dentinal tubules that project into enamel termed?

A

Enamel spindles

65
Q

What are the incremental lines of dentine termed?

A

Incremental lines of von Ebner

66
Q

What is the shallow furrow where the striae meets the surface

A

Perikymata

67
Q

Where mantle dentine meets the circumpulpal dentine

A

Interglobular dentine

68
Q

What does interglobular dentine result from

A

Failure of calcospherites to fuse

69
Q

What are the two types of tertiary dentine

A
  1. Reactionary

2. Reparative

70
Q

What is the difference between the two types of tertiary dentine

A

Reactionary dentine employs the use of existing odontoblasts whereas reparative dentine recruits “newly” differentiated “odontoblasts”.
Reactionary - slow formation VS Reparative - fast formation

71
Q

Function of tertiary dentine

A

Removes pulp from stimulus in response to injury/insult

OB (7 decks)

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