Enamel Flashcards

1
Q

Enamel

A

most calcified tissue in the body, semipermeable, NOT STATIC and non-vital
mostly hydroxyapatite crystals

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2
Q

What secretes the enamel matrix?

A

Tome’s process, 1 rod for 1 process

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3
Q

Is Tome’s process a true process?

A

NO

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4
Q

What is an enamel rod?

A

functional unit of enamel, aka prism
enamel made of millions of rods

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5
Q

enamel is what kind of product?

A

ectodermal/epithelium

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6
Q

Describe the makeup of enamel

A

from IEE of enamel organ, NO
collagen product, contains ameleogins (controls growth and organization of crystals)

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7
Q

Where is the enamel matrix first formed?

A

incisal/occlusal part of crown near DEJ, moves to future outer enamel surface

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8
Q

When does the enamel matrix mineralize to fully matured?

A

apposition and maturation stages of tooth development
mineralization continues after eruption of tooth due to deposition of minerals such as fluoride and calcium

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9
Q

Gubernacular canal

A

ameloblasts becomes part of REE and create this canal for enamel cusps tip to erupt through, then tissue disintegrates

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10
Q

Keyhole effect

A

each rod has head and tail end

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11
Q

Crystals in head

A

parallel

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12
Q

Crystals in tail

A

starts to diverge, increase masticatory strength
ameleoblasts and Tome’s process affect crystal pattern

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13
Q

Where are rods thickest?

A

near cusp or incisal

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14
Q

Hunter-Schreger Bands

A

curved rods due to movement of ameloblasts during enamel production, dark or light colored bands

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15
Q

Interprasmatic/Interrod

A

associated with Tome’s process, different crystalline orientation, rod sheath less mineralized

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16
Q

DEJ

A

scalloped, formed by basement membraned, concavity faces dentin, convexity faces enamel

17
Q

Lines of Retizus

A

incremental lines, bands of enamel rods like growth rings of tree
raised=perikymata*
lost through tooth wear

18
Q

Lamellae

A

uncalcified vertical sheets of organic material, entire width of enamel, eventually worn down, narrower and longer than tufts

19
Q

Enamel spindles

A

defects at DEJ, more prone to caries, extension of odontoblasts process of dentin into enamel

20
Q

Enamel tufts

A

defect of calcification, appear as bundles of small dark brushes, hypo calcification of enamel prisms

21
Q

What does the prism arrangement do?

A

gives direction to path of penetration for dental caries

22
Q

Smooth surface caries

A

straight line direction

23
Q

Which type of fluoride can cause fluorosis, topical or systemic?

A

systemic (during mineralization phase)

24
Q

Acid etching

A

structure of enamel allows acid to penetrate surface and leave a rough surface, allows bonding materials to adhere more easily

25
Q

Cavity preparation

A

it is important that unsupported enamel prisms are not left when removing decay and prepping cavities

26
Q

Tetracycline staining

A

if taken during mineralization phase, most notable stains in dentin, darkest near cervix

27
Q

Pits and fissures

A

less calcified area, more susceptible to caries, ameloblast become crowded between cusps and die forming weak spots, cuts off nutritional source