Enamel & Amelogenesis Flashcards

1
Q

Dentine is of ectomesenchymal origin. Enamel however, is from ectodermal origin. True or False?

A

True

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2
Q

Where would you find the thickest layer of enamel over teeth? Thinnist?

A

Thickest over cusps.

Thinnest over cervical region

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3
Q

What does Birefringent mean? What substance is birefringent?

A

Refracts light in different directions

Enamel

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4
Q

What would you expect to have lower translucency? Enamel from primary or permanent dentition?

A

primary

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5
Q

Enamel is resistant to abrasion, fractures, and cannot regenerate. It also has high tensile strength and is generally hard, but brittle.

True or false?

A

False, low tensile strength.

Rest is of the paragraph is true.

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6
Q

What are the benefits of a ground section vs demineralized section for observing enamel?

A

Ground section loses soft tissue, but you can actually see enamel.

Enamel is completly lost in demineralized sections.

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7
Q

What are the 3 prism patterns of enamel? Which one is predominant in humans?

A

Circular
Parallel
Keyhole

Keyhole for humans

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8
Q

What are hunter-schreger lines?

A

10-13 layers of prisms that follow the same direction with blocks below and above that follow different directions.

Prisms that are cut tranversely, known as diazones, show up are dark banding while the prisms that are cut longitudally, known as parazones, show up as white lines

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9
Q

Hunter Schreger Bands are useful because?

A

The complex pattern confers resistance to fracture

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10
Q

What part of enamel is most susceptible to fracturing?

A

The outer 1/3 layer. Hunter Schreger bands do not reach the outer 1/3 of enamel.

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11
Q

Where would you see gnarled enamel? What is it?

A

Enamel over cusps and incisal edges that appear to have some coiling of prisms

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12
Q

What is aprismatic enamel? Where do you usually see it?

A

90 degree angled crystallites from the surface that don’t have a prism structure. Usually see it in newly erupted teeth although it in on the outermost layer of enamel from both primary and perm dentition

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13
Q

What are incremental lines and how are they important?

A

During development changes in the enamel secretory rhythm, chemical composition and/or the position of the developing enamel front are recorded as incremental features.

Short period are cross striations 24 hour period

Long period are striae of retzius - weekly

SOR run obliquly down enamel

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14
Q

What is perikymata?

A

Ridges and drooves seen in perm teeth and cervical enamel of primary 2nd molars

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15
Q

What are these rings?

A

Striae of Retziuss (transverse section)

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16
Q

What are theses lines?

A

Striae of Retziuss (longitudinal section)

17
Q

What is this?

A

Neonatal line

18
Q

Surface enamel is prismatic. True or false?

A

False, aprismatic

19
Q

What is the differences between Attrition, Abrasion, and Erosion?

A

Attrition caused by tooth to tooth

Abrasion caused by tooth to external object

Erosion caused by tooth to acid (not from caries)

20
Q

What is the structure of the DEJ? How does it aid in the function of teeth?

A

Scallops and microscallops (convexity is towards enamel)

Fine dentine collagen fibrils overlay into enamel

Helps withstand shearing forces and limits crack propogation

21
Q

What are enamel spindles?

A

Extensions of odontoblastic proccesses past the DEJ

22
Q

What are enamel tufts?

A

Hypomineralized protein rich (tuftellin) areas of enamel. Same directions as prisms and only within inner third of enamel.

23
Q

What are enamel lamellae?

A

Fault lines running through entire thickness of enamel.

Lamellae may arise developmentally due to incomplete maturation of groups of prisms (in which case they would contain enamel proteins) or after eruption as cracks produced during loading of enamel and containing saliva and oral debris.

24
Q

Enamel’s modulus of elasticity is low which makes it brittle.

A) The statement is true but the reasoning is false
B) The statement is false but the reasoning is true
C) Both statement and reasoning is false
D) Both statement and reasoning is true

A

C

Modulus of elasticity is high (stiffness)

It’s brittle due to tensile strength being low

25
Q

What are the five stages of amelogenesis?

A

Presecretory
Secretory
Transition
Maturation
Post Maturation

26
Q

Ameloblasts can exist in different stages on a single tooth at one instant. True or false?

A

True

27
Q

What happens in presecretory stage?

A

Redistribution of organelles (reversal of polarity)
Appearance of organelles
Columnar
Formation and resorption of basal lamina

28
Q

What happens in secretory stage?

A

Secretion of enamel proteins – matrix deposition in the interpit prongs after dentine is formed

Tomes process is formed

29
Q

Mutations in cell junction proteins during amelogensis are known to cause:

A

amelogenesis imperfecta

30
Q

What happens in the transition stage?

A

Enamel secretion stops and matrix is removed

Cell organelles reduced

Ameloblast morphology and numbers change

31
Q

What happens in the maturation stage?

A

Tome process disappears and organelles gather on distal end

Matrix and proteins are removed and calcium/phosphate/carbonate are moved in via ruffle ended section of ameloblast

32
Q

What happens in enamel post maturation?

A

Flattening of ameloblast

Primary enamel cuticle seperates ameloblasts from enamel

Remnants of enaml organ merge with flat emeloblasts to form the reduced enamel epithelium (Nasmyth’s membrane) to protect the enamel during eruption

33
Q

Which direction is enamal formed (mineralized)?

A

From cusp tips downwards along DEJ

34
Q

First and last formed enamel is:

A

Aprismatic

35
Q

What are some clinical importance of enamel formation?

A

Amelogenesis imperfecta

Fluorosis
Trauma
Medications

36
Q
A