Enamel Development Flashcards

1
Q

When does the Bud stage occur?

A

6-9 weeks in utero

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2
Q

How many locations does the bud stage or initiatioon occur?

A

10 sites along the dental lamina in each jaw

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3
Q

What is it called when basal layer cells of the epithelium expand into mesenchyme?

A

The bud stage!

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4
Q

When does the cap stage occur and what is it called

A

9-11 weeks in utero, called proliferation!

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5
Q

What are the three parts of the cap stage?

A
  1. enamel organ
  2. Dental papilla = dentine and pulp!
  3. Dental sac = cementum and PDL
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6
Q

The basement membrane separates two things…

A
  1. the inner enamel epithelium from the dental papilla

2. the outer enamel epithelium from the dental sac

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7
Q

what is the dental sac

A

cementum and PDL!

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8
Q

what is stellate reticulum

A

polygonal cells between inner and outer enamel epithelium

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9
Q

What is the essential layer for enamel formation a nd where does it sit?

A

stratum intermedium

sits in between the inner enamel epithelium and the stratum reticulum

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10
Q

When does the bell stage occur and what can it be called

A

11-14 weeks in utero, histodifferentiation!

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11
Q

when is the advanced bell stage?

A

14-18 weeks

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12
Q

what happens in the advanced bell stage?

A

formation of enamel by ameloblasts
formation of dentin by odontoblasts
DEJ forms!

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13
Q

How does dentin form?

A

Formed at the DEJ!!! in the region near the cusps and moves APICALLY!!

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14
Q

Korff Fibers

A

Spiraling fibers that support dentine!

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15
Q

How does enamel form?

A

The ameloblasts lay down enamel OVER the dentin. the enamel formation proceeds CORONALLLY!

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16
Q

What forms Hertwig Epithelial Rooth Sheaths? (HERS)

A

the cervical portion of the enamel organ!

17
Q

When are ameloblasts fully differentiated and secretory?

A

Tomes Process forms!!! this secretes and creates the enamel rod

18
Q

Where does calcification start

A

cusp tips/incisal edge

19
Q

morphodifferentiation

A

seems to be formation of ameloblasts and odontoblasts around DEJ

20
Q

Apposition

A

initial dentin and enamel lay down

21
Q

What stage is disturbed if you have hypodontia or anodontia and which teeth are most likely to be missing?

A

Initiation - Bud stage

3rds, upper laterals, 2nd premolars, lower centrals

22
Q

What stage is disrupted with supernumery stage?

A

Initiation = bud stage

98% inthe maxilla!!!

23
Q

Fusion vs Gemination

A

Fusion - joining of two tooth germs (reduced number of teeth!!)
gemination = two tooth buds from a single tooth germ
(normal number of teeth!)

24
Q

What stage is disrupted if you have gemination or fusion

A

proliferation - cap stage!

25
What stage is disrupted if you have macrodontia, microdontia, dens in dente, dens evaginatus, talon cusp?
morphodifferention = bell stage
26
What teeth are dens in dente found?
maxillary laterals
27
what teeth are dens evaginatus found?
premolars (asians!)
28
What teeth are talon cusps found?
maxillary central incisors
29
Hypoplastic amelogenesis imperfecta
hard thin enamel | common open bite in the anterior
30
Hypomaturation amelogenesis imperfecta
normal thickness of enamel but soft!
31
Hypocalcified Amelogenesis imperfecta
normal thickness but friable -- anteroir o pen bite common
32
High fever in the first year of life can lead to what?
Molar Incisor hypomineralization -- localized opacity | usually only incisal or cuspal 1/3
33
Enamel hypoplasia is often caused by what
dental trauma to the primary dentition
34
Dentinogenesis imperfecta
pulpal obliteration grey to purple discoleration primary and perminant dentition enamel lost early
35
Dentinal Dysplasia (type I and II)
Type I = autosomal dominant , short or absent roots, pulp obliterated type II = pulp obliteration and pulp stone!