Enamel I & II Flashcards

1
Q

responsible for origin of enamel and has ectodermal origin

A

enamel organ

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2
Q

Tooth bud undergoes _______ to establish enamel organ in the cap stage

A

morphogenesis

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3
Q

1st place of mineralization is in the

A

cusps

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4
Q

we determine shape of the crown in what stage

A

bell stage

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5
Q

thickening in SR can produce an

A

enamel cord

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6
Q

enamel formation is induced by onset of

A

dentinogenesis

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7
Q

simultaneous deposition of enamel/dentin is the ______ stage

A

appositional

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8
Q

in a mature state, enamel is ____ mineral in the form of hydroxyapatite crystals

A

96%

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9
Q

enamel does not have ____ or _____

A

collagen or keratin

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10
Q

only called an ameloblast if it’s secreting

A

enamel

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11
Q

what are the stages of the life cycle of an ameloblast

A
  1. Morphogenetic
  2. Organizing - histodifferentiation
  3. initial secretion (no Tp)
  4. secretory (Tp)
    5-6. maturative
  5. protective
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12
Q

what are the % of the ruffle border and smooth border

A

80% ruffle border
20% smooth border

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13
Q

You lose _____% of cells between the secretory and maturative stage

A

25%

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14
Q

the _____ border increases the mineralized component of the enamel

A

ruffle

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15
Q

if cells are cuboidal in the SR, what does that mean and what stage is that?

A

cuboidal stage means nothing is happening so this is the morphogenetic (resting) stage

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16
Q

IEE cells are not cuboidal and they’re ______

A

polarized

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17
Q

in the late organizing stage, the cells are

A

large & polarized

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18
Q

what is happening to basal laminate in the late organizing stage? what about to the cells of the ODP?

A

the BL is kind of breaking down

the cells of the ODP are beginning to differentiate and clump together

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19
Q

junctional complexes are present at _____ and _____ locations

A

distal & proximal

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20
Q

ameloblasts are distinguished by a

A

Tome’s process

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21
Q

proximal Tome’s process has what kind of enamel

A

interrod

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22
Q

distal Tome’s process has what kind of enamel

A

rod enamel

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23
Q

no Tome’s process has what kind of enamel

A

rodless enamel

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24
Q

Tome’s process is responsible for the structure of

A

enamel

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25
Q

interrod enamel is produced in the ____ of the keyhole

A

tail

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26
Q

rod enamel is produced in the ____ of the keyhole

A

body

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27
Q

secretory granules are released from Tome’s process which contain the following organic compounds

A

Amelogenins (90%)
Ameloblastin
Enamelin (10%)

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28
Q

immature enamel has a much higher ____ content

A

organic

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29
Q

can you follow rod enamel all the way to the DEJ? why or why not?

A

No, because rodless enamel is at the DEJ

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30
Q

at the end of the secretory stage, there is a portion of what kind of enamel

A

rodless

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31
Q

when ameloblasts are about to stop, there is no more

A

Tome’s process

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32
Q

When the thickness of enamel is achieved, the ameloblasts enter the ______ stage

A

maturation

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33
Q

in the maturation stage there is modulation between the

A

ruffle and smooth borders

34
Q

the ruffle border adds ____ and deposits into the

A

Ca2+ ion ; enamel

35
Q

the proximal area of the ruffle border is ____ for _____

A

open ; influx

36
Q

the smooth border adds

A

proteinases to break down the organic component and pinocytosis of fluids

37
Q

the distal area in the smooth border are ____ for _____

A

open ; pinocytosis of proteins to break down

38
Q

maturation means

A

more mineralized

39
Q

in maturation, how do we become more mineralized?

A

by secreting more crystals or making them larger

40
Q

immature enamel = no more _____ so you can’t secrete more _____ aka why you can’t fix _____

A

Tome’s process ; crystals ; enamel

41
Q

Fully mature enamel is ___ mineral

42
Q

the final stage (protective stage) is the

43
Q

the final stage (protective stage) is when the REE separates the enamel from the tissues in the ____

44
Q

REE also plays a role in breaking down the ___ and ___ , helping the _____ of the teeth

A

bone and tissues ; eruption

45
Q

REE produces odontoclasts which breaks down

A

dental bone and roots

46
Q

What happens to REE? Nasymth’s Membrane

A

it merges with the oral epithelium

it comes out with the teeth

47
Q

Enamel is secreted by

A

Tome’s process

48
Q

there is no more secretion of ameloblasts in the ____ stage so no more ____ secretion is possible

A

REE ; enamel

49
Q

rods run an irregular course from ____ to ____

A

DEJ to surface

50
Q

The ____ defines the convex, outer surface of the organ

51
Q

The _____ lines the concave, inner surface of the organ. Its
cuboidal cells will differentiate into ______

A

IEE ; ameloblasts

52
Q

High levels of _______ are present in the SI adjoining the ameloblasts

A

alkaline phosphatase

53
Q

Enamel formation is induced by the onset of

A

dentinogenesis

54
Q

_____ is the hardest tissue of the body

55
Q

The hardness of enamel makes it a _____ substance

56
Q

In the secretory stage, as migration occurs, a conical process, known as ___________, forms at the _______ end

A

Tome’s process ; distal

57
Q

amelogensis proceeds at the rate of ___ micrometers per day

58
Q

Once the full thickness of enamel is achieved, the ameloblasts enter the ________ stage

A

maturation

59
Q

Histodifferentiation of ameloblasts is

60
Q

Enamel _________ form the bulk of enamel

A

rods (prisms)

61
Q

matrix constituting the interrod region is formed in association with the base, or _____ end of Tome’s process

62
Q

_______ are a series of dark bands seen in both cross sections and longitudinal sections of a ground tooth

A

Lines of Retzius

63
Q

____________ are seen as alternating dark and light bands extending from the DEJ to the enamel surface in longitudinal ground sections which are produced by changes in __________

A

Bands of Hunter-Schreger ; rod direction

64
Q

_________ appear as linear cracks, or defects, extending through the thickness of enamel

A

Enamel lamellae

65
Q

________ appear as tufts of grass extending from the DEJ part way into enamel

A

Enamel tufts

66
Q

__________ are seen as stubby, dark-appearing projections at the DEJ.

They result from the cytoplasmic processes of
odontoblasts which penetrate the IEE as dentinogenesis begins

A

Enamel spindles

67
Q

________ are furrows on the surface of enamel. They are regarded as the surface manifestations of the
lines of ____

A

Perikymata ; Retzius

68
Q

Differing path of enamel rods,
with intertwining, is prominent in inner 2/3’s of enamel

A

Hunter-Schreger Bands

69
Q

Rods are arranged ________ in horizontal planes, becoming more vertically inclined toward _____

A

radially ; cusps

70
Q

The first and last
formed enamel is _____

_______ is not present

A

Rodless ; Tome’s process

71
Q

_________ are seen as dark lines from DEJ to surface, reflecting incremental synthesis of enamel

A

Lines (Striae) of Retzius

72
Q

______ reflects change of physiology on enamel formation as a consequence of birth

A

Neonatal line

73
Q

Tufts are locations of
_________ showing a twisting course

A

hypomineralized rods

74
Q

Spindles reflect an overgrowth of ______ processes at the start of ______

A

odontoblast ; apposition

75
Q

Mottling of teeth

too much fluoride in a natural source of water while teeth were developing

A

dental fluorosis

76
Q

fluoride binds to ______
making them more ______ to
acid demineralization

A

hydroxyapatite crystals ; resistant

77
Q

Fluoride in a carious lesion,
promotes _______ of enamel

A

remineralization

78
Q

Fluoride in plaque, produces a ______ in the activity of bacterial enzymes that synthesize ____

A

reduction ; acid

79
Q

wear on occluding surfaces,
abrasives in tooth paste

A

Abrasion/Attrition

80
Q

loss by chemical exposure (not from bacteria)

ex: stomach acid

81
Q

loss by exposure to organic acids from cariogenic bacteria

82
Q

Formation of a carious lesion is a dynamic process with
stages of ____________,
without cavitation (initially).

______ and ______ ions
from saliva maintain a surface covering. Overtime,
demineralization will prevail, creating a cavity

A

demineralization/remineralization ; Calcium and phosphate ions