Enamel morphology Flashcards

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1
Q

where is enamel thickest and where is it thinnest on an anterior tooth?

A

thickest at incisal edge.

thinnest at the cervical region.

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2
Q

where is enamel thickest and thinnest on a posterior tooth?

A

thickest at cusps, thinnest at the cervical region.

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3
Q

which enamel is more mineralised? surface or deeper enamel?

A

surface enamel is more mineralised than deeper enamel.

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4
Q

where is the best area to etch enamel?

A

enamel etches the best at the interrod region as you can bind to enamel crystallites better from the side.

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5
Q

what causes striae of retzius?

A

weekly incremental lines caused by a weekly change in direction of enamel formation. unknown why there is a change.

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6
Q

which area of enamel is most susceptible to caries?

A

the interrod region is the most susceptible to caries.

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7
Q

what percentage of enamel is composed of organic matrix and what are its functions?

A

organic matrix is 1% weight and 1-2% volume.

it functions by fitting in beside each crystallite and adds a degree of flexibility to the enamel.

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8
Q

give a description of how enamel crystallites are shaped and organised

A

Enamel crystallites are organised into a shape by proteins secreted by ameloblasts. These proteins then enucleate the crystallite once it is in shape. The proteins then completely leave the crystallite - caused by ameloblast maturation.

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9
Q

when may a hydroxyapatite crystallite become more susceptible to acid attack?

A

when ion substitution occurs. when the calcium is exchanged for carbonate or magnesium.

if fluoride is substituted, then becomes less susceptible.

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10
Q

what course do enamel rods run along? What do the periodic changes in the course between adjacent enamel rods cause?

A

sinusoidal course.

The course changes between adjacent enamel cause hunter-Schreger bands.

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11
Q

what are Hunter-Schreger bands?

A

bands caused by the sinusoidal course of enamel rods. only found near EDj and not enamel surface.

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12
Q

give 3 examples of enamel malformations along the EDJ

A

enamel lamellae, enamel tufts and enamel scalloping.

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13
Q

what are enamel tufts?

A

small projections of hypo-mineralised regions. caused by residual matrix protein at prism boundaries.

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14
Q

what are enamel lamellae?

A

incomplete maturation of groups of prisms causing a fault line extending through enamel thickness.

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15
Q

what is enamel scalloping? and what clinical sign may show if it is not present?

A

enamel is rough near the EDJ. This surface allows for a stronger bond and helps resist shear forces.

Abfraction

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16
Q

what is gnarled enamel? and where would it be found?

A

intertwined enamel found typically at cusps.

space created by the prisms may allow cusps to ‘give’ a little under occlusal forces

17
Q

why may tooth whitening affect enamel integrity?

A

whitening is the removal of matrix protein and water content. this causes the integrity of the enamel to be decreased.