histology of enamel e lecture Flashcards

1
Q

what is the strength of enamel like

A

very brittle and hard wearing

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2
Q

what does enamel rely on for its strength

A

the underlying dentine

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3
Q

what is enamel made from

A

almost pure mineral- and organic material which is non collagenous protein
only 4% is water

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4
Q

what mineral is in enamel

A

hydroxyapatite- but much larger in enamel than dentine

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5
Q

where is the enamel thickest

A

A incisal edge or in the cusp of a molar

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6
Q

where is the enamel thin

A

at the knife edged margin of the cervical margin

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7
Q

how are the hydroxyapatite crystals arranged

A

they are arranged in prisms or in rods

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8
Q

how long is the crystals

A

runs from the enamel to the dentine and is approx 5 micro milimetres in diameter

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9
Q

what lies on top of the hydroxyapatite crystals

A

brown lines called the striae of Retzius

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10
Q

how are the striae of retzius arranged

A

they are arranged more irregular at the cusp but more regular towards the cervical margin

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11
Q

other structures can form due to

A

optical effects produced by the overall prisms

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12
Q

what happens if all the top enamel is removed by acid

A

ribbons of protein can often be seen to run down the exposed dentine surface – this is tuft protein

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13
Q

what do tuft proteins represent

A

areas between prims and residual enamel proteins

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14
Q

what shape is the ADJ

A

scalloped in appearance

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15
Q

how do the prisms run in the enamel

A

in a sinusoidal path to the surface with all the prisms running parallel to each other

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16
Q

how do enamel tufts form

A

high protein content retained at the prism boundaries and, because of the superimposition, give the appearance of a tuft of grass

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17
Q

where do spindles originate

A

at the ADJ AND PROJECT INTO the enamel

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18
Q

what shape are spindles

A

distinct cigar shapes

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19
Q

how can the visibility of tufts and spindles change

A

due to the changing of the focus and therefore it becomes visible and then no longer visible

20
Q

what are the striae of retzius

A

they are incremental growth lines that run obliquely to the enamel prisms

21
Q

what depressions are the striae of retzius associated with

A

they are associated with depressions called perikymata

22
Q

where are perikymata found more commonly

A

towards the outer regions of the enamel and the cervical margin which can be regularly spaced

23
Q

what do straie form the markings of

A

they form the markings of the enamel at a particular time in the crowns development

24
Q

what does the scalloping of the ADJ aid

A

aid-resists shearing forces

and aids the retention of the enamel on the underlying dentine

25
how does the ADJ resist shearing forces
by providing a more irregular and greater surface area
26
what is the enamel spindle continuous with
with the dentinal tubules
27
how do enamel spindles form
They are thought to arise because of growth of odontoblast processes across the forming ADJ into the developing enamel during crown development
28
what angle do the enamel prims run on the outer surface
the enamel prims run at 90 degrees to the ADJ
29
what angle do the enamel prisms run at the cusp
the prisms run at a much more disorganised fashion and therefore are known as gnarled enamel
30
why is gnarled enamel good-
can resist harder shearing forces at the cusp
31
how do hunter schrenger bands run
run at slightly different paths which can form the visible enamel tufts
32
what is a fissure lesion-
it is a lesion where it is much smaller than the underlying enamel and dentine lesion
33
why does a fissure lesion occur-
- largely due to the divergent pathway of the prisms away from the fissure
34
what does the smooth surface lesion contain-
the translucent zone the lesion body the dark zone surface zone
35
why might the striae of retzius and the cross striations lines become more prominent-
due to the partial demineralisation of the enamel which makes them appear more distinct than in normal enamel
36
the translucent zone-why
t appears translucent because it takes up media into its relatively uniform sized pores
37
how are the uniform sized pores in the translucent zone produced-
by early acid demineralisation
38
how much mineral is lost in the translucent zone-
around 1%
39
how much mineral is lost in the body of the lesion-
greater than 20%
40
what happens in the dark zone
some remineralisation has occurred and therefore the pores are different sizes. some are small and inhibit the ingressing of the imbibing fluid. this causes light to scatter therefore dark colouring
41
what might the dark zone also have
high protein content
42
what % of mineral has been lost in the dark zone
5%
43
the surface zone
looks relatively intact so that the demineralisation can look like its sub surface
44
the presence of the surface zone is-
independant of fluoride conc
45
what may also be present in the surface zone
micro channels may be present in the surface zone