Tooth Development Flashcards

(45 cards)

1
Q

what is the pattern of tooth eruption of the primary dentition with timeline

A
  • mandibular central incisors: 5-8 mo.
    -maxillary central incisors: 6-10 months
    -mandibular lateral incisors: 7-10 mo.
  • maxillary lateral incisors: 8-12 months
  • mandibular canine: 16-20 months
  • maxillary canine: 16-20 months
  • mandibular first molars: 11-18 months
  • maxillary first molars: 11-18 months
  • mandibular second molars: 20-30 months
  • maxillary second molars: 20-30 months
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2
Q

when does calcification of the permanent dentition begin

A
  • central incisors: 3-4 months
  • maxillary lateral incisors: 10-12 months
  • mandibular lateral incisors: 3-4 months
  • canines: 4-5 months
  • first premolars: 18-24 months
  • second premolars: 24-30 months
  • first molars: birth
  • second molars: 30-26 months
  • maxillary third molars: 7-9 years
  • mandibular third molars: 8-10 years
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3
Q

when is the crown completely calcified in permanent dentition

A
  • central incisors: 4-5 years
  • lateral incisors: 4-5 years
  • canines: 6-7 years
  • first premolars: 5-6 years
  • second premolars: 6-7 years
  • first molars: 30-36 months
  • second molars: 7-8 years
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4
Q

when is the first sign of tooth development in utero

A

6-7 weeks

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5
Q

when do deciduous teeth begin to calcify in untero

A

13-20 weeks

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6
Q

how long in utero for all deciduous teeth have begun to calcify

A

18-20 weeks

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7
Q

when do deciduous teeth erupt

A

6-30 months

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8
Q

what part of the tooth is the first to calcify

A

the crown

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9
Q

what gene is responsible for tooth development in the dental mesenchyme stage

A

msx1

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10
Q

what are the stages of tooth development in order

A
  • crown formation
  • root formation
  • supporting structures
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11
Q

what are the steps in crown formation

A

-initiation
- bud stage
-cap stage
- bell stage
- enamel and dentin formation

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12
Q

describe the primary epithelial band

A

-horseshoe shaped
- correspond to future dental arches

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13
Q

what does the primary epithelial band give rise to

A

dental lamina and vestibular lamina

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14
Q

what is expressed in the epithelium where the tooth bud would form

A

SHH

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15
Q

what is expressed in the mesenchyme where the tooth bud would form

A

Pax9

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16
Q

describe the initiation of tooth development

A
  • placode formation- epithelial thickening
  • epithelial outgrowth into the mesenchyme
  • initial odontogenic potential lies in the epithelium subsequently shifts to mesenchyme - the neural crest mesenchyme induces the oral ectoderm to become the dental lamina
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17
Q

what happens in the bud stage

A

-epithelial cells show no major changes
- Shh, Lef-1 and Eda-Edar involved in placode formation
- mesenchyme beneath starts to condense by the factors secreted by the epithelium
- cross talk between the epithelium and the mesenchyme
-odontogenic potential in the epithelium

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18
Q

what happens in the cap stage

A
  • epithelium proliferates, mesenchyme continue to condense. looks like cap sitting on a ball of mesenchyme
  • tooth germ: enamel organ and dental papilla
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19
Q

what is the bud to cap stage regulated by

A

signaling molecules and transcription factors

20
Q

what does the enamel organ become

A

enamel of the tooth

21
Q

what does the dental papilla form

A

dentin (outer) and pulp ( inner)

22
Q

what does the dental follicle or dental sac differentiate into

A

supporting structures such as cementum/ periodontium/ alveolar bone proper

23
Q

what is the enamel knot

A

a key signaling center consisting of cluster of non dividing cells that determine cusp formation

24
Q

describe cap stage histodifferentiation

A

-cells in the enamel organ synthesize glycosaminoglycans in the ECM. hydrophilic and pull water in to the enamel organ
- increase in fluid volume forces the cells apart leading to formation of star shpaed stellate reticulum cells

25
what do the enamel organ epithelial cells form
- inner enamel epithelium -outer enamel epithelium
26
whats happening in the bell stage
- under surface of the epithelium deepens and resembles a bell - stratum intermedium formation - crown attains full size and shape
27
where does permanent dentition form in relation to the deciduous dentition
lingual to deciduous
28
in the bell stage what does the OEE and IEE look like
-OEE: low cuboidal shaped outer enamel epithelium - IEE: short columnar shaped inner enamel epithelium
29
what will the IEE differentiate into
ameloblasts
30
what is the junction of IEE and OEE called
the cervical loop - future site of the CEJ
31
what happens during the late bell stage
- dental lamina breaks and separates the tooth from oral epithelium - IEE completes folding forming the future crown pattern - folding is due to differential rates of mitotic division in IEE - under the influence of IEE mesenchymal cells differentiate into odontoblasts that makes dentin - IEE differentiates in to ameloblasts and make enamel
32
what determines future cusp formation
site at which IEE differentiates
33
what are the stages in the life cycle of ameloblasts
- morphogenetic stage - histodifferentiation stage - initial secretory stage - secretory stage (tome's processes present) - ruffle ended ameloblast of the maturation stagae - smooth ended ameloblast of the maturation stge - protective stage
34
what happens in secreotry stage ameloblasts
- intense synthetic and secretory activity - forms enamel rod and inter rod - secrete granules on the newly formed mantle dentin
35
what are the secretory products of the secretory stage ameloblasts
- proteins: amelogenin, ameloblastin, enamelin - proteases: enamelysin (MMP20), and kallikrein
36
under the influence of epithelial cells, mesenchymal cells differentiate into:_____
odontoblasts that make dentin
37
what is mantle dentin
- first layer of dentin formed by the enwly differentiated odonotblasts, hypomineralized and only in the crown of the tooth 30-50 um thick)
38
what is primary dentin
formed during tooth development - 4 um/day
39
what is secondary dentin
dentin formed after tooth eruption (0.4 um/day)
40
what is tertiary dentin
dentin produced in response to injury to protect the pulp
41
describe root formation
- IEE and OEE form the cervical loop proliferate downward to form double layered structure called Hertwig's epithelial root sheath - odontoblasts differentiation and dentin formation - completion of root formation
42
when is Hertwigs epithelial root sheath removed
mostly removed before cementum is laid down
43
what do cementoblasts differentiate from
HERS or dental follicle cells
44
what are remnants of HERS called
epithelial rests of Malassez
45
what are the 2 types of cementum
acellular and cellular