Tooth Development And Eruption Part 1 Flashcards
What is odontogenesis?
Odontogenesis is the process of tooth development.
Can developmental disturbances occur during odontogenesis?
Yes, developmental disturbances can occur during each stage of odontogenesis.
How can developmental disturbances affect the tooth?
They can affect the physiological processes taking place during development.
What are the potential clinical implications of developmental disturbances in odontogenesis?
These disturbances may have ramifications that affect the clinical treatment of a patient.
What does the term ‘dentition’ refer to?
The term ‘dentition’ refers to the natural teeth in the jaws.
How many types of dentitions are there?
There are two types of dentitions: primary and permanent.
When does the primary dentition develop?
The primary dentition develops during the prenatal period.
How many teeth are included in the primary dentition?
The primary dentition consists of 20 teeth.
What happens to the primary dentition teeth before the permanent teeth erupt?
They will be exfoliated (shed).
How many teeth are included in the permanent dentition?
The permanent dentition consists of 32 teeth.
How does odontogenesis take place?
Odontogenesis takes place in stages, which occur sequentially for both dentitions.
When does odontogenesis of the primary dentition begin?
It begins between the sixth and seventh week of prenatal development, during the embryonic period.
What are the initial identifiable stages in tooth development after initiation?
The initial identifiable stages are the bud stage, cap stage, and bell stage.
What stage follows the bell stage in odontogenesis?
Odontogenesis progresses to the apposition stage after the bell stage.
What happens during the apposition stage?
The apposition stage involves the formation of partially mineralized dental tissue types, including enamel, dentin, and cementum.
What is the final stage of odontogenesis?
The final stage is the maturation stage, where the dental tissues fully mineralize.
What physiologic processes take place during odontogenesis?
The physiologic processes include induction, proliferation, differentiation, morphogenesis, and maturation.
Are the processes of odontogenesis separate or overlapping?
Except for induction, many of these processes overlap and are continuous during odontogenesis.
Although the physiologic processes during odontogenesis may occur simultaneously,
one process will tend to be predominant, marking each stage of odontogenesis.
What is the first stage of tooth development?
The first stage of tooth development is the initiation stage.
What physiologic process is involved in the initiation stage?
The initiation stage involves the physiologic process of induction.
What is induction in the context of tooth development?
Induction is an active interaction between embryologic tissue types.
What happens at the beginning of the 6th week of prenatal development?
At the beginning of the 6th week, the stomodeum (primitive mouth) is lined by ectoderm.
What does the outer part of the ectoderm give rise to?
The outer part of the ectoderm gives rise to the oral epithelium.
What does the oral epithelium consist of?
The oral epithelium consists of two horseshoe-shaped bands of tissue at the surface of the stomodeum.
What will the horseshoe-shaped bands of tissue form?
These bands will form the dental arches.
What happens if there is a lack of initiation within the dental lamina?
A lack of initiation within the dental lamina results in the absence of teeth.
What is anodontia?
Anodontia, also called hypodontia, is the absence of teeth due to a failure in the initiation process.
How can anodontia manifest?
It can manifest as a single missing tooth, multiple missing teeth, or the absence of an entire dentition.
What is partial anodontia?
Partial anodontia refers to one or more missing teeth but not the entire dentition.
What is complete anodontia?
Complete anodontia refers to the absence of an entire dentition.
Which type of anodontia is more common?
Partial anodontia is more common than complete anodontia.
Which teeth are most commonly affected by anodontia?
The most commonly affected teeth are the permanent third molars, maxillary lateral incisors, and mandibular second premolars (in order of occurrence).
What are some etiologic factors for anodontia?
Etiologic factors include hereditary conditions, endocrine dysfunction, systemic disease, and excessive radiation exposure.
With which syndrome is anodontia associated?
Anodontia can be associated with ectodermal dysplasia.
Why is ectodermal dysplasia linked to anodontia?
Ectodermal dysplasia affects components of the tooth germ that are indirectly or directly derived from ectodermal origin.
What can result from abnormal initiation of the dental lamina?
Abnormal initiation can result in the development of one or more extra teeth.
What are extra teeth called?
Extra teeth are called supernumerary teeth or hyperdontia.
What causes supernumerary teeth?
Supernumerary teeth are initiated from persisting clusters of the dental lamina and have a hereditary etiology.
Which regions of the dentition commonly have supernumerary teeth?
Common regions include:
• Between the maxillary central incisors (mesiodens)
• Distal to the maxillary third molars (distomolar or ‘fourth molar’)
• In the premolar region of both dental arches (perimolar)
What is the size of supernumerary teeth compared to normal teeth?
Supernumerary teeth are often smaller than usual.
Can supernumerary teeth erupt?
Yes, they may be either erupted or nonerupted.
What complications can arise from supernumerary teeth?
Complications include dentition displacement, crowding, delayed eruption of adjacent teeth, and occlusal disruption.
How are supernumerary teeth treated?
Treatment often involves surgical removal and/or orthodontic therapy.
What can smaller-than-normal dental placodes lead to?
They can lead to missing and microdontic teeth.
What do larger placodes induce?
Larger placodes induce supernumerary and macrodontic teeth.
What is the second stage of tooth development?
The second stage of tooth development is the bud stage.
When does the bud stage occur?
It occurs at the beginning of the 8th week of prenatal development for the primary dentition.
What happens to the dental lamina during the bud stage?
The dental lamina undergoes extensive proliferation into buds.
What are buds in the context of the bud stage?
Buds are three-dimensional oval masses that penetrate into the surrounding ectomesenchyme.
How many buds form in each dental arch at the end of the proliferation process?
Each dental arch (maxillary and mandibular) will have 10 buds.
What does the ectomesenchyme do during the bud stage?
The ectomesenchyme undergoes proliferation and begins to condense around the buds.
What remains between the dental lamina bud and the surrounding ectomesenchyme?
A basement membrane remains between them.
What do the buds and surrounding ectomesenchyme develop into?
They develop into a tooth germ and its associated supporting tissue types.
What can abnormal proliferation during the bud stage cause?
It can cause a single tooth, multiple teeth (partial), or an entire dentition (complete) to be larger or smaller than normal.
What is macrodontia?
Macrodontia refers to abnormally large teeth.
What is microdontia?
Microdontia refers to abnormally small teeth.
How common is complete microdontia?
Complete microdontia is rare in either dentition.
With which conditions can complete microdontia be associated?
It can be associated with hypopituitarism or Down syndrome.
What systemic condition can produce complete macrodontia?
Childhood hyperpituitarism (gigantism) can produce complete macrodontia.
What is the most common type of microdontia?
True partial microdontia, which is often hereditary.
Which teeth are commonly affected by partial microdontia?
The permanent maxillary lateral incisor (peg lateral) and the permanent third molar (peg molar) are commonly affected.
What is the third stage of tooth development?
The third stage of tooth development is the cap stage.
When does the cap stage occur?
It occurs between the 9th and 10th week of prenatal development, during the fetal period.
What happens to the enamel organ during the cap stage?
The enamel organ grows and forms a cap over the tooth bud, shaping the tooth’s outer layer.
What processes are involved in the cap stage?
The cap stage involves proliferation and differentiation to form the tooth germ, the primordium of a primary tooth.
What causes the cap shape of the enamel organ to form?
Unequal growth in different parts of the tooth bud leads to the formation of a three-dimensional cap shape overlying the ectomesenchyme.
What forms during the cap stage?
The tooth germ, which contains each primordial tissue necessary to develop the future tooth, forms during this stage.
What is the predominant physiologic process in the cap stage?
Morphogenesis is the predominant physiologic process during the cap stage.
What results from the combined physiologic processes during the cap stage?
A depression forms in the deepest part of each tooth bud of the dental lamina, creating the cap shape of the enamel organ.
What is the future role of the enamel organ?
The enamel organ will produce enamel on the outer surface of the crown of the tooth.
From what is the enamel organ originally derived?
The enamel organ is originally derived from ectoderm, making enamel an ectodermal product.
What forms on the innermost margin of the cap shape during the cap stage?
A cluster of non-dividing epithelial cells called the enamel knot forms.