Tooth development (I) Odontogenesis Flashcards

0
Q

What are the three phases of tooth development?

A
  1. Initiation (AKA induction)
  2. Morphogenesis (change in shape)
  3. Histogenesis (differentiation of cells)
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1
Q

What are the five basic structures within a tooth and from which histological origin do they arise?

A
  1. Enamel -> the only part with an epithelial component (enamel organ)
  2. Dentine }
  3. Cementum } -> these structures are all ectomesenchymal,
  4. Pulp chamber } derived from neural crest cells
  5. Periodontal ligament }
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2
Q

What components do you need for successful tooth development?

A

Multiple interactions between epithelial cells and ectomesenchymal cells (derived from neural crest cells) are essential for successful tooth development -> you need BOTH. Tooth development involves many growth factors and transcription factors which give rise to homeobox gene codes.

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3
Q

What are neural crest cells? From which branchial arch does tooth ectoderm arise?

A

They are pluripotent cells derived from the border of the neural plate to become ectomesenchyme.
Branchial arch 1 epithelium.

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4
Q

By what is the fate of an individual cell determined? In what order do tooth germs receive instruction?

A

Both the environment to which it migrates and then a combination of Homeobox gene expression. Epithelial-mesenchymal interactions are vital for normal tooth development. Initially the epithelium is instructive for early events which commit neural crest cells to tooth initiation (epithelium instructs mesenchyme); then the mesenchyme instructs the epithelium for tooth specificity.

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5
Q

How does the scientific community know that both neural crest cells and oral epithelium are necessary to form teeth?

A

Neural crest cells + oral epithelium = tooth

Neural crest calls + other epithelium = bone or cartilage but NO tooth

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6
Q

Expression of which transcription factor is restricted to oral/dental epithelium?

A

Pituitary homeobox 2 (PITX-2)

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7
Q

Restricted expression of which signalling protein within the dental epithelium interacts with Wnt signalling molecules to increase cell proliferation?

A

Sonic hedgehog (Shh)

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8
Q

Give an example of a Wnt signalling molecule.

A

Wnt/7b

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9
Q

Over-expression of Wnt/7b leads to…

A

Supernumerary teeth.

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10
Q

Lack of Wnt/7b leads to…

A

Complete arrest of tooth development.

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11
Q

Give examples of two proteins (not Shh, PITX-2 or Wnt) that are required for the early tooth germ to progress from bud stage.

A

Pax9 and Msx1

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12
Q

After epithelium relinquishes control, mesenchyme takes over. What happens if you swap the following components of these organs?
Skin: epithelium and mesenchyme
Tooth: epithelium and mesenchyme

A

Skin epithelium + dental mesenchyme = tooth
Dental epithelium + skin mesenchyme = skin

-> proves mesenchyme is now controlling events.

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13
Q

After epithelium relinquishes control, mesenchyme takes over. What happens if you swap the following components of these organs?
Incisor germ: epithelium and mesenchyme
Molar germ: epithelium and mesenchyme

A

Molar epithelium + incisor mesenchyme = incisor
Incisor epithelium + molar mesenchyme = molar

-> wherever the mesenchyme component came from, organ forms

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14
Q

A combination of which Homeobox genes lead to the formation of an incisor?

A

Msx-1
Msx-2
Alx-3

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15
Q

A combination of which Homeobox genes lead to the formation of an molar?

A

Dlx-1
Dlx-2
Barx-1

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16
Q

What happens in the absence of Dlx-1 and Dlx-2?

A

There is a high possibility of no maxillary molars forming.

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17
Q

What is the primary epithelial band?

A

A thickening of the oral epithelium occurring around 6th/7th week of development in utero.

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18
Q

What does the primary epithelial band divide into?

A

The band invaginates into the mesenchyme and divides into the buccal vestibular lamina and the lingual dental lamina..

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19
Q

What are the placodes on the dental lamina?

A

A dental placode is an area of thickening of the epithelium in the embryonic head ectoderm layer that gives rise to teeth.

20
Q

What are the stages of tooth development?

A

Bud stage; Cap stage; Bell stage (early and late)

21
Q

Explain the term initiation.

A

The bud stage of tooth germ formation where the enamel organ is in bud stage and the mesenchymal cells of the neural crest are condensing.

22
Q

Explain the term morphogenesis.

A

Morphogenesis is the biological process that causes an organism to develop its shape.

23
Q

Explain the term histogenesis.

A

Histogenesis is the formation of different tissues from undifferentiated cells.

24
Describe the bud stage of tooth formation.
The enamel organ resembles a bud; the mesenchymal cells from the neural crest are condensing around the bud. The stage is poorly morphodifferentiated and histodifferentiated.
25
What layers are visible histologically at the cap stage?
1. Stellate reticulum 2. External enamel epithelium 3. Internal enamel epithelium 4. Dental papilla E. Dental follicle
26
Describe the cap stage.
By 11th/12th week in utero morphogenesis has progressed to form a cap-like structure with distinct epithelial layers within the enamel organ . The dental papilla and dental follicle are defined regions of the mesenchyme.
27
Which epithelial layer is present in the early bell stage but NOT in the cap stage?
Stratum intermedium
28
What do glycosaminoglycans do in the stellate reticulum?
They protect the developing tooth from mechanical pressure which cause bony defects.
29
How many layers are there of the dental follicle?
3
30
Describe the differentiation of the tooth germ in early bell stage of 14 weeks in utero.
Further morphodifferentiation and a high degree of histodifferentiation.
31
Give an example of a transitory structure formed during the cap stage of development.
Enamel knot
32
Give an example of a transitory structure formed in the early bell stage of tooth development.
Enamel cord
33
What is the responsibility of the inner enamel epithelium?
It broadly maps out the occlusal pattern of the tooth crown.
34
What may bone resorption defects result in during the early bell stage?
Restricted space leading to alterations in tooth shape.
35
How does the enamel organ loose connection with the oral epithelium?
Dental lamina breaks down.
36
Remnants of the dental lamina beyond the end of tooth development are known as what? What may they be involved in?
Epithelial pearls of Serrs - involved in the aetiology of cysts.
37
What is the furthermost outer layer of the late bell stage?
External enamel epithelium.
38
What is the point called where the internal and external enamel epithelium meet? What do these cells go onto form?
Cervical loop -> Hertwig's epithelial root sheath -> root formation
39
What are the two layers between the internal and external enamel epithelium at the late bell stage?
Stellate reticulum (at its most differentiated) and a very thin stratum intermedium layer.
40
What does the internal enamel epithelium surround?
The dental papilla.
41
What are the four layers of the enamel organ?
1. External enamel epithelium 2. Stellate reticulum 3. Stratum intermedium 4. Internal enamel epithelium
42
What are the three layers of the dental papilla?
1. Odontoblasts 2. Fibroblasts 3. Undifferentiated mesenchymal cells/pulp stem cells
43
What does the dental papilla become?
Dentine and dental pulp.
44
What are the layers of the dental follicle?
1. Osteoblasts 2. Cementoblasts 3. Fibroblasts 4. PDL stem cells
45
What does the dental follicle become?
Alveolar bone, cementum and the periodontal ligament.
46
What does the stratum intermedium and possibly the stellate reticulum become, helped by ameloblasts? What does this go on to form?
Reduced enamel epithelium goes onto form primary junctional epithelium and epithelial attachment.
47
What are the cells of the internal enamel epithelium also known as?
Pre-ameloblasts
48
What are the sequence of early events for the formation of enamel and dentine?
- Inner enamel epithelium -> pre-ameloblasts - Pre-ameloblasts stimulate dental papilla to pre-odontoblasts -> odontoblasts - Basal lamina between them breaks down - Odontoblasts produce the first layer of dentine matrix (dentinogenesis) - Dentine stimulates pre-ameloblasts -> ameloblasts - Ameloblasts produce enamel (amelogenesis) - Amelodentinal junction is thus defined