WEEK THREE - ODONTOGENESIS Flashcards

1
Q

list the stages of odontogenesis

A
  1. initiation 6-7wk in utero
  2. bud stage 8th wk
  3. cap stage 9-10th wk
    - proliferations + beginning of histodifferentiation
  4. bell stage 11-12th wk
    - completes histodifferentiation + morphodifferentiation
  5. crown stage
    - cytodifferentiation + apposition + maturation
  6. root formation
  7. eruption
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2
Q

briefly describe what happens during initiation

A

6-7th wk in utero = thickened band of epitheliam forms [primary epithelial band] from ectoderm lining
- 2 horshoe shaped bands - one for each arch

each band = 2 subdivisions
1. vestibular lamina
2. dental lamina

dental lamina
- epithelial outgrowths at site where future deciduous teeth will be [20 enlargement sites appear] –> dental placode
- mesenchymal cell accumulation around outgrowth

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3
Q

describe what happens during bud stage

A
  • 8th wk in utero
  • localised growth of dental lamina –> ectoderm [rounded bud shape] that penetrates ectomesenchyme below
  • proliferation of ectomesenchyme cells around base of bud
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4
Q

describe what happens during cap stage

A
  • 9-10th wk in utero
  • recognised by beginning of cell proliferation and histogenesis [cell differentiation]

forms:

enamel organ
formation of tooth bud in cap shape w deep central depression = future enamel

dental papilla
within concavity of enamel organ = condensed mass of ectomesenchyme = future dentin and pulp

dental sac around sides of enamel organ = condensed mass of ectomesenchyme = future cemetum, PDL, alveolar bone

enamel knots determine cusp morphology

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5
Q

describe what happens during bell stage

A

-11-12 wk in utero
- regonised by
futher proliferation + histogenesis
- external enamel epithelial EEE [cuboidal cells]
- stellate reticulum [star shaped called w processes attached tgt]
- stratum intermedium [flattened cell over IEE]
- internal enamel spithelium IEE [columnar - elongates near cusp tips]
- outer + central cells of dental papilla
- morphogenesis [changes shape to give tooth appearances]
- dental lamina breakdown

stratum intermediate + IEE = tooth enamel formation

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6
Q

what is apposition in crown stage

A

enamel, dentine, cemetum = initially secreted as matrix in layers [partially calcified extracellular substance

IEE cells diffenritate –> preameloblasts –> undergo repolarisation
–> stims odontoblastic differentiation from mesenchymal cells in dental papilla –> also repolarises
- odontoblasts secrete dentine matrix [predentine] = starts dentinogensis

basement membrane between preameloblasts + odontoblasts disintegrates
- preameloblasts contact w newly formed dentine
- triggers amelogenesis
- enamel matrix secreted from Tomes Process
- mineralisation of disintegrating basement membrane = forms DEJ

cells become striated or have ruffled border [demonstrates that ameloblasts function changes from production to transportation

enamel organ loses connection w oral epithelium due to dental lamina breakdown

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7
Q

what is maturation in crown stage

A

mineralisation of matrix

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8
Q

describe dentinogenesis

A

odontoblast cells secrete predentine matrix

TWO PHASES
1. collagen matrix formed [predentine]
2. dentine formed
- deposition of calcium phosphate crystals in matrix
- crystals grow/spread/coalesce until matix fully calcified
- mineral density ^

as new predentine is deposited daily, the previous predentine calcifies –> dentine
- only the newly formed predentine along pulp border is uncalcified

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9
Q

describe amelogenesis

A
  • commences at cusps as ameloblasts lay incremental deposition of enamel matrix to the surface
  • small Ca2 phosphate crystals from enamel organ deposited –> matrix begins mineralisation
  • initial depo of crystals = 25% of enamel mineral content and maturation = 70%
  • maturation = crystals grow // after maturation = amelobalsts secrete organic cuticle on enamel surface and attaches via hemidesmosomes
  • ameloblasts shorten/contract – > join EEE = reduced enamel epithelium which remains until eruption
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10
Q

describe root formation

A
  • occurs AFTER crown completion and eruption commencement
  • where EEE + IEE cells meet = **cervical loop **
  • loop elongates away from crown to enclose more dental papilla tx –> forms Hertwig’s root sheaths [HERS] aka epithelial root sheath
  • IEE cells –> odontoblasts induce dentine formation in root + determines shape
  • HERs disintegrates =creating epithelial rests of malassez [ERM]
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11
Q

describe cementum formation

A

HERs disintegrates =creating epithelial rests of malassez [ERM]
- allows ectomesenchyme cells of dental follicle contact w dentin –> differentiation into cementoblasts that secrete cementoid –> calcifies into cementum

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12
Q

Describe the development of Multirooted Teeth

A
  • during elongation of cervical loop –> long, tongue flaps develop dividing loop into 2/3 openings
  • on pulpal floors - disintegration of HERS = induction of odontoblasts= deposition of cementoid –> calcification to cementum
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13
Q

Describe PDL formation

A

Dental follicle cells differentiate into fibroblasts → form collagen fibres

Fibers embed in cementum and other end embeds in alveolar bone

Fiber bundles increase in density as teeth erupt into functional occlusion

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14
Q

describe what happens during the pre-eruptive phase

A
  • movements related to tooth eruption begin before crown formation
  • incl all movements of primary/perm crowns from early initiation and finished crown completion
  • phase = finished with early root formation
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15
Q

describe what happens during the pre-functional phase

A

Root formation/elongation needs SPACE → space provided by commencement of UPWARDS tooth movement [eruption]
- Cementum, dentin, root development

Movement = incisally/ occlusally through bony crypts/foramina
Eruption pathway → tissue is removed by macrophages + bone is remodelled by osteoclasts + osteoblasts

REE proliferates upwards - oral epithelium proliferates downwards = cells fuse

Crown tip penetrates fused epithelial layers - still covered by cuticle layer
- Occlusal movement until contact w opposing crown

Deciduous roots are resorped to make way for permanent eruption sequence

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16
Q

describe what happens during the functional phase

A

takes place after teeth are functioning and continues as long as they’re present

  • root completion –> alveolar process ^
  • fundic alveolar plates resorb to adjust for formation of root tip apex
  • most marked changes = ^ mineral density of bone, changes in amount/orientation of PDL
17
Q

outline some variations in tooth size [4]

A

microdontia = teeth significantly smaller than normal

true microdontia = hereditary in localised form eg peg molars, peg laterals
- endocrine dysfunc in complete form eg dwarfism, down syndrome

relative microdontia = eg from large jaw

macrodontia = significantly LARGER than usual
- hereditary in localised form
- endocrine dysfunc in complete form eg hyperpituitarism [gigantism]

18
Q

outline variations in toot shape [3]

A

**dens invaginatus // dens in dente **
Enamel organ abnormally invaginates –> papilla
Outer tooth surface folds inward during development
Commonly affects max.lat.incis - manifests as an invagination on the lingual surface - may reach the pulp [may be subject to caries and early pulp penetration]
Hereditary

**dens evaginatus **
extra cusp due to effects on enamel organs [small round enamel extensions]
eg from trauma, pressure, metabolis disease
common presentation = 8occs, ling max ants 2s/3s

gemination
tooth germ unsuccessfully tries to divide into two tooth germs [mostly ant teeth]
appearnace = incisal edge with cleft or two crowns
one pulp cavity

fusion
union of two adjacent tooth germs
two distinct pulp cavitys w/ enamel, dentin and pulp united

19
Q

outline variations in enamel and dentine development

A

**enamel dysplasia
**- faulty devel of enamel
- hypoplasia, hypomin or a combo of both

**dentin dysplasia
**- faulty devel of dentin
- may be from interference with metabolis processes of odontoblasts in dentinogenesis
- rare
- hypoplasia, hypocalcification or combo

**systemic enaml dysplasia
**- larger numbers of ameloblasts and may result from traumatic birth, systemic infections, nutritional deficiencies, or dental fluorosis (excess systemic fluoride level).
- hypoplasia, hypocalc or combo

**dentinogenesis imperfecta
**- type of dentine dysplasia
- hereditary defect
- enamel fractures off, rapid wear/ attrition, enlarged pulp, abnormal crown and root morpho
- blue/grey teeth with opalsecent sheen