The document summarizes the development of teeth and supporting structures. It begins with the formation of the dental lamina from oral ectoderm at 6 weeks of gestation. By 8 weeks, thickenings in the dental lamina called enamel organs form, corresponding to future tooth positions. Between 9-10 weeks, the enamel organs take on a cap shape as the inner enamel epithelium forms a concavity. By 11 weeks, the tooth germ is present, consisting of the enamel organ, dental papilla, and dental sac. During the bell stage from 11-12 weeks, the enamel organ differentiates into four cell types and the dental papilla forms odontoblasts and preameloblasts.
It is a presentation in detail about the strongest structure of the oral cavity "ENAMEL". It is a simple topic but people find it difficult to learn about it. I hope my presentation is a simple method to learn about it. I would like to thank my professors for assign me this project and i learn't a lot from it and still learning my basics daily.
Amelogenesis is the formation of enamel. During amelogenesis, the ameloblast (enamel-forming cells) undergo various stages i.e the life cycle of ameloblast.
For more content check out my blog: www.rkharitha.wordpress.com "a little about everything dental"
A Brief Description about the development of teeth. Understanding the process of tooth development is of particular importance for the dentist; as developmental disturbances may occur at any stage of this process resulting in different types of tooth anomalies.
Tooth development can be classified either based on morphology or histology
Morphological stages:
Bud stage
Cap stage
Bell stage:
* Early
* Advanced
Physiological stages:
Initiation
Proliferation
Histodifferentiation
Morphodifferentiation
Apposition
BE UPDATE TO IT,, AS IT IS 3 years back from 2017
Kindly mail me if you feel, needy of this presentation
you can find my mail id @ slide share,,, if not mail me @
sukesh3567@gmail.com.
Good luck
It is a presentation in detail about the strongest structure of the oral cavity "ENAMEL". It is a simple topic but people find it difficult to learn about it. I hope my presentation is a simple method to learn about it. I would like to thank my professors for assign me this project and i learn't a lot from it and still learning my basics daily.
Amelogenesis is the formation of enamel. During amelogenesis, the ameloblast (enamel-forming cells) undergo various stages i.e the life cycle of ameloblast.
For more content check out my blog: www.rkharitha.wordpress.com "a little about everything dental"
A Brief Description about the development of teeth. Understanding the process of tooth development is of particular importance for the dentist; as developmental disturbances may occur at any stage of this process resulting in different types of tooth anomalies.
Tooth development can be classified either based on morphology or histology
Morphological stages:
Bud stage
Cap stage
Bell stage:
* Early
* Advanced
Physiological stages:
Initiation
Proliferation
Histodifferentiation
Morphodifferentiation
Apposition
BE UPDATE TO IT,, AS IT IS 3 years back from 2017
Kindly mail me if you feel, needy of this presentation
you can find my mail id @ slide share,,, if not mail me @
sukesh3567@gmail.com.
Good luck
The early development of tooth from six week of prenatal life. Description of different stages- bud,cap and bell stage and amelogenesis, dentinogenesis. Description of root development.
The initiation of tooth development begins at 37 days of development
with formation of a continuous horseshoe-band of thickened epithelium
in the location of upper and lower jaws – Primary Epithelial Band
Dental lamina appears as a thickening
of the oral epithelium adjacent to
condensation of ectomesenchyme
20 areas of enlargement or knobs
appear, which will form tooth buds
for the 20 primary teeth
Not all will appear at the same time.
The first to develop are those of the
anterior mandible region
At this early stage the tooth buds
have already determined their crown morphology
Successional lamina: lamina from
which permanent teeth develop
The dental lamina begins to function
at 6th prenatal week and continues to
15th year of birth (3rd molar)
Tooth development is a continuous process, however can be
divided into 3 stages:
1. Bud Stage
2. Cap Stage
3. Bell Stage
4. Hertwigs epithelial root sheath and root formation
The bud stage is represented by the first epithelial incursion into the ectomesenchyme of the jaw.
The epithelial cells show little if any change in shape or function.
The supporting ectomesenchymal cells are packed closely beneath and around the epithelial bud. As the epithelial bud continues to proliferate into the ectomesenchyme, cellular density increases immediately adjacent to the epithelial outgrowth.
This process is classically referred to as a condensation of the ectomesenchyme.
The epithelium of the dental lamina separated from the underlying ectomesenchyme by basement membrane.
Bud stage is characterized by rounded, localized growth of
epithelium surrounded by proliferating mesenchymal cells,which are packed closely beneath and around the epithelial buds
The transition from bud to cap marks the onset of morphologic differences between tooth germs that give rise to different types of teeth.
Differential cellular division in the epithelial bud initiates a change in shape so that now the epithelial outgrowth assumes a more complex outline with a flattened internal portion along which the mesenchymal condensation densifies.
As the tooth bud grows larger, it drags along with it part of the dental lamina; thus from that point on, the developing tooth is tethered to the dental lamina by an extension called the lateral lamina.
At this early stage of tooth development, identifying the formative elements of the tooth and its supporting tissues is already possible.
The epithelial outgrowth, which superficially resembles a cap sitting on a ball of condensed ectomesenchyme , is still referred to widely as the dental organ but actually should be called the enamel organ, because it eventually will form the enamel of the tooth. Henceforth, the term enamel organ is used.
Condensation of the ectomesenchyme immediately subjacent to the tooth bud caused by lack of extracellular matrix secretion by the cells thus preventing separation.
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4. Embryological basis of dental tissue genesis
Lined by stratified
squamous epithelium
i.e. Oral ectoderm or
primitive oral epithelium
Connective tissue cells underlying oral
ectoderm are neural crest or
ectomesenchymal in origin , which
induce tooth development Ruptures at 27th day (4th week) of
gestation
5. Primary epithelial band /6th week (2-3
weeks after rupture of BF membrane)
Continuous band of
thickened epithelium
called “Primary
epithelial band”.
Roughly horse shoe shaped
Thickening first seen in anterior midline
Certain areas of basal cells of oral ectoderm
proliferate more rapidly than do cells of
adjacent areas
7. Initiation of tooth development
• The initiation of tooth development begins at 37th day with
formation continuous horse shoe shaped band of thickened
epithelium in the location of upper and lower jaws– Primary
epithelial band
Each band of epithelium
gives rise to 2 subdivisions
Dental lamina
Vestibular lamina (Lip furrow
band)
Vestibular lamina – labial and
buccal to the dental lamina in
each dental arch, another
thickening develops apparently
and some what latter called
“Vestibular lamina”
8.
9. 8th week
Continued thickening of dental lamina in 10 areas of upper and
lower arch.
Thickenings corresponds to the position of future primary
dentition
10. • Development of 1st molar – 4th month in utero
• 2nd molar – 1st year after birth.
• 3rd molar – 4th or 5th years
• Succesional lamina – 5th month in utero
(permanent central inciosor) & (10th month –
2nd premolar)
11. Formation of vestibule in oral cavity
Cells of vestibular lamina
proliferate
Degeneration of central
epithelial cells
Sulcus of vestibule
12. Dental lamina
Is a band of epithelium
Serves as a primordium for
the ectodermal portion of the
deciduous teeth.
13. Dental lamina
• Within dental lamina localized and continuous proliferative
activity leads to formation of series of epithelial outgrowths
into the ectomesenchyme at the sites corresponding to the
future deciduous teeth which represents the beginning of
enamel organ.
• Successors of deciduous teeth arises from the lingual
extension of free end of dental lamina opposite to enamel
organ of each deciduous tooth, these lingual extensions are
referred to as “Successional lamina" and develops from 5th
month in utero to 10th month of age.
14. Functions of dental lamina
• Phase –I :- initiation of entire deciduous dentition (8th week).
• Phase – II :- Initiation successors of deciduous dentition (5th
to 10th month).
• Phase – III :- Initiation of permanent molars.
15. Fate of dental lamina
• The total activity of dental lamina extends over a period of at
least 5 years.
• Any particular portion of dental lamina functions for much
briefer period, since only a relatively short time elapses after
initiation of tooth development before dental lamina begins
to degenerate at particular location i.e. it might be still active
in 3rd molar area when it has disappeared elsewhere.
• Dental lamina looses its connection from enamel organ at the
start of bell stage.
• Remnants of dental lamina persists as epithelial pearls or
islands within jaw termed as “cell rests of Serre’s”
16. Rests of serre’s or epithelial cells
• Also called as “Epithelial Pearls or islands”.
• These are remnants of dental lamina.
• These are identified in jaws and gingival soft tissues.
• They results from early break up of dental lamina during bell
stage.
Clinical significance
- Gingival cyst of adult
- Gingival cyst of new
born
17. Rests of Malassez
• The break up of heartwig’s root sheath during root
formation i.e. these are remnants of Heartwig’s
epithelial root sheath.
• These are identified in periodontal ligament and are
responsible for the development of radicular cyst.
18. How development tooth begins??
1st arch and ectomesenchymal cells
derived from the neural crest cells
Up to 1st 12 days 1st arch epithelium retains the
ability to form tooth like structure when
combined with neural crest cells of regions
This potential is lost and transformed to neural crest
cells to produce tooth like structure
Interaction of epithelium derived
Afterwards
20. Stages of tooth development
Morphologic stage
Bud stage
Cap stage
Bell stage
Early bell stage
Advanced bell stage
Physiologic stages
Initiation
Proliferation
Histodiffrentiation
Marphodiffrentiation
Apposition
21. STAGES IN TOOTH GROWTH
Morphologic changes physiologic processes
• Dental lamina Initiation
• Bud stage Proliferation
• Cap stage
• Early bell stage Histodiffrentiation
• Advanced bell Marphodiffrentiation
• Enamel/dentin
formation apposition
22. Initiation
6th to 7th weeks
Ectoderm lining
stomodeum gives rise to
oral epithelium and dental
lamina
All the enamel organ
don’t start at same time,
first to start are those of
anterior mandibular
region
24. Bud stage or proliferative stage
8th week of prenatal development
Growth of dental lamina into bud that penetrates
growing ectomesenchyme
25. • Initial proliferation of oral epithelial cells and
adjacent mesenchymal cells is occurring and
the cells proliferate faster than the adjacent
cells giving rise to bud shaped enamel organ.
26. Enamel organ – spherical to
ovoid epithelial condensation
Cells of tooth bud have --
Increase RNA content,
Decrease Glycogen content
and increase oxidative
enzyme activity
Cells undergo mitosis and
get condensed. Enamel organ surrounded
by mesenchyme
27. Bud stage at 8th week
Basement
membrane
Tooth bud
28. Histologically enamel organ at bud stage consists of,
• Peripherally located low columnar cells.
• Centrally located polygonal cells.
• Many cells of tooth bud and surrounding mesenchyme
undergoes mitosis, i.e. increased mitotic activity.
• Ectomesenchymal cells or neural crest cells migrates in the
area surrounding tooth bud.
• Ectomesenchymal condensation occurs surrounding the bud.
30. Cap stage
9th to 10th week
Unequal growth in
different parts of tooth bud
leads to concave surface
forming cap like structure.
Enamel organ forms into
cap.
There is a formation of
tooth germ
31. Early cap stage – 11 week
Peripherally located
cuboidal cells – Outer
enamel epithelium
Tall columnar cells in the
concavity – Inner enamel
epithelium
Polygonal cells in between
OEE and IEE called –
Stellate reticulum
(12th week)
32. Histologically
• Outer enamel epithelium
Cuboidal cells covering convexity.
Separated from dental sac by basal
lamina.
• Inner enamel epithelium
Tall columnar cells lining concavity of
enamel organ.
Separated from the dental papilla by
basal lamina.
33. Stellate reticulum
• Cells in the center of the enamel organ.
• These cells are star shaped which secrete GAG.
• Stellate reticulum cells synthesize and secrete GAG’s into
extracellular compartment between epithelial cells –>
hydrophilic -- > pull water into the enamel organ and central
cells are forced apart.
• They are so named because they retain connection with each
other through desmosomal contacts, they become star
shaped, the center of the enamel organ thus termed Stellate
reticulum.
36. Dental papilla – dentin and pulp
Dental sac – cementum and periodontal ligament
37. What is tooth germ??
The enamel organ, the
dental papilla and the
dental sac together
called
“Tooth germ”.
Enamel organ – enamel
Dental papilla –Dentin
and Pulp
Dental sac – PDL,
Cementum and bone
39. Enamel cord
Strand of cells extending from stratum intermedium
into Stellate reticulum
These are vertical extensions of enamel knot.
These acts as reservoir of dividing cells for the
growing enamel organ
40. Enamel niche
- Double attachment of
enamel organ to overlying
epithelium.
- Funnel shaped area
between lateral and medial
strands of dental lamina
enclosing mesenchyme.
A. Lateral enamel strand
B. Medial enamel strand
C. Enamel niche
41. Enamel septum
• When the enamel cord extends to meet the outer enamel
epithelium is termed as enamel septum.
Enamel navel
• The outer enamel epithelium at the point of meeting shows a
small depression and is termed as enamel navel as it
resembles umbilicus.
42. What is enamel organ??
• The developing tooth as it progresses from
bud stage to advanced bell stage is called the
“enamel organ” or “dental organ”
46. Bell stage
• 11th to 12th weeks
• Proliferation,
differentiation,
morphogenesis
• Differentiation of
enamel organ into bell
with four cell types and
dental papilla into 2 cell
types.
47. Early bell stage (14th week)
Dental lamina break downs and degenerates
Shows 4 distinct layer
Outer enamel epithelium
Stellate reticulum
Stratum intermedium
Inner enamel epithelium
48. Outer enamel epithelium
• A single layer of very low cuboidal cells.
• At the end of this stage just before enamel formation, the
smooth surface of outer enamel epithelium get thrown into
folds.
• Between the folds the adjacent mesenchyme of the dental sac
forms papillae that contain capillary loops and thus provide a
rich nutritional supply for the intense metabolic activity of the
avascular enamel organ.
49. Outer enamel epithelium
Role of OEE
• Maintenance of the shape
of the enamel organ
• Exchange of substance
between enamel organ and
environment
• Holds the contents of
enamel organ
• As a constituent of
epithelial root sheath plays
a role in root formation.
51. Stellate reticulum
• Expands mainly by an increase in the amount of intracellular
fluid.
• The star shaped cells with long processes anastomose with
those of adjacent cells.
• Before enamel formation begins, the Stellate reticulum
collapses, reducing the distance between centrally situated
ameloblasts and the nutrient capillaries near the outer
enamel epithelium.
• Changes begins at the height of the cusp or the incisal edge
and progresses cervically.
52. Stratum intermedium
Functions
Synthesis and storage of
proteins
Transport of material too
and from the inner enamel
epithelium (ameloblasts)
Induce inner enamel
epithelial cells to become
ameloblasts
53. Stratum intermedium
• These are 3-4 layers of squamous cells between inner enamel
epithelium and Stellate reticulum.
• These cells are attached by desmosomes and gap junctions.
• There are abundant cell organelles, acid mucopolysaccharides
and glycogen deposits in these cells, which indicate high
metabolic activity.
• This layer is essential for enamel formation.
• Are absent in the part of the tooth germ that outlines the root
portion of the tooth which doesn’t form enamel.
54. Inner enamel epithelium
Function
Its cells become ameloblasts
which form enamel.
It induces adjacent cells of
dental papilla to form
odontoblasts which in turn
form dentine.
Following amelogenesis, the
cells contribute to form the
REE together with OEE and
Stratum intermedium.
Important role in crown
formation due to intrinsic
growth pattern.
55. Inner enamel epithelium
Consists of a single layer of cells
differentiate prior to amelogenesis into
tall columnar cells
Ameloblasts
56. The cells of the inner enamel epithelium exert an
organizing influence on
mesenchymal cells in the dental papilla
later differentiate into odontoblasts.
57. • Are about 40 um high and 4-5 um in diameter.
• These cells attach to each other laterally by
junctional complexes and cells of stratum
intermedium by desmosomes.
58. Dental papilla
• Under the inductive influence of inner enamel epithelium, the
peripheral cells of the dental papilla differentiate into
odontoblasts.
• These cells initially become cuboidal and later assume
columnar shape.
• These cells now acquire the potential to produce dentine.
Membrana performativa
• The basement membrane that separates enamel organ and
the dental papilla just prior to dentin formation is called
“Membrana performativa.
59. Dental sac
• Just before the formation of dental tissues begins, the
collagen fibers of the dental sac are arranged in a circular
manner.
• The dental sac look like a capsule around the enamel organ
and dental papilla.
60. Changes before enamel formation
• The Stellate reticulum collapses and the
distance between inner enamel epithelium
and blood capillaries of the dental sac is
reduced, so that more nutrient reach the
ameloblasts during the period of high
metabolic activity.
• The formerly smooth surface of outer enamel
epithelium thrown into folds.
61. • Between the folds the mesenchyme of dental
sac form projections or dental papillae that
carry capillary loops closer to the ameloblast
prior toamelogenesis.
62.
63. IEE become taller –
Preameloblasts
Peripheral cells of the
dental papilla –
Odontoblasts
Secrete ground
substance and collagen
fibers – Dentin matrix
There is change in cell
polarity.
64. With change in polarity
the cell called an
ameloblasts that begins
secretion of enamel matrix.
Boundary between inner
enamel epithelium and
odontoblasts outline the
future dentino-enamel
junction.
67. • The ameloblasts have fully differentiated from
the cells of inner enamel epithelium.
• The odontoblasts have fully differentiated
from dental papillae cells.
• The boundary between the ameloblasts and
odontoblasts define the future dentino-
enamel junction.
68. Histological difference from early bell stage
• Hard tissue (Enamel and Dentin) formation.
• Collapsed Stellate reticulum and folding of outer enamel
epithelium bringing capillaries of the dental follicle nearer to
ameloblasts.
• Dental papilla shows differentiated odontoblasts at periphery
• Dental follicle is distinct enclosing enamel organ and dental
papilla.
69. Reciprocal induction
• The inner enamel epithelium induces peripheral
cells of dental papilla to differentiate into
odontoblasts.
• The odontoblasts start secreting the organic
matrix of dentin.
• Only dentin matrix is formed, do the ameloblasts
in the area differentiate fully and start secreting
enamel matrix.
• This independence of tissue is an example of
“Reciprocal induction”.
70. INITIATION Lack of initiation may result in absence of single tooth or multiple
teeth (anodontia). The upper lateral incisor followed by 3rd molars
and lower 2nd premolar commonly involved.
Abnormal initiation result in development of supernumerary tooth.
E.g. – Mesiodens followed by 4th molar
Sometimes fused or geminated teeth are formed.
HISTODIFFERENTIATI
ON
This stage reaches its highest level in bell stage of enamel organ.
E.g. -- Dentinogenesis imperfecta or formation of atypical dentin
MORPHODIFFERENT
IATION
The advanced bell stage is important stage. This stage establishes the
morphologic pattern, or basic form and relative size of future tooth.
Supernumerary (talon’s) cusp, twinning, loss of cusps or roots, or
malformed or peg shaped tooth (Hutchinson’s incisor), dens in dente
and microdontia.
APPOSITION Both enamel hypoplasia and hypo calcification can occur as a result
of an insult to the cells responsible for the apposition stage.
Intrinsic staining and concrescence.