This document provides an overview of enamel structure and composition. It begins with an introduction to enamel as the hardest tissue in the body, composed primarily of hydroxyapatite crystals. It then describes various hypocalcified structures found in enamel, such as rod sheath, incremental lines, enamel lamellae and tufts. Surface structures like perikymata and enamel cuticle are also discussed. In conclusion, it emphasizes that enamel is about 96% inorganic mineral and 4% organic material, with hydroxyapatite crystals forming its primary composition. Hypocalcified zones indicate areas of weakness where dental caries can develop.
I wanna share this to all dental students and colleagues. This is a simplified and concise description of the anatomical structure of a Permanent Maxillary Central Incisor.
I wanna share this to all dental students and colleagues. This is a simplified and concise description of the anatomical structure of a Permanent Maxillary Central Incisor.
Centered in the maxilla, one on either side of median line, with mesial surface of each in contact with mesial surface of other
Two in number
Larger than the lateral incisor
These teeth supplement each other in function, and they are similar anatomically
Shearing or cutting teeth
Major function is to punch and cut food material during the process of mastication
These teeth have incisal ridges or edges rather than
cusps such as are found on canines & posterior teeth
First evidence of calcification
Crown completion
Eruption
Root completion
3-4 months
4-5 years
7-8 years
10-11 years
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 Complete presentation explaining the complete morphology of Maxillary first molar, for the benefit of people like me who tried and failed to find everything in one package
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.
Centered in the maxilla, one on either side of median line, with mesial surface of each in contact with mesial surface of other
Two in number
Larger than the lateral incisor
These teeth supplement each other in function, and they are similar anatomically
Shearing or cutting teeth
Major function is to punch and cut food material during the process of mastication
These teeth have incisal ridges or edges rather than
cusps such as are found on canines & posterior teeth
First evidence of calcification
Crown completion
Eruption
Root completion
3-4 months
4-5 years
7-8 years
10-11 years
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 Complete presentation explaining the complete morphology of Maxillary first molar, for the benefit of people like me who tried and failed to find everything in one package
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.
Upload By : Ahmed Ali Abbas
Babylon University College of Dentistry
download this file from Website on google theoptimalsmile.wix.com/dentistry
Oral histology
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Enamel significance in operative dentistry /certified fixed orthodontic cour...Indian dental academy
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
This Slide, gives a Brief introduction to the Anatomy of the tooth specifically the outer shell, the enamel, including the structures, development and abnormalities.
Created by Dr. Mohsen S. Mohamed
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This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
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3. INTRODUCTION
Most highly mineralized tissue
Protective structure of crown
Ectodermal in origin
Hardest calcified structure of the body
Components
Organic-4%
Inorganic-96%
Water
4. HYDROXYAPATITE
CRYSTALS
• Inorganic material of enamel
• Hexagonal in shape
• Unite to form enamel rods or prisms
• Chemical formula- Ca10(PO4)6(0H)2
• Comprises-
• 88-90%of tissue by volume
• 95-96% by weight
• Present in form of crystallites
9. Thin leaf like structures
From enamel surface towards DEJ, sometimes
penetrate into dentin.
Consist of organic material with little mineral
content
Develop in plane of tension, where rod cross such
plane, a short segment may not calcify
If more severe a crack develop that is filled either by
cells or organic substances
10.
11. ENAMEL LAMELLA
• Enamel lamella extend for varying depths from
surface of enamel & consist of linear, longitudinally
oriented defects filled with organic material
•It is formed as a result of local failure of maturation
process.
•Best seen in transverse section
•Can be seen in decalcified section because of protein
content.
•It may arise developmentally due to incomplete
maturation of a groups of prisms (in which case they
would contain protein) or after eruption as cracks
during function (containing saliva & oral debris).
12. 3 TYPES-
Type A – lamellae composed of poorly
calcified rod segments.
Type B – lamellae consisting of degenerated
cells.
Type C – lamellae arising in erupted teeth
where the cracks are filled with organic matter,
presumably originating from saliva.
13. Type A Type B Type C
Consistency Poorly calcified
rod seg.
Degenerated
cells
Organic matter
from saliva
Tooth Unerupted Unerupted Erupted
Location
Restricted to the
Enamel.
Reach into the
Dentin.
Reach into the
Dentin.
Occurrence Less common Less common More common
14. ENAMEL CRACKS
• The term cracks was used to describe the narrow, fissure-
like structures that are seen on almost all surfaces.
• They are actually the outer edges of lamellae.
• In decalcification of ground sections of enamel, cracks
usually disappear whereas the enamel lamellae still
persist because they contain greater concentrations of
organic material.
15. Narrow fissure like structure.
Seen on almost all surfaces.
They are the outer edges of lamellae.
Extend for varying distance along the surface.
At right angles to DEJ.
Long cracks are thicker than the short one.
May reach the occlusal or incisal edge.
16. • Careful decalcification of ground sections of
enamel makes possible the distinction between
cracks and lamellae.
• The former disappear whereas the latter persist.
• Cracks don’t contain organic material and
lamellae has higher protein content.
17. ENAMEL TUFTS
Arise from DEJ.
Reach to 1/5 – 1/3 the thickness of Enamel
In ground section: resemble tufts of grass
The inner end arises at the dentin.
Consist of hypocalcified E. rods and
interprismatic substance.
The extend in the direction of the long axis of
the crown (best seen in horizontal sections).
18. Enamel tufts consist
of several
unconnected
"leaves" of hypo-
calcified enamel.
They display a
wavy twisted
appearance
A, Enamel spindle;
B, Enamel tuft
21. The odontoblasts processes may cross DEJ (before the
hard substance is formed) to the E. and ends as E.
spindles.
Odontoblasts process trapped in the enamel
More in the cuspal region
They are filled with organic matter.
The processes and spindles are at right angle to the
surface of the dentin.
The direction of spindles and rods is divergent.
Spindles appear dark in ground sections under
transmitted light.
22.
23. ENAMEL SPINDLES
Before the formation of enamel certain odontoblastic
processes project & get trapped b/w the adjacent
ameloblast to form enamel spindles.
They do not follow the direction of enamel rods.
Spindles are more prominent in the cuspal region &
generally oriented in a direction perpendicular to the DEJ.
27. STRIAE OF RETZIUS
• The incremental lines of Retzius appear as brownish
bands in ground sections of the enamel.
• They illustrate the incremental pattern of the enamel,
that is, the successive apposition of layers of enamel
during formation of the crown.
• In longitudinal sections, they surround the tip of the
dentin.
• In the cervical parts of the crown, they run obliquely.
From the DE junction to the surface, they deviate
occlusally.
29. CROSS STRIATIONS
• They demarcate rod segments and
become more visible by the action of mild
acids.
• The rods are segmented because the
enamel matrix is formed in a rhythmic
manner.
• In humans, these segments seem to be
a uniform length of about 4 µm. The
cross-striations seen in light microscope
is suggested to be due to a diurnal
rhythm in the enamel formation and that
in these areas rods show varicosities and
variation in composition.
30. NEONATAL LINE
• The neonatal line is due to the abrupt
change in the environment and nutrition
of the newborn infant. The prenatal
enamel usually is better developed than
the postnatal enamel.
• The neonatal line is an accentuated
incremental line, denoting the prolonged
rest period of enamel formation that
occurs at the time of birth.
31. ROD SHEATH
• The enamel prisms appear as segmental rods in
longitudinal section and in cross-section they
appear as oval, fish scale, or keyhole shaped.
The prisms are covered by prism sheath or rod
sheath and interprismatic substance is said to be
present between prisms.
33. SURFACE APRISMATIC
ENAMEL
• 30um
• Rodless, aprismatic
• More mineralized
• Crystals parallel to each
other & perpendicular to
striae of Retzius
34. STRUCTURE OF ENAMEL…
Striae of retzius extend from the
DEJ to the outer surface of
enamel , where they end in
shallow furrows known as
Perikymata.
Perikymata grooves- seen as
wave like concentric surface
rings.
Perikymata ridges- grooves are
separated from each other by
ridges.
PERIKYMATA
38. SURFACE PITS , CAPS
AND BROCHS
• Pits of about 1–1.5 μm in diameter and small elevations
of about 10–15 μm called enamel caps are seen.
• The surface pits are said to represent the ends of
ameloblast and the caps are due to enamel deposition
on nonmineralizable debris.
• Larger enamel elevations are termed enamel brochs.
39. 1. Primary Enamel cuticle (Nasmyth’s
membrane).
2. Secondary Enamel cutile (afibrilar
cementum).
3. Pellicle (a precipitate of salivary
proteins.
40. Covers the entire crown of newly erupted
tooth.
Thickness: 0.2 µm.
Removed by mastication (remains intact in
protective areas).
Secreted by postameloblasts.
EM: similar to basal lamina.
Prevent resorption of surface enamel before
eruption
41. Covered the cervical area of the enamel.
Thickness: up to 10 µm.
Continuous with the cementum.
Probably of mesodermal origin or may be
elaborated by the attachment epithelium.
42. HUNTER SCHREGER
BANDS
• Change in the direction of
rods is responsible for the
appearance of the
Hunter–Schreger bands.
• Alternate Dark
(Diazones) and light
(parazones) bands
• Longitudinal section
(diazones)
• Transverse(parazones)
• Oblique light
• Change in rod direction
44. Seen due to:
1. Change in the direction of Enamel rods-
Most accepted
2. Variation in calcification of the Enamel
3. Alternate zones having different
permeability and organic material.
HUNTER SCHREGER BANDS
45. When enamel is cut parallel to the long axis of
the tooth, individual crystals will be oriented
differently in the groups of prism cut more
transversely or longitudinally.
Angulation is 40°.
This complex pattern of prisms makes enamel
resistant to fracture.
46. SEM of longitudinally
sectioned enamel lightly
etched to show
alternating bands of
transversely
sectioned(diazones) &
longitudinally
sectioned(parazones)
prism.
Diazones
Parazones
47. GNARLED ENAMEL
• In the region of the cusps or incisal edges, the rod
arrangement appears to be further complicated—the
bundles of rods seem to intertwine more irregularly.
• This optical appearance of enamel is called gnarled
enamel.
• Due to change in rod direction
48.
49. SUMMARY and
CONCLUSION
• Enamel is about 96% inorganic mineral in the
form of hydroxyapatite and 4% water and
organic matter. Hydroxyapatite is a crystalline
calcium phosphate that is also found in bone,
dentin, and Cementum.
• Hypo mineralized zones of Enamel are the weak
areas from where percolation of dental caries
takes place.
50. QUESTIONS
• Long Answer Questions:
• Discuss Hypocalcified structures
of enamel
• Short notes:
• Incremental lines of Retzius
• Neonatal line
• Enamel lamellae
51. MCQs
Hypocalcified structure include all except:
A. Incremental line
B. Neonatal line
C. Enamel lamellae
D. Hunter shreger bands
• Hypocalcified structure of dentinal origin seen in enamel are:
A. Enamel lamellae
B. Enamel spindle
C. Enamel tufts
D. Neonatal line