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Wednesday, 9 November 2011

Histology, Pathology, and Embrology: How The Tooth Develops

The sciencey term for tooth developing is called odontogesis

Note: Not all teeth develop at the same time

DL = Dental Lamina
OE = Dental Lamina
DP = Dental Papilla
DF = Dental Sac
SL = Successors Lamina
Ignore the rest

Development
Starts out as a tooth germ or bud (that whole picture would be considered a tooth bud). It comes from the ectoderm

So the tooth germ has three major parts
  1. Enamel Organ - a knob like growth from the dental lamina, which came from epithelium
  2. Dental Papilla - comes from the mesenchyme and will become dentin and pulp
  3. Dental Sac - several rows of flat cells that come from the mesenchyme and will become periodontal ligaments, cementum, and lamina dura.
The enamel organ has 3 stages of development, the bud stage the cap stage, and the bell stage. The picture above is in the bells stage.

  •  Bud Stage
    • Initiation stage of tooth development
    • Thickening of oral epithelium forming the dental lamina
    • As it begins to invaginate it moves to the cap stage
  • Cap Stage
    • Occurs around week eight
    • The cells begin to proliferate
    • Enamel organ begins to surround mesenchyme
    • Formation of dental papilla and dental sac
    • Now have developed 3 out of 4 components of the enamel organ
      • inner/outer enamel epithelial (part of enamel organ)
      • stelliate reticulum (membrane inside enamel organ)
  • Bell Stage
    • Occurs around week 10-11
    • Appearance of all four layer of enamel organ
      • 1. Outer Enamel Epithelium (OEE)
        • Outside layer on the surface of enamel organ
        • cubodial cells
        • protective layer for entire enamel organ
      • 2. Inner Enamel Organ (IEE)
        • line the enamel organ (inside of EO) - concave
        • cuboidal and elongate to columnar as they differentiate
        • become ameloblayst (enamel forming cells)
        • IEE separated from dental papilla
        • Basement membrane becomes the future dento-enamel junction
      • Stellate Reticulum (SR)
        • cells between the OEE and the IEE
        • loose network of epithelial cells that are star-shaped
        • provide protection/cushion
        • part of nourishment for IEE- transport to stratum intermedium
      • Stratum Intermedium (SI)
        • layer of flat epithelial cells inside the stellate reticulum
        • between SR and IEE
        • nourishes the IEE

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