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29 Cards in this Set

  • Front
  • Back
Enamel is the specialized epithelium covering the teeth that are produced by__. These are removed during tooth eruption and therefore acellular



It's the most mineralized tissue in the body (96% mineral)


- It's hard and brittle and needs __ as base or else it can fracture

Ameloblasts


Dentin

Ameloblasts




Dentin

The inorganic material of enamel is?




Organic material is tyrosine-rich amelogenin polypeptide (TRAP) and nonamelogenin protein

Hydroxyapatite (crystaline calcium phosphate)

Hydroxyapatite (crystaline calcium phosphate)

The basic unit of enamel is?




Enamel also includes?

The enamel rod


Interrod enamel
-this is made first

The enamel rod




Interrod enamel


-this is made first

As enamel matures, the crystals of enamel become __ and more pushed together




-Ions can also be incorporated (fluoride, magnesium, strontium, lead)




Region between the interrod region and the rod is the?

Hexagonal


Rod sheath with more organic material

Hexagonal




Rod sheath with more organic material

Enamel formation is a 2 step process:




In the presecretory+secretory phase, inner epithelium becomes preameloblast then emeloblast and secretes enamel. Here __% is mineralized enamel




In the maturation phase, there is the removal of __ and __ and addition of mineral




Amelogenesis occurs during?

30% mineralized enamel (5% water, 66% protein)




removal of water (now 1%) and protein (now 4%)




The appositional stage

Enamel formation requires dentin and there is a reciprocal induction:




Internal enamel epithelium induces the __ to become odontoblasts which secretes dentin




Dentin induces the internal enamel epithelium (presecretory ameloblasts to become?




Therefore __ is present before __

Underlying dental papilla


secretory ameloblasts


dentin is present before enamel

Underlying dental papilla




secretory ameloblasts




dentin is present before enamel

What is A, B, C, and D?

What is A, B, C, and D?

In amelogenesis there are 7 stages:




The first stage is the __ with inner enamel epithelium




What stage is when cell becomes polarized, the nucleus is at the base and secretory vesicles near the apex, and getting ready to secret?




Then there is the initial secretory stage and secretory stage




After that is the maturation stage (ruffle ended and smooth ended) to get the __ form of enamel




Finally, before the tooth erupts is the?

Morphogenetic stage


Histodifferentiation stage


crystaline


protective stage

Morphogenetic stage




Histodifferentiation stage




crystaline




protective stage

After the early secretory stage is the secretory stage where __ is present




During amelogenesis, the outer enamel epithelium, stellate reticulum, and the stratum intermedium fuse to form?




The above has __ while the ameloblast layer does not

Tome's processes


The papillary layer


Papillary has blood vessels and supply blood to the ameloblast layer

Tome's processes




The papillary layer




Papillary has blood vessels and supply blood to the ameloblast layer

In morphogenetic phase the cells of Inner enamel epithelium (dental lamina) have?



In the histodifferentiation phase, the cells become more differentiated toward the?




- Nuclei shifts toward?


-Stratum intermediumGolgi, RER, junctional complexes, and terminal web is also seen

Centrally place nuclei


Crown of the tooth

Centrally place nuclei




Crown of the tooth

At the differentiation stage ameloblast secretes


Initially there is a basal lamina which breaks down and enamel appear as patches. This is seen with dentin


-Terminal web holds cells together as enamel is made

At the differentiation stage ameloblast secretes




Initially there is a basal lamina which breaks down and enamel appear as patches. This is seen with dentin




-Terminal web holds cells together as enamel is made

-

After dentin is made by odontoblasts (which are induced by presecretory ameloblasts), there is the initial secretory stage where __ and __ is produced but rods are not formed




-has extensive golgi surrounded by RER

Enamel protein and mineralization

Enamel protein and mineralization

Initially when enamel is laid down, there is only the proximal portion of?




Inter rod enamel is made by?


-This occurs where?




Rod enamel is made by?


This occurs where?

Tome's process


Proximal process
-By the cell junctions


distal Tome's process
-The tip of Tome's process

Tome's process




Proximal process


-By the cell junctions




distal Tome's process


-The tip of Tome's process

The region where the interrod enamel forms are areas that have?




Initially when the enamel first forms its structureless because?




When they are present, what forms?

highly folded membranes so nothing gets through the cells




there are no tome's processes




proximal enamel

Secretion of enamel at the proximal sites that are close to junctional processes form pits into which tome's processes fit




The pit is then filled with matrix that becomes the?




The wall enamel becomes?

enamel rod


Interrod enamel

enamel rod




Interrod enamel

Enamel in the outer third has different orientation due to changes in the morphology of Tome's processes




In the maturation stage ameloblasts get shorters and have what 2 morpholgies?


-What happens in each?




When it transitions to ruffled ameloblasts, they get smaller but what else occurs?

Ruffled cell border: adding inorganic material
Smooth ended border: removal of water and organic material


Apoptosis (50% of ameloblasts will die)

Ruffled cell border: adding inorganic material


Smooth ended border: removal of water and organic material




Apoptosis (50% of ameloblasts will die)

Ruffled ameloblasts produce bicarbonate ions, alkalizes enamel fluid to prevent reverse demineralization, and maintains pH for degrading matrix




When they undergo modulation to the smooth ameloblasts, molecules withdrawn from enamel pass between ameloblasts and through the?




Note tight junctions move from the enamel area to the border area from ruffled to smooth




In the maturation phase there is also a basement membrane

lateral borders of the cell

lateral borders of the cell

In the protective stage, what is secreted and what is formed?




Enamel protein include amelogenins and nonamelogenins. Nonamelogenins promote mineral formation

basal lamina is secreted




hemidesmosomes are formed

In amelogenesis:




Stage 1 is the formation of?




In stage 2, there is increase in mineralization from __ to __ layers




In stage 3, mineralization continues from __ to the __ and mineralizes more slowly




In stage 4, there is heavy mineralization in the?

partially mineralized enamel (30%)


surface to deeper


inner to surface


outer layer

partially mineralized enamel (30%)




surface to deeper




inner to surface




outer layer

Rods run __ to the surface of dentin




They run circumferentially around the?




Not formed in a straight line, and inner part of enamel have intertwining rods

perpendicular




long axis of the tooth

In enamel what are the incremental lines of growth?


In horizontal section they appear as?

In enamel what are the incremental lines of growth?




In horizontal section they appear as?

Stria of Retzius


concentric rings

Stria of Retzius




concentric rings

**Stria represent __ in enamel formation


What is the most prominent stria in enamel?


What represents the daily formation of enamel?

**Stria represent __ in enamel formation




What is the most prominent stria in enamel?




What represents the daily formation of enamel?

Weekly formation
(growth of enamel)


Neonatal line because its the most significant change that occurs during birth


cross striations

Weekly formation


(growth of enamel)




Neonatal line because its the most significant change that occurs during birth




cross striations

What are optical patterns resulting from changes in rod direction?

Hunter-Schrager Bands


(light gray and dark gray patterns)

Hunter-Schrager Bands




(light gray and dark gray patterns)

The cuspal region of the crown where the enamel rod twist and become irregular is called?




What does it allow for?

Gnarled enamel


Occlusal stress

Gnarled enamel




Occlusal stress

White Arrow:
What are abrupt changes at the DEJ?
-have less mineralization
-have a different ratio of rod to interrod enamel


Black arrow:
What runs from the enamel surface and is filled with enamel protein or organic debris?

White Arrow:


What are abrupt changes at the DEJ?


-have less mineralization


-have a different ratio of rod to interrod enamel




Black arrow:


What runs from the enamel surface and is filled with enamel protein or organic debris?

Enamel tufts




Enamel lamellae

What are newly formed odontoblast processes caught between enamel formed by adjacent ameloblasts?

What are newly formed odontoblast processes caught between enamel formed by adjacent ameloblasts?

Enamel spindles
(very short)

Enamel spindles


(very short)

Stria of Retzius end at the surface as?

Perikymata

Perikymata

Enamel wears during?



Conditions like tetracyclin in utero/infant and excess fluoride treatment are conditions that can affect enamel

Aging or Illness