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Questions and Answers
What percentage of enamel's composition is made up of inorganic substances?
What percentage of enamel's composition is made up of inorganic substances?
- 75%
- 50%
- 25%
- 96% (correct)
Which property of enamel is described as being the hardest calcified tissue in the human body?
Which property of enamel is described as being the hardest calcified tissue in the human body?
- Hardness (correct)
- Thickness
- Brittleness
- Color
How does the diameter of an enamel rod change from the dentino-enamel junction to the outer enamel surface?
How does the diameter of an enamel rod change from the dentino-enamel junction to the outer enamel surface?
- It remains constant
- It decreases
- It doubles in size
- It increases by a ratio of 1:2 (correct)
What is the primary reason for enamel's brittleness?
What is the primary reason for enamel's brittleness?
What describes the course of an enamel rod near the outer surface of enamel?
What describes the course of an enamel rod near the outer surface of enamel?
What variation occurs in the direction of enamel rods in deciduous teeth?
What variation occurs in the direction of enamel rods in deciduous teeth?
How many enamel rods can be found in the upper first permanent molar?
How many enamel rods can be found in the upper first permanent molar?
What type of structure is the primary unit of enamel?
What type of structure is the primary unit of enamel?
What is the primary product secreted by ameloblasts at the end of enamel formation?
What is the primary product secreted by ameloblasts at the end of enamel formation?
Which type of enamel lamella is caused by poorly calcified enamel rod and inter-rod substance?
Which type of enamel lamella is caused by poorly calcified enamel rod and inter-rod substance?
Enamel tufts primarily arise from which area in the structure of the tooth?
Enamel tufts primarily arise from which area in the structure of the tooth?
Which type of enamel lamella occurs after eruption and contains organic substances from saliva?
Which type of enamel lamella occurs after eruption and contains organic substances from saliva?
What is the appearance of enamel spindles in ground sections?
What is the appearance of enamel spindles in ground sections?
Enamel lamellae may act as what in the dental structure?
Enamel lamellae may act as what in the dental structure?
What is the typical shape of enamel tufts in cross-sections?
What is the typical shape of enamel tufts in cross-sections?
What happens to the cells at the depth of a type (B) enamel lamella?
What happens to the cells at the depth of a type (B) enamel lamella?
What is the primary function of the prism sheath in enamel rods?
What is the primary function of the prism sheath in enamel rods?
What optical phenomenon is caused by the changes in rod direction within enamel?
What optical phenomenon is caused by the changes in rod direction within enamel?
How are Hunter-Shreger bands visually distinguished when viewed using reflected light?
How are Hunter-Shreger bands visually distinguished when viewed using reflected light?
What do the cross striations in enamel represent?
What do the cross striations in enamel represent?
What are the incremental lines of Retzius primarily associated with?
What are the incremental lines of Retzius primarily associated with?
Where do the incremental lines of Retzius terminate in the enamel structure?
Where do the incremental lines of Retzius terminate in the enamel structure?
What characterizes the neonatal lines found in teeth?
What characterizes the neonatal lines found in teeth?
What is primarily responsible for the higher refractive index of the inter-rod substance in enamel?
What is primarily responsible for the higher refractive index of the inter-rod substance in enamel?
What is the primary characteristic of structure-less enamel?
What is the primary characteristic of structure-less enamel?
How are perikymata represented on the enamel surface?
How are perikymata represented on the enamel surface?
Where are rod ends typically found in enamel?
Where are rod ends typically found in enamel?
What happens to the cracks in enamel after decalcification?
What happens to the cracks in enamel after decalcification?
Which stage of ameloblasts involves the differentiation of odontoblasts?
Which stage of ameloblasts involves the differentiation of odontoblasts?
What defines the morphogenic stage of ameloblasts?
What defines the morphogenic stage of ameloblasts?
What is the significance of a fibrilar cementum in enamel structure?
What is the significance of a fibrilar cementum in enamel structure?
How many perikymata are typically found per millimeter in the cervical area of enamel?
How many perikymata are typically found per millimeter in the cervical area of enamel?
What is the primary function of the ameloblasts during maturation of enamel?
What is the primary function of the ameloblasts during maturation of enamel?
What changes occur to the stratum intermedium during the maturation stage?
What changes occur to the stratum intermedium during the maturation stage?
Which cellular component of ameloblasts increases in number during protein formation?
Which cellular component of ameloblasts increases in number during protein formation?
What happens to the ameloblasts after the maturation of enamel?
What happens to the ameloblasts after the maturation of enamel?
What is the role of desmolytic enzymes secreted by the reduced enamel epithelium?
What is the role of desmolytic enzymes secreted by the reduced enamel epithelium?
What is necessary for a cell to effectively form and secrete proteins?
What is necessary for a cell to effectively form and secrete proteins?
Which phase follows after most of the enamel matrix is formed at the cusp tip?
Which phase follows after most of the enamel matrix is formed at the cusp tip?
What are the features of an ameloblast's nucleus that indicate it is a protein forming and secreting cell?
What are the features of an ameloblast's nucleus that indicate it is a protein forming and secreting cell?
What is the function of the distal terminal bar in ameloblasts?
What is the function of the distal terminal bar in ameloblasts?
During the formation of enamel, what structure is formed at the distal end of ameloblasts?
During the formation of enamel, what structure is formed at the distal end of ameloblasts?
What percentage of inorganic substance does mature enamel contain primarily after complete mineralization?
What percentage of inorganic substance does mature enamel contain primarily after complete mineralization?
Which of the following statements about enamel's permeability is correct for newly erupted teeth?
Which of the following statements about enamel's permeability is correct for newly erupted teeth?
What is the composition of Tomes' process in ameloblasts?
What is the composition of Tomes' process in ameloblasts?
What occurs during the initial stage of mineralization in enamel formation?
What occurs during the initial stage of mineralization in enamel formation?
Which of the following is NOT a factor contributing to the age changes of enamel?
Which of the following is NOT a factor contributing to the age changes of enamel?
What is the role of secretory granules in Tomes' process?
What is the role of secretory granules in Tomes' process?
Flashcards
Prism Sheath
Prism Sheath
The incomplete sheath surrounding enamel rods, resisting decalcification and staining darker than enamel.
Inter-Rod Substance
Inter-Rod Substance
The material that cements enamel rods together, having a higher refractive index than the rods themselves.
Hunter-Shreger Bands
Hunter-Shreger Bands
Optical bands on enamel resulting from changes in enamel rod direction. Appear as dark and light alternating bands.
Cross Striations
Cross Striations
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Incremental Lines of Retzius
Incremental Lines of Retzius
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Neonatal Lines
Neonatal Lines
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Enamel Rod Direction Changes
Enamel Rod Direction Changes
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Enamel composition
Enamel composition
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Enamel color variation
Enamel color variation
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Enamel thickness
Enamel thickness
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Enamel hardness
Enamel hardness
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Enamel brittleness
Enamel brittleness
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Enamel permeability
Enamel permeability
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Enamel rod direction (deciduous)
Enamel rod direction (deciduous)
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Enamel rod direction (permanent)
Enamel rod direction (permanent)
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Enamel rod course
Enamel rod course
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Enamel rod diameter
Enamel rod diameter
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Enamel rod cross-section
Enamel rod cross-section
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Enamel rod longitudinal section
Enamel rod longitudinal section
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Enamel rod number variation
Enamel rod number variation
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Enamel Quality (prenatal vs. postnatal)
Enamel Quality (prenatal vs. postnatal)
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Primary Enamel Cuticle
Primary Enamel Cuticle
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Enamel Lamellae
Enamel Lamellae
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Enamel Lamella Type A
Enamel Lamella Type A
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Enamel Lamella Type B
Enamel Lamella Type B
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Enamel Lamella Type C
Enamel Lamella Type C
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Enamel Tuft
Enamel Tuft
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Enamel Spindle
Enamel Spindle
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Tomes' Process
Tomes' Process
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Distal Terminal Bar
Distal Terminal Bar
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Enamel Mineralization (Initial)
Enamel Mineralization (Initial)
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Enamel Mineralization (Complete)
Enamel Mineralization (Complete)
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Enamel Maturation
Enamel Maturation
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Enamel Attrition
Enamel Attrition
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Enamel Permeability
Enamel Permeability
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Enamel Hardness
Enamel Hardness
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Structureless enamel
Structureless enamel
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Perikymata
Perikymata
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Rod ends
Rod ends
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Enamel Cracks
Enamel Cracks
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Primary Enamel Cuticle
Primary Enamel Cuticle
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A fibrillar cementum
A fibrillar cementum
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Morphogenic stage (Ameloblasts)
Morphogenic stage (Ameloblasts)
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Organizing stage (Ameloblasts)
Organizing stage (Ameloblasts)
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Formative stage (Ameloblasts)
Formative stage (Ameloblasts)
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Ameloblasts
Ameloblasts
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Histodifferentiation
Histodifferentiation
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Reciprocal Induction
Reciprocal Induction
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Tomes' Process
Tomes' Process
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Enamel Matrix Formation
Enamel Matrix Formation
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Mineralization (Maturation)
Mineralization (Maturation)
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Reduced Enamel Epithelium
Reduced Enamel Epithelium
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Desmolytic Enzymes
Desmolytic Enzymes
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Maturative stage (Amelogenesis)
Maturative stage (Amelogenesis)
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Protective Stage
Protective Stage
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Desmolytic Stage
Desmolytic Stage
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Study Notes
Enamel Composition
- Enamel comprises 96% inorganic substances, primarily hydroxyapatite crystals (3Ca3(PO4)2Ca(OH)2).
- 4% organic substances (1-2% protein and carbohydrates, 2-3% water).
- Inorganic and organic components are equivalent by volume, despite weight disparity.
Enamel Physical Properties
- Color varies from yellowish to grayish white, contingent on translucency, calcification, and homogeneity.
- Thickness is substantial at incisal edges and cusp tips, thinning towards the cervical region (like a knife edge).
- Enamel is the hardest calcified tissue due to high calcification and crystal orientation.
- Despite hardness, enamel is brittle, especially when dentin integrity is compromised.
- Enamel is a semi-permeable membrane.
Enamel Histological Structure
- Enamel structure is comprised of enamel rods (enamel prisms), rod sheath, and inter-rod substance.
- Enamel rod count varies from 5 million (lower central incisor) to 12 million (upper first permanent molar).
- Rods are perpendicular to dentin surfaces and typically vertical on cusps/incisors, becoming oblique towards the occlusal surface then horizontal at the cervical line (ending abruptly).
- Rod diameter increases from the dentino-enamel junction (DEJ) to enamel surface.
Hunter-Schreger Bands
- An optical phenomenon due to alternating rod directions (wavy course).
- Visible as dark and light bands in longitudinal ground sections, specifically on cervical two-thirds.
- Visible bands are either dark (Diazones) or light (Parazones), reflecting or absorbing light.
- Bands are not observable on incisal edges or cusp tips due to complex rod courses.
Incremental Lines of Enamel
- Cross-striations: Rhythmic formations of enamel, about 4 microns in length, representing daily increments. Transverse bands appear in ground sections, identified as dark striations.
- Incremental lines of Retzius: Dark bands reflecting enamel formation rhythms, beginning at the D.E.J., extending upward. These bands do not reach the enamel surface until the cervical region. Seen as transverse grooves in cross-section.
Neonatal Lines
- A part of the Retzius lines; a brown stria found in deciduous and first permanent molars.
- A demarcation line separating enamel formed before birth from enamel formed after birth.
- Influenced by changes in nutrition and environmental conditions during birth.
Enamel Lamellae
- Thin sheet-like structures extending from the enamel surface, occasionally reaching the dentin-enamel junction.
- Can be longitudinal or transverse.
- May manifest as cracks, filled with epithelial cells or connective tissues, and cause degradation of the dentin-enamel junction.
- Three types: A (true lamella - poorly calcified enamel rod), B (a crack), and C (filled with organic matter from saliva).
Enamel Tufts
- Hypocalcified enamel structures appearing as tufts of grass.
- Mostly visible in transverse sections.
- Located at the dentino-enamel junction and extend to about a third of the enamel's thickness.
- Formation arises from the wavy course of enamel rods.
Enamel Spindles
- Processes of odontoblasts extending between cells of the inner enamel epithelium, visible as rounded or pointed structures in ground sections.
- Appear as black spots due to processing methods.
- Occur in great numbers near cusp tips and incisal edges.
Surface Structure of Enamel
- Structureless Enamel: The outer layer, highly mineralized, up to 30 microns thick.
- Perikymata: Groove-like structures reflecting Retzius lines, running parallel to the cemento-enamel junction.
Rod Ends
- Concave depressions in enamel, varying in depth and form.
- Generally more evident in the cervical regions of the enamel.
Cracks
- Fissures in enamel that can extend from the surface's outer edge to varying distances.
- May disappear with thorough decalcification.
Primary Enamel Cuticle
- Final product secreted by ameloblasts.
- Acting as a basement membrane by electron microscope observation.
Fibrillar Cementum
- Type of cementum forming a short structure, usually on the cervix, due to the degeneration of the reduced dental epithelium before eruption.
Life Cycle of Ameloblasts
- Morphogenic Stage: Inner enamel epithelium, differentiating into ameloblasts.
- Ameloblasts have large, oval nuclei positioned near the cell base.
- Organizing Stage: Ameloblasts enlarge and organize, changing their shape and orientation.
- Formative Stage: Ameloblasts finalize dentin and enamel formation.
- Maturative Stage: Ameloblasts reduce in size, decrease in organelles, and produce enamel matrix.
- Protective Stage: Ameloblasts differentiate further, with the enamel organ evolving into a protective stratified epithelium layer.
Other information
- Enamel continues to mature after tooth eruption with mineral deposition, increasing in inorganic matter (up to 98%).
- Age Changes: Attrition, the normal wear and tear, affects enamel surfaces (incisal, occlusal, and proximal).
- Permeability: Enamel is permeable in newly erupted teeth, but this permeability may decrease or disappear in older teeth, more noticeably from the oral side.
- Hardness: Ionic exchange with substances like nitrogen and fluorine in enamel, enhances resistance to decay.
- Color: Enamel darkens over time.
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