Enamel Structure and Function in Dentistry
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Questions and Answers

What is the width of the 'thread' formed by the coalescence of HA crystallites in enamel prisms?

  • 10-15μm
  • 20-25μm
  • 1-2μm
  • 5-7μm (correct)
  • What separates enamel prisms from surrounding interprismatic enamel?

  • Cementum
  • Prism sheath (correct)
  • Dentinal tubules
  • Periodontal ligament
  • What is the primary function of enamel?

  • To produce a radiant smile
  • To enhance the color of the tooth
  • To mitigate tooth wear and protect the underlying dentine (correct)
  • To provide a strong foundation for the tooth
  • How many ameloblasts regulate the growth of each enamel prism?

    <p>Single</p> Signup and view all the answers

    What is the color of healthy enamel?

    <p>Grey-white to light yellow</p> Signup and view all the answers

    Why are ground thin sections needed to study enamel's structure?

    <p>Because of its high mineral content</p> Signup and view all the answers

    What is the term used to describe the clusters of millions of HA crystallites in enamel?

    <p>Prisms</p> Signup and view all the answers

    What type of light microscopy is used to visualize the direction of enamel prisms?

    <p>Cross-polarised light microscopy</p> Signup and view all the answers

    What is the chemical formula of hydroxyapatite?

    <p>Ca10(PO4)6(OH)2</p> Signup and view all the answers

    What is the thickness of enamel over the cusps of permanent teeth?

    <p>2.5mm</p> Signup and view all the answers

    What is the term used to describe the enamel surrounding the prisms?

    <p>Interprismatic enamel</p> Signup and view all the answers

    What is the characteristic of mature enamel's organization?

    <p>Hierarchically organized</p> Signup and view all the answers

    What percentage of mature enamel is composed of inorganic material?

    <p>96%</p> Signup and view all the answers

    What is the main component of the inorganic material in mature enamel?

    <p>Hydroxyapatite</p> Signup and view all the answers

    Who wrote the first English dentistry textbook in which the term 'enamel' was first used?

    <p>Charles Allen</p> Signup and view all the answers

    What is the function of the 'hard periosteum' in enamel, as described by Charles Allen?

    <p>It invests the head of the tooth on all sides</p> Signup and view all the answers

    What is the characteristic of mature enamel in terms of cell and blood vessel presence?

    <p>It is acellular and avascular</p> Signup and view all the answers

    What is the term used by Charles Allen to describe the natural enamel of the tooth?

    <p>The gloss of the tooth</p> Signup and view all the answers

    What is the term used to describe the crossing of neighbouring groups of prisms?

    <p>Prism decussation</p> Signup and view all the answers

    What are the dark bands formed by prisms cut longitudinally in section called?

    <p>Parazones</p> Signup and view all the answers

    What is the primary function of Hunter-Schreger bands in tooth enamel?

    <p>To deflect the paths of expanding cracks</p> Signup and view all the answers

    What is the term used to describe the incremental variations in prism thickness that occur from daily variations in enamel production?

    <p>Enamel cross-striations</p> Signup and view all the answers

    What is the purpose of radially oriented prisms in tooth enamel?

    <p>To maximize the strength of each prism</p> Signup and view all the answers

    What is the term used to describe the region where enamel and dentine meet?

    <p>Enamel-dentine junction</p> Signup and view all the answers

    What appears as horizontal lines along the surface of a newly erupted tooth crown?

    <p>Perikymata</p> Signup and view all the answers

    What is the result of a subtle change in thickness and direction of enamel prisms that occurs at birth?

    <p>Neonatal line</p> Signup and view all the answers

    What is found within the enamel and dentine of all teeth that were at the appropriate stage of development when a person is born?

    <p>Neonatal line</p> Signup and view all the answers

    What is the forensically important use of neonatal line?

    <p>To determine the date of birth</p> Signup and view all the answers

    What is the interface between the enamel and dentine?

    <p>Enamel-Dentine Junction</p> Signup and view all the answers

    What type of teeth have a neonatal line?

    <p>All deciduous teeth and the permanent first molars</p> Signup and view all the answers

    Study Notes

    Enamel Basics

    • Enamel is harder than underlying dentine, creating mechanical challenges
    • Enamel is more radiopaque (lighter) than dentine and bone due to its high mineral content
    • Enamel's primary function is to mitigate tooth wear and protect the underlying dentine
    • Healthy enamel is translucent, grey-white to light yellow in colour
    • Enamel is 2.5mm thick over cusps of permanent teeth (1.3mm in deciduous teeth), tapering to a thin layer along the cervical edge

    Enamel Structure

    • Mature enamel is hierarchically organised (multiple levels of crystal groupings)
    • Basic building block: hydroxyapatite (HA) crystallites (Ca10(PO4)6(OH)2) which can include Mg, F, CO32-
    • HA crystallites are grouped into enamel prisms and interprismatic enamel
    • Prisms (or "rods"): clusters of millions of HA crystallites coalesced into a ~5-7μm wide "thread", spanning the entire thickness of enamel
    • Prisms are separated from surrounding interprismatic enamel by the prism sheath

    Prism Patterns

    • The crossing of neighbouring groups of prisms is called prism decussation
    • Prism decussation creates Hunter-Schreger bands which mitigate and deflect the paths of expanding cracks
    • Radially oriented prisms maximise the strength of each prism relative to occlusal load

    Enamel Features

    • Enamel contains other distinctive features, including:
      • Enamel cross-striations (incremental lines)
      • Striae of Retzius
      • Perikymata
      • Neonatal line (a particular type of stria of Retzius that corresponds to the physiological stress of being born)
      • Enamel-Dentine Junction (EDJ)
      • Enamel tufts
      • Enamel lamellae
      • Enamel spindles
      • Incremental lines

    Other Facts

    • Enamel was named by Charles Allen in the first English dentistry textbook (1685-87)
    • Mature enamel is acellular and avascular
    • Enamel is extremely mineralised: 96% inorganic material (hydroxyapatite), 4% organic material and water

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    Description

    Learn about the chemical and structural composition of enamel, its major hierarchical structures, and key features like incremental lines. Understand the basics of enamel in dentistry.

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