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Questions and Answers

Which of these stages occurs for the primary dentition between the ninth and tenth week of prenatal development?

  • Bell Stage
  • Cap Stage (correct)
  • Bud Stage
  • Initiation Stage

What is the term used to describe the process involving the proliferation of the dental lamina into buds or oval masses?

Proliferation

What develops into a tooth germ and its associated supporting tissue types?

  • Dental papilla
  • Tooth bud (correct)
  • Dental sac
  • Enamel organ

The ______ membrane remains between the bud and the growing ectomesenchyme.

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

The stellate reticulum is a cellular group located in the periphery of the developing tooth.

<p>False (B)</p> Signup and view all the answers

Match the developmental disturbances to the stage they occur in:

<p>Anodontia = Initiation Stage Macrodontia = Bud Stage Dens in dente = Cap Stage Gemination = Cap Stage Fusion = Cap Stage</p> Signup and view all the answers

What is the main process involved in the cap stage of tooth development?

<p>Differentiation (A)</p> Signup and view all the answers

What structure develops during the cap stage with a specific form?

<p>Tooth germ</p> Signup and view all the answers

Which part of the tooth germ produces the future dentin and pulp?

<p>Dental papilla (A)</p> Signup and view all the answers

The dental sac is responsible for producing the enamel organ.

<p>False (B)</p> Signup and view all the answers

The ______ stage assumes a bell shape due to unequal growth between the outer and inner enamel epithelium.

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

Which stage in tooth development involves the formation of the pre-ameloblasts?

<p>Bell Stage (A)</p> Signup and view all the answers

What is the process called when odontoblasts secrete predentin?

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

The dentin layer in a developing tooth is generally thinner than the corresponding layer of enamel matrix.

<p>False (B)</p> Signup and view all the answers

The ______ is an extracellular substance that is partially calcified.

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

What happens to the basement membrane between the pre-ameloblasts and the odontoblasts during the formation of the dentinoenamel junction?

<p>It disintegrates (D)</p> Signup and view all the answers

What is the angled part of each ameloblast that faces the disintegrating basement membrane called?

<p>Tomes' process</p> Signup and view all the answers

The process of eruption for both succedaneous and nonsuccedaneous teeth is the same.

<p>False (B)</p> Signup and view all the answers

The reduced enamel epithelium fuses with the ______ to allow for the eruption process.

<p>oral epithelium</p> Signup and view all the answers

What type of cyst is formed from the REE after the crown is completely formed and matured?

<p>Dentigerous cyst (D)</p> Signup and view all the answers

What is the name for a developmental disturbance that results in either distorted root(s) or crown angulation?

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

Enamel hypoplasia can be caused by a lack of vitamin D.

<p>True (A)</p> Signup and view all the answers

The term ______ refers to the faulty development of dentin.

<p>dentin dysplasia</p> Signup and view all the answers

What happens to the cementum matrix after it is considered matured?

<p>It becomes calcified (A)</p> Signup and view all the answers

What is the name for the condition when two or more tooth roots fuse together?

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

The presence of enamel pearls is a common occurrence during tooth development.

<p>False (B)</p> Signup and view all the answers

The ______ is a bilayer rim that consists of the inner and outer enamel epithelia.

<p>cervical loop</p> Signup and view all the answers

Which of these is NOT a component of the periodontium?

<p>Enamel matrix (C)</p> Signup and view all the answers

What is the name given to abnormally formed enamel on the cemental root surface due to misplaced ameloblasts?

<p>Enamel pearl.</p> Signup and view all the answers

Multirooted teeth initially develop as single roots.

<p>True (A)</p> Signup and view all the answers

The ______ of a tooth is the single root present at the base of the crown.

<p>root trunk</p> Signup and view all the answers

Which of these tissues is responsible for the resorption of the primary tooth roots during shedding?

<p>Odontoclasts (D)</p> Signup and view all the answers

What is the process called when the enamel organ is compressed, forming the reduced enamel epithelium?

<p>Active eruption</p> Signup and view all the answers

The permanent maxillary incisors erupt lingual to the primary incisors.

<p>False (B)</p> Signup and view all the answers

The loss of a primary tooth is also known as ______.

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

Flashcards

Odontogenesis

Tooth development

Primary Dentition

Baby teeth

Prenatal Development

Development before birth

Embryonic Period

Early stage of development

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Initiation Stage

First stage of tooth development

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Induction

Interaction of tissues

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Stomodeum

Primitive mouth

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Ectoderm

Outer layer of the embryo

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Oral Epithelium

Tissue lining the mouth

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Mesenchyme

Embryonic connective tissue

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Ectomesenchyme

Mesenchyme from ectoderm

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Neural Crest Cells

Cells that migrate to other areas

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Basement Membrane

Separates oral epithelium and ectomesenchyme

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Dental Lamina

Layer formed by oral epithelium

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Anodontia

Missing teeth

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Hypodontia

Partial anodontia

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Third Molars

Wisdom teeth

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Maxillary Lateral Incisors

Teeth in the upper front

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Mandibular Second Premolars

Teeth in the lower jaw

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Developmental Disturbances

Problems during tooth development

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Sixth Week

Embryonic stage of development

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Seventh Week

Embryonic stage of development

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Study Notes

Tooth Development and Eruption: Part 1

  • Tooth development, or odontogenesis, occurs in stages, stepwise, for both primary and permanent dentitions.
  • Odontogenesis of the primary dentition begins between the sixth and seventh week of prenatal development.
  • The initiation stage involves induction, an interaction between embryonic tissues.
  • The initiation stage begins with ectoderm lining, the stomodeum.
  • The bud stage is characterized by proliferation of the dental lamina into buds or oval masses that penetrate the ectomesenchyme.
  • The cap stage involves proliferation, differentiation, and morphogenesis. Ectoderm forms enamel organ surrounding dental papilla.
  • The bell stage is characterized by continuing proliferation, differentiation, and morphogenesis. Four different cell types are present.
  • The OEE is a protective barrier to the rest of the enamel organ.
  • The innermost tall columnar cells are IEE.
  • The bell stage results in a bell-shaped enamel organ.
  • In the cap stage, the underlying ectomesenchyme also undergoes proliferation. A basement membrane remains between the bud and the growing ectomesenchyme.
  • Each dental bud from the dental lamina develops a tooth germ and supporting tissues.
  • The cap shape of the enamel organ develops during this stage.
  • A depression in the tooth bud forms the enamel organ.
  • The future crown form of the tooth is signaled at this stage.
  • The enamel organ produces enamel for the outer surface of the tooth.
  • The initiation stage, the bud stage, the cap stage, and the bell stage relate to the development of the tooth.

Developmental Disturbances During Initiation Stage

  • Lack of initiation within dental lamina results in anodontia.
  • Partial anodontia (hypodontia) is more common and may occur with third molars, maxillary lateral incisors, and mandibular second premolars.
  • Anodontia can be associated with ectodermal dysplasia.
  • Ectodermal dysplasia can affect skin, hair, nails, teeth, or sweat glands, leading to partial or complete anodontia.
  • Abnormal initiation can result in supernumerary teeth. These extra teeth have a hereditary etiology.
  • Common locations for supernumerary teeth include between maxillary central incisors (mesiodens), distal to the maxillary third molars (distomolar), and in the premolar region of both arches.

Tooth Development and Eruption: Part 2

  • The process of root development takes place after the crown is completely shaped and the tooth is starting to erupt into the oral cavity.
  • The structure responsible for root development is the cervical loop, which is the most cervical part of the enamel organ.
  • The cervical loop grows deeper into the ectomesenchyme and forms the Hertwig epithelial root sheath (HERS), which shapes the roots and creates dentin.
  • The dental sac, of the ectomesenchyme, produces the periodontal ligament, cementum, and alveolar bone that support the tooth.
  • Cementoblasts move to cover the root dentin area and undergo cementogenesis to lay down cementum matrix, or cementoid.
  • Cementum calcification (maturation) forms mature cementocytes.
  • The central cells of the dental papilla form pulp tissue.
  • Excessive cementum formation can occur with concrescence. Concrescence is the union of root structures.

Stages of Tooth Development

  • Initiation stage (weeks 6-7): Enamel organ forms.
  • Bud stage (week 8): Dental lamina forms into buds that penetrate ectomesenchyme
  • Cap stage (weeks 9-10): Enamel organ forms a cap shape.
  • Bell stage (weeks 11-12): Enamel organ forms a bell shape. All four cell types are found.

Problems in Spacing

  • A permanent tooth often erupts before the primary tooth is fully shed, creating spacing issues.
  • Interceptive orthodontic therapy can prevent some of these situations.
  • Prolonged retention of primary teeth requires early dental consultation.

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