Tooth Development: Stages and Formation

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Questions and Answers

From which embryonic layers do teeth primarily develop?

  • Oral ectoderm and endoderm
  • Oral ectoderm and mesoderm
  • Endoderm and ectomesenchyme
  • Oral ectoderm and ectomesenchyme (correct)

What is the correct order of the stages of tooth development?

  • Cap, Bell, Bud
  • Bell, Cap, Bud
  • Bud, Bell, Cap
  • Bud, Cap, Bell (correct)

What is the origin of the dental lamina?

  • Enamel knot
  • Ectomesenchyme
  • Oral ectoderm (correct)
  • Dental papilla

What is the role of the primary epithelial band in tooth development?

<p>Forms the dental and vestibular lamina (B)</p> Signup and view all the answers

In which week of intra-uterine life does tooth development begin?

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

What structures are included within the tooth germ?

<p>Enamel organ, dental papilla, and dental follicle (D)</p> Signup and view all the answers

What is the function of the enamel knot during tooth development?

<p>Signaling center for cusp formation (A)</p> Signup and view all the answers

Which cells differentiate into odontoblasts?

<p>Cells of the dental papilla (D)</p> Signup and view all the answers

What is the composition of predentin?

<p>Collagen and ground substance (D)</p> Signup and view all the answers

Which structure forms the periodontal ligament, alveolar bone, and cementum?

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

What is the composition of enamel?

<p>Amelogenin, amelin, and tuftelin (C)</p> Signup and view all the answers

Which of the following best describes the function of the vestibular lamina?

<p>Forms the vestibule of the mouth (B)</p> Signup and view all the answers

Approximately how many teeth are present in the deciduous dentition?

<p>20 (A)</p> Signup and view all the answers

Approximately how many teeth are present in the permanent dentition?

<p>32 (A)</p> Signup and view all the answers

Which dental anomaly is characterized by teeth present at birth?

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

What is the term for the condition where one or more teeth are absent?

<p>Partial anodontia (C)</p> Signup and view all the answers

What is the term for having more than the normal number of teeth?

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

In which dental anomaly the enamel is soft and brittle due to hypocalcification?

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

Which of the following characterizes dentinogenesis imperfecta?

<p>Odontoblasts do not differentiate normally (C)</p> Signup and view all the answers

What is the clinical presentation in dentinogenesis imperfecta?

<p>Teeth are brown to gray blue (C)</p> Signup and view all the answers

What can natal teeth potentially cause?

<p>Maternal discomfort during breastfeeding and infant’s tongue laceration (C)</p> Signup and view all the answers

Where do supernumerary teeth most commonly develop?

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

During which stage of tooth development does the enamel organ form?

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

What feature is forming at the Bell stage?

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

Which component signals the location of the tooth cusp?

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

What is the fate of the dental lamina once tooth development is complete?

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

What is the cervical loop?

<p>Angle between OEE and IEE (A)</p> Signup and view all the answers

What does BMP4 signal to the mesenchyme?

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

What does stellate reticulum combine with to create the Enamel organ?

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

Which of the following does the dental follicle NOT form?

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

What do the ameloblasts secrete?

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

What are natal teeth?

<p>Teeth present at birth (B)</p> Signup and view all the answers

What is the difference between partial and total anodontia?

<p>Number of teeth affected (C)</p> Signup and view all the answers

Which permanent tooth is most commonly affected by a supernumerary tooth?

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

What condition causes the teeth to appear yellow to brown in color?

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

What condition occurs if the odontoblasts do not differentiate normally during tooth formation?

<p>Dentinogenesis imperfecta (C)</p> Signup and view all the answers

Why does enamel tend to wear away in patients with, dentinogenesis imperfecta?

<p>When dentin is poorly calcified, it exposes the yellow dentin (B)</p> Signup and view all the answers

What can result from natal teeth following birth?

<p>The infant's tongue laceration (D)</p> Signup and view all the answers

Why do supernumerary teeth disrupt the position of normal teeth?

<p>The presence of an extra tooth (A)</p> Signup and view all the answers

Flashcards

Oral Ectoderm

Initially, the mouth opening is lined by epithelium.

Ectomesenchyme

Mesenchyme is a type of animal tissue comprised of cells embedded in a gelatinous matrix.

Permanent vs. Deciduous teeth

Permanent teeth consist of 32 teeth, while deciduous consists of 20 teeth.

Vestibular lamina

Forms the vestibule of the mouth.

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Dental lamina

Forms the tooth.

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Stages of tooth development

Bud, cap, and bell stage.

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Where mesenchyme condenses

Mesenchyme condenses at 10 points in each jaw.

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Outer enamel epithelium

Simple cuboidal cells.

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Inner enamel epithelium

Simple columnar cells.

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Components of the Enamel Organ

OEE + IEE + Stellate reticulum

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Dental Papilla cells

Cells of the dental papilla differentiate into odontoblasts.

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Dental follicle

Forms the PDL, alveolar bone, and cementum.

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Tooth germ

Enamel organ + dental papilla + dental follicle.

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Natal teeth

Teeth present at birth.

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Supernumerary teeth

More teeth than normal.

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Partial anodontia

One or more teeth absent.

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Total anodontia

No teeth develop.

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Amelogenesis imperfecta

Enamel is soft and brittle due to hypocalcification.

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Dentinogenesis imperfecta

Teeth are brown to gray blue; enamel tends to wear off.

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Study Notes

  • Tooth development includes the origin of tooth buds, stages of tooth development, formation of the enamel organ, dental papilla and dental follicle/sac, enamel knot, production of enamel, dentin and cementum, and anomalies.
  • Tooth development happens from the 6th week of intra-uterine life.
  • Development occurs from oral ectoderm through proximate interactions and the ectomesenchyme.
  • Deciduous teeth amounts to 20, permanent teeth amount to 32.
  • Tooth development occurs from:
    • Oral ectoderm (proximate interactions)
    • Ectomesenchyme

Primary Epithelial Band

  • Vestibular lamina forms the vestibule of the mouth.
  • Dental lamina forms the tooth.

Stages of Tooth Development

  • Bud stage
  • Cap stage
  • Bell stage

Dental Lamina

  • During tooth eruption, mesenchyme condenses at 10 points in each jaw.

Bud stage

  • Illustrated by a tooth bud

Cap Stage

  • Requires formation of the dental lamina, enamel organ, and dental papilla
  • A combination of outer enamel epithelium, inner enamel epithelium, and stellate reticulum forms the enamel organ.
  • The angle between outer enamel epithelium (OEE) and inner enamel epithelium (IEE) forms the cervical loop.

Bell Stage

  • Requires the degeneration of dental lamina and formation of the enamel reticulum, dental papilla, and dental sac.
  • A tooth germ comprises of enamel organ + dental papilla + dental follicle

Enamel Organ

  • Cells of the dental papilla differentiate into odontoblasts, which secrete predentin initially.
  • Predentin comprises collagen and ground substance only.
  • Dentin comprises collagen, ground substance, and hydroxyapatite crystals (calcium and phosphate).
  • Inner enamel epithelium differentiates into ameloblasts, which secrete enamel.
  • Enamelin, amelin, tuftelin, and amelogenin are secreted

Developing Teeth

  • The dental follicle forms the PDL, alveolar bone and cementum.

Tooth Development

  • Anatomic structure of the tooth crown, dental pulp, artery, and root.

Enamel knot

  • Requires mesenchyme and for BMP4 to produce a positive signal during the bud stage
  • Requires enamel knot in the bell stage.

Tooth Abnormalities

  • Natal teeth
  • Numerical abnormalities
  • Anodontia
  • Partial anodontia
  • Amelogenesis imperfecta
  • Dentinogenesis imperfecta

Natal Teeth

  • Teeth present at birth
  • It may cause maternal discomfort during breastfeeding, and the infant's tongue could be lacerated.

Numerical Abnormalities

  • Involves supernumerary teeth, which develop in the maxillary incisors and disrupt position and eruption of normal teeth
  • The extra tooth erupts posterior to the normal ones

Partial Anodontia

  • Requires the absence of one or more teeth

Total Anodontia

  • Requires no teeth to develop

Amelogenesis Imperfecta

  • Enamel is soft and brittle attributed to hypocalcification
  • Teeth are yellow to brown in color and appear dark.
  • Occurs in a ratio of 1:20,000.

Dentinogenesis Imperfecta

  • Teeth are brown to gray blue
  • Odontoblasts do not differentiate normally
  • Dentin is poorly calcified
  • Enamel tends to wear off, exposing the yellow dentin

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