OCB02-1015- Amelogenesis

Descripción

LOs to: Describe the composition and structure of enamel Understand the stages of enamel formation (amelogenesis), the physiology of cells involved in this process and secreted matrix proteins, the process of maturation and mineralisation of the enamel. Describe the clinical considerations of maturation changes in enamel (fluoride and tetracycline staining), as well as mechanisms of adhesion of dental materials to enamel.
Evian Chai
Fichas por Evian Chai, actualizado hace más de 1 año
Evian Chai
Creado por Evian Chai hace más de 4 años
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At what stage does Amelogenesis occur? The late bell stage AFTER dentinogenesis
Which of the following layers of tissue becomes ameloblasts? 1. Internal Enamel Epithelium 2. Stratum Intermedium 3. Stellate Reticulum 4. External Enamel Epithelium 1. Internal Enamel Epithelium
What shape are ameloblasts? Tall columnar cells with processes called Tome's Processes
What triggers ameloblast differentiation? The laying down of the first layer of predentin by odontoblasts
What occurs in the early stages of amelogenesis? (5) 1. Ameloblasts differentiate 2. Nucleus migrates AWAY from basement membrane 3. Stellate Reticulum collapses 4. IEE+EEE fuse together 5. Ameloblasts secrete matrix proteins from Tome's Processes 6. Ameloblasts continue moving away from dentine as secretion continues
What closes gaps between cells so matrix secretion does not go in between? End terminal bars
How long does secretion last for? What about mineralisation? 1. 1 year 2. 4-7 years
Are matrix proteins collagenous? No
What is the primary protein secreted by ameloblasts? How does it aid mineralisation? Amelogenins (eg. glutamic acid, proline, histidine) that is secreted in tissue fluid Acts as scaffold for mineralisation
How do globular proteins (amelogenins) contribute to the shape of the enamel prism? Globular proteins wrap around hydroxyapatite crystals, preventing lateral growth
What are Nonamelogenins? What do they do? What are examples? The other proteins secreted by ameloblasts Initial nucleators of crystal growth at EDJ Glue for crystallites bc acidic eg. Aspartic acid, Glutamic acid, Serine, Glycine
What direction do crystals grow in relation to the secreting surface of Tome's Process? 90 degree angle This creates the prism structure of enamel
What controls prismatic enamel growth? What 3 things do they do? Ameloblastins (type of nonamelogenin) - communicate between ameloblast/extracellular matrix - Inhibit lateral growth of crystallites - Maintain escape channels for enamel proteins
How do crystal change throughout the amelogenesis process? First become long, then thicken
What occurs during the maturation phase of amelogenesis? 1. Ameloblasts reabsorb matrix proteins 2. Ameloblasts change structurally 3. Matrix protein/H20 in enamel decreases as result 4. Quality/hardness of enamel increases as mineralisation proceeds 5. IEE becomes reduced enamel epithelium 6. reduced enamel epithelium fuses with oral epithelium as tooth erupts
What is the difference between ruffle ended ameloblasts and smooth ended ameloblasts? Ruffle: plasma becomes infolded Smooth: have smooth end/inter ameloblast spaces
Which enzyme takes up/degrades protein in ameloblasts? If this fails to occur what happens? MMPs Porous enamel
What is a clinical implication of aprismatic enamel present in some areas of teeth? How to remedy this? Ameloblasts and crystals are parallel, forming glaze like enamel with rods/prisms As a result, it does not etch/bond well Fixed with acid etch technique
What is a clinical consideration when cutting cavities? Burs/handpieces cause cracking, so must use gentler high-torque handpiece
At what stage of amelogenesis is it easiest for flouride to be uptaken? Maturation stage, however too much leads to flourosis
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