Amelogenesis.pdf
- 2. Epithelial Enamel Organ • Outer Enamel Epithelium • Stellate Reticulum • Stratum Intermedium • Inner Enamel Epithelium • Cervical Loop Prof. Shaleen Chandra
- 3. Life Cycle of Ameloblasts • Morphogenic stage • Organizing Stage • Formative Stage • Maturative Stage • Protective Stage • Desmolytic Stage Prof. Shaleen Chandra
- 4. Morphogenic Stage • Cell Short Columnar • Large oval nucleus • Golgi apparatus and mitochondria are located at proximal end Prof. Shaleen Chandra
- 5. Organizing Stage • Cells become Longer • Reversal of Polarity occurs by migration of Golgi apparatus and centrioles to distal parts of the cell. • Nuclei shifts to the Proximal part of the cell. • Amount of Rough E. R. increases • Basal lamina supporting ameloblasts disintegrates after dentin formation • change in nutritional supply of ameloblasts occurs Prof. Shaleen Chandra
- 6. Formative Stage • This stage starts after first layer of Dentin is laid down • Development of a blunt process occurs on ameloblast surface. • It penetrates basal lamina to enter predentin Prof. Shaleen Chandra
- 7. Maturative or Mineralizing Stage • Enamel maturation occurs after most of Enamel Matrix in occlusal or incisal areas is laid down • Ameloblasts are slightly reduced in length with appearance of microvilli at their distal surface • Most of the organelles associated with formation of enamel are enclosed in phagocytic vacuoles and are digested by lysosomal enzymes Prof. Shaleen Chandra
- 8. Protective Stage • After mineralization of Enamel is complete, ameloblasts loose their striated boarder and also the shape. • These cells form the reduced enamel epithelium over the newly formed enamel. It prevents connective tissue from coming in contact of enamel till eruption occurs Prof. Shaleen Chandra
- 9. Desmolytic Stage • The reduced enamel epithelium induces atrophy of connective tissue separating it from Oral epithelium and helps in eruption of tooth. • Premature degeneration of REE can result in soft tissue impaction of tooth due to failure of desmolysis of connective tissue between tooth and oral epithelium Prof. Shaleen Chandra
- 10. Amelogenesis • Consists of two processes: • Formation of Enamel Matrix • Mineralization Prof. Shaleen Chandra
- 11. Formation of Enamel Matrix • Secretory activity of ameloblasts starts after some of the dentin is laid down. • Dentinoenamel Membrane • Because of presence of this membrane, Enamel rods are not in direct contact with Dentin Prof. Shaleen Chandra
- 12. Development of Tomes Processes • Surface of Ameloblasts producing enamel is rough. They inter-digitate with enamel rods produced by them. • The long axis of enamel rods is not parallel to long axis of ameloblasts. • The projections of Ameloblasts into enamel Matrix are called as Tomes’ Processes. • These processes contain typical secretory granules, rough E. R. & Mitochondria Prof. Shaleen Chandra
- 13. • Secretion of Enamel matrix from Secretary granules occurs via narrow channels • Each Ameloblast contributes to four E. Rods, and each E. Rod is formed by four Ameloblasts • Head is secreted by one ameloblast and tail is secreted by three different ameloblasts Prof. Shaleen Chandra
- 14. Distal Terminal Bars: -These separate Tomes processes from cell proper -These are localized condensations of cytoplasmic substance. -They are closely associated with thickened cell wall. -Function is not well understood Ameloblasts covering mature Enamel are shorter and have a morphology of absorptive cells showing villi & Mitochondria Organic contents as well as water is lost from E. Matrix during mineralization, almost 90% of initially secreted protein is lost during maturation and what remains forms envelop around individual crystals Prof. Shaleen Chandra
- 15. Mineralization and Maturation of Enamel Matrix • Occurs in two stages • In first stage immediate partial mineralization of matrix occurs in organic matrix segments and inter-prismatic segments as they are laid down This initial influx of minerals accounts for 25-30% of total mineral content. • Second stage or maturation: characterized by completion of mineralization. It begins at cusp tips and progresses cervically. However with each rod, mineralization begins at the dentinal end. Prof. Shaleen Chandra
- 16. Clinical Considerations • Enamel Caries: Pits & Fissures, E. Lamellae • Cavity Preparation • Shade Selection • Acid Etching • Fluoridation • Bleaching • Lateral Spread of Caries at DEJ •Dens Invaginatus Prof. Shaleen Chandra