DEVELOPMENT OF TOOTH
PROF. DR. ARUN TOM
DEPT OF ORAL PATHOLOGY
Stomodium
Primary Epithelial Band
Oral epithelium
Primary epithelial band
• Thickening of oral
epithelium due to
proliferation of
basal cells
• Earliest event in
the origin of each
dental organ
• Progresses to form
horse shoe shaped
thickening
Mesenchyme
Development of tooth- Introduction and Histology
Primary Epithelial Band
Primary epithelial band divide in to
Dental lamina
Lingual extension (successional lamina)
Distal extension
Vestibular lamina
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Dental Lamina
Primordium for the ectodermal portion of primary
teeth
Activity extends for 5years
Fate: Breaks up by mesenchymal invasion
Remnant is called Cell Rest of Serres which persists
as epithelial pearls of islands in the jaws or gingiva
Initiation of Tooth
At 10 points little knobs growing
in to ectomesenchyme
Patterning
Determination of specific
tooth types at their correct
positions
Odontogenic homeobox code model of dental patterning. Epithelial
FGF8 and BMP4 expressed during early initiation induce the
mesenchymal expression of a number of homeobox-containing genes
in the underlying mesenchyme as overlapping domains that provide the
spatial information necessary to determine tooth type. A, Domains of
Barx-1 and Dlx-1/-2 expression overlap in the mesenchyme of the
presumptive molar region, whereas domains of Msx-1, Msx-2, and
Alx-3 overlap in presumptive incisor mesenchyme. B, Mouse dental
pattern. Incisors deriving from Msx-1/Alx-3 expressing cells; molars
deriving from Barx-1/Dlx-1/-2 expressing cells. C, Human dental
pattern. Premolars and canines can be derived from the same
odontogenic code as that observed in mice by virtue of the overlapping
domains of gene expression. Thus canines and premolars may be
derived from cells expressing Dlx-1/-2 and Msx-1, for example. (From
Development of tooth- Introduction and Histology
Tooth germ
For descriptive purpose tooth germ
classified in to (morphologic)
Bud Stage
Cap Stage
Bell Stage
Enamel Organ
Dental Papilla
Dental Sac
Development of tooth- Introduction and Histology
Enamel Knot
Enamel Knot
• knob like enlargement
• Densely packed cells
• Signaling centre
• FGF-4 & Slit-1 markers for knot
formation
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Development of tooth- Introduction and Histology
Apposition
Clinical consideration
Lack of initiation:
Anodontia
Oligodontia (partial anodontia)
Abnormal initiation:
Supernumerary teeth (hyper dontia)
Supplemental teeth
Dilaceration
Twinning
Fusion (synodontia)
Germination (Schizodontia)
Peg shaped
Hypo calcification &hypo meneralization

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Development of tooth- Introduction and Histology

  • 1. DEVELOPMENT OF TOOTH PROF. DR. ARUN TOM DEPT OF ORAL PATHOLOGY
  • 3. Primary Epithelial Band Oral epithelium Primary epithelial band • Thickening of oral epithelium due to proliferation of basal cells • Earliest event in the origin of each dental organ • Progresses to form horse shoe shaped thickening Mesenchyme
  • 5. Primary Epithelial Band Primary epithelial band divide in to Dental lamina Lingual extension (successional lamina) Distal extension Vestibular lamina
  • 10. Dental Lamina Primordium for the ectodermal portion of primary teeth Activity extends for 5years Fate: Breaks up by mesenchymal invasion Remnant is called Cell Rest of Serres which persists as epithelial pearls of islands in the jaws or gingiva
  • 11. Initiation of Tooth At 10 points little knobs growing in to ectomesenchyme
  • 12. Patterning Determination of specific tooth types at their correct positions
  • 13. Odontogenic homeobox code model of dental patterning. Epithelial FGF8 and BMP4 expressed during early initiation induce the mesenchymal expression of a number of homeobox-containing genes in the underlying mesenchyme as overlapping domains that provide the spatial information necessary to determine tooth type. A, Domains of Barx-1 and Dlx-1/-2 expression overlap in the mesenchyme of the presumptive molar region, whereas domains of Msx-1, Msx-2, and Alx-3 overlap in presumptive incisor mesenchyme. B, Mouse dental pattern. Incisors deriving from Msx-1/Alx-3 expressing cells; molars deriving from Barx-1/Dlx-1/-2 expressing cells. C, Human dental pattern. Premolars and canines can be derived from the same odontogenic code as that observed in mice by virtue of the overlapping domains of gene expression. Thus canines and premolars may be derived from cells expressing Dlx-1/-2 and Msx-1, for example. (From
  • 15. Tooth germ For descriptive purpose tooth germ classified in to (morphologic) Bud Stage Cap Stage Bell Stage Enamel Organ Dental Papilla Dental Sac
  • 17. Enamel Knot Enamel Knot • knob like enlargement • Densely packed cells • Signaling centre • FGF-4 & Slit-1 markers for knot formation
  • 23. Clinical consideration Lack of initiation: Anodontia Oligodontia (partial anodontia) Abnormal initiation: Supernumerary teeth (hyper dontia) Supplemental teeth Dilaceration Twinning Fusion (synodontia) Germination (Schizodontia) Peg shaped Hypo calcification &hypo meneralization