Enamel
description
Transcript of Enamel
GENERAL CHARACTERS
1-ECTODERMAL TISSUECOVERING THE ANATOMICAL CROWN.
2-HIGHLY MINERALIZED, RISIST MASTICATORY FORCES.
3-ACELLULAR, INERT, NONVITAL AND INSENSITIVE.
4-CANNOT REPALCED OR REGENERATED.
5-PERMEABLE TO IONIC STRUCTURE.
PHYSICAL PROPERTIES
2-THICKNESS
5-PERMEABILITY
1-COLOUR
4-BRITTLNESS
3-HARDNESS
1 - COLOUR
YELLOWIH WHITE TO YELLOWIH WHITE TO GRAYISH WHITEGRAYISH WHITE
DEPENDS ON: 1 -DEGREE OF
CALCIFICATION2 -HOMOGENISITY OF
THE ENAMELSO:
YELLOWISH YELLOWISH TEETH…. TRANSLUCENT E.GRAYISH GRAYISH TEETH …… OPAQUE E .
2 - THICKNESS
-22 – – 2.52.5 mmmm. at the cusps of the molars and premolars.
-Thinning downThinning down to
Almost knife edge at the cervical margin of the tooth
3 – HARDNESS
IT IS THE HARDEST IT IS THE HARDEST CALCIFIED TISSUE IN CALCIFIED TISSUE IN THE BODYTHE BODY DUE TODUE TO:
1 -HIGH CONTENT OF THE MINERAL SALTS
2 -ITS CRYSTALLINE ARRANGEMENT.
-ENAMEL OF THE PERMANENTPERMANENT TEETH E. IS HARDER THAN THAT OF DECIDUOUS ONES’
-ENAMEL ENAMEL MICROHARDNESSMICROHARDNESS
-1 - IS GREATEST AT THE SURFACE AND DECREASED TOWARD
DEJ. 2 - IT IS GREATER AT THE
CUSPS AND INCISAL RIDGE AND DECREASES TOWARD THE CERVICAL LINE.
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ASG
4 - BRITTLNESS
ITS STRUCTURE AND HARDNESS RENDER IT BRITTLE, SPECILY WHEN IT LOOSES ITS ELASTIC FOUNDATION OF HEALTHY DENTIN
5 -PERMEABILITY
-ENAMEL HAS A CERTAIN CERTAIN DEGREE OF PERMEABILTYDEGREE OF PERMEABILTY DEMONSTRATED BY DYES AND RADIOACTIVE ISOTOPES.
-IT ACTS AS A IT ACTS AS A SEMIPERMEABLE SEMIPERMEABLE MEMBRANEMEMBRANE FOR CERTAIN IONS AND DYES OF SMALL MOLECULAR SIZE THROUGH PORES BETWEEN THE CRYSTALS.
Enamel
•Specific Gravity of enamel is around 2.8
•It shows birefringence
•It is an optical property. It shows two colors when viewed with polarized light
CHEMICAL PROPERTIES
INORGANIC
ORGANIC
INORGANIC ORGANIC
BY WEIGHT
96% 4%
BY VOLUME
EQUAL EQUAL
CHEMICAL PROPERTIES
ASG
INORGANIC MATERIAL 96%
CALISUM PHOSPHATE CRYSTALLINE
(HYDROXY APATITE )
3 Ca3 )PO4(2 . Ca )OH(2
THE SUSCEPTIBILITY OF THESE CRYSTALS TO DISSOLUTION BY ACIDSDISSOLUTION BY ACIDS PROVIDES THE CHEMICAL BASIS FOR THE CARIOUS LESION
THE PROBABILITY OF THE REPLACEMENT OF THE REPLACEMENT OF THE HYDROXYL RAICALHYDROXYL RAICAL WITH VARIOUS IONS (STRONIUM, MAGNESIUM, CARBONATE AND FLOURIDE ) DURING ENAMEL DEVELOPMENT OR IN THE INVIRONMENT OF THE FULLY FORMED ENAMEL GIVES THE BASIS FOR NATIONAL FLUORINATION OF DRINKING WATER OR TOPICAL FLUORIDE APPLICATION TRANSFORMING
HYDROXY APATITEHYDROXY APATITE CRYSTALS TO FLUOROAPATITE FLUOROAPATITE ONES .
3 Ca3 )PO4(2 . Ca )F(2 FOR MORE CARIES RISISTANCE
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ORGANIC MATERIAL 4%)1-2% ORGANIC MATERIAL AND 2-3% WATER(
- IT FORMSIT FORMS A FINE NETWORK BETWEEN THE CRYSTALS, OR COMPRESSSED FORMING AN ENVELOP
SURROUNDING EACH CRYSTAL -ITS CHEMICAL NATUREITS CHEMICAL NATURE HAS NOT YET COMPLETELY
DETERMINED .- NO SPECIFIC PROTEINSNO SPECIFIC PROTEINS HAVE BEEN IDNTIFIED.- AMINO ACIDSAMINO ACIDS PRESENT ARE COLLECTIVELY CALLED ENAMEL PROTEINENAMEL PROTEIN
1 – Amelogenins.: These are present during the enamel formation. These are lost during calcification of enamel
2 – ENAMEL PORTIEN OF HIGH MOLECULAR WEIGHT CALLED ENAMELINENAMELIN :It is present in the enamel matrix and persist in the mature enamel tightly bound to the hydroxy apatite crystals
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ASG
ENAMEL PROTEIN
) AMINO ACIDS(
DEVELOPING ENAMEL MATRIX
MATURE ENAMEL MATRIX
PROLINE + + + + +
GLUTAMINE + + + +
LEUCINE + + +
GLYCINE + +
HISTIDINE +
GLYCINE + + + + +
GLUTAMINE + + + +
PROLINE + + +
LEUCINE + +
HISTIDINE +
NOTE: THE SELECTIVE REABSORPTION OF THE AMINO ACIDS IS
THE FUNCTION OF THE AMELOBLASTS
HISTOLOGICAL STRUCTURE
ENAMEL PRISM
ENAMEL
DENTIN
ENAMEL PRISM
1-ENAMEL PRISM
2-PRISM SHEATH
3-INTERPRISMATIC
SUBSTANCE
STRUCTURE
HISTOLOGICAL STRUCTURE
HEXAGONAL
OVAL
ROUND
FISH SCALES
KEY HOLE
ENAMEL PRISM
LOWER CENTRAL INCISOR
5 MILLIONS
UPPER FIRST MOLAR
12 MILLIONS
1 - NUMBER
2 - DIRECTION
ASG
ENAMEL PRISM
3 - COURSE
DENTINO-ENAMEL MEMBRANE
STRUCTURELESS ENAMEL
GNARLED ENAMEL
ENAMEL PRISM
4 - DIAMETER
1
2:
3-4 um / 8 um
ASG
BY LIGHT MICROSCOPE
ENAMEL PRISMPRISM
PRISM SHEATH
INTERPRISMATIC SUBSTANCE
CROSS STRIATION
ENAMEL PRISM
BY THE ELECTRON MICROSCOPE
CRYSTALS
CRYSTALS
INTERPRISMATIC SUBSTANCE
PRISM
PRISM SHEATH
Prism sheath
INTERPRISMATIC SUB. WITH HIGHER REFRACTIVE INDEX
PRISM SHEATH
INTERPRISMATIC REGION
PRISM
HEAD
TAIL
HUNTER SCHREGER’S BANDS
Oblique reflected light
Transmitted light
INCREMENTAL LINES
PERIKYMATA
LONG INCREMENTAL LINES
SHORT INCREMENS
CROSS STRIATIONS
BETWEEN SEGMENT OF 4 u LENGTH ,DAILY RATE OF SECRETORY ACTIVITY OF
AMELOBLASTS
11 – – SHORT INCREMENTAL SHORT INCREMENTAL LINESLINES
(CROSS STRIATION)
ASG
2 – LONG INCREMENTAL LINE2 – LONG INCREMENTAL LINE
(INCREMENTAL LINE OF RETZIUS) BROWN STRIA OF RETZIUS
4 DAYS ARE NEEDED FOR THE FORMATION OF THE ENAMEL MATRIX BETWEEN TWO BANDS
33 – – NEONATAL LINENEONATAL LINE
PRENATAL ENAMEL
POSTNATAL ENAMEL
POSTNATAL ENAMEL
PRENATAL ENAMEL
ASG
PRIMARY ENAMEL CUTICLE)Nasmyth’s membrane(
- 0.2 um0.2 um thick.
- Its structurestructure is similar to the basal lamina of the epithelium.
- It is the lastthe last product of the ameloblasts.
THE AMELODENTINAL JUNCTION
ENAMEL
DENTIN
ENAMEL LAMELLAE
TYPE A TYPE B
TYPE C
ENAMEL TUFT
ENAMEL SPINDLES
DENTINAL TUBULES
ENAMEL
DENTIN
SURFACE STRUCTURES
REMEMBER: THAT THERE IS AN INNER STRUCTURELESS ENAMEL
1 – OUTER STRUCTURELESS ENAMEL
30 um thick
2 - PERIKYMATA
PARALLEL PARALLEL TO EACH OTHER AND TO C.E.J.
CONTINUOUS AROUND THE TOOTH.
30/ mm30/ mm – AT THE REGION OF C.E.J.
10/ mm10/ mm – NEAR TO THE OCCLUSAL OR INCISAL EDGES
3 - ROD ENDS
SHALLOWERSHALLOWER CERVICALLY
DEEPERDEEPER OCCLUSALLY
4 - CRACKS
ENAMEL LAMELLA
ASG
5 - AFIBRILLAR CEMENTUM
ENAMEL
DE
NT
IN
CEMENTUM
LIFE HISTORY OF THE AMELOBLASTS
1 - MORPHOGENIC2 - ORGANIZING
DEAL WITH INNER DENTAL
EPITHELIUM
7 STAGES
3 – FORMATIVE4 – TRANSITIONAL
5 - MATURATIVE
FUNCTIONS OF DIFFERENTIATED AMELOBLASTS
6 – PROTECTIVE7 - DESMOLYTIC
FUNCTIONS OF THE REDUCED
ENAMEL EPITHELIUM
REDUCED ENAMEL EPITHELIUM
ASG
Before ameloblasts differentiation
A – MORPHOGENIC STAGE
INNER DENTAL EPITHELIUM
CELL FREE ZONE
DENTAL PAPILLA
BASEMENT MEMBRA
ASG
Before ameloblasts differentiation
A – MORPHOGENIC STAGE
Oval nucleus
Short columner
Golgi apparatus
Centriol
Mitochondria
PROXIMAL END
DISTAL END
BASEMENT MEMBRANE
ASG
During ameloblasts differentiation
A – MORPHOGENIC STAGE
NUCLEUS
GOLGI APP.
CENTRIOL
MITOCHONDRIA
PROXIMAL TERMINAL BARS
BASEMENT MEMBRANE
PROXIMAL END
DISTAL END
ASG
B – ORGANIZING STAGEINNER DENTAL
EPITHELIUM
ODONTOBLASTS
INNER DENTAL EPITHELIUM
Cell free zone disappears
ODONTOBLASTS
ASG
B – ORGANIZING STAGE
Centrioles
Golgi apparatus
Mitochondria
SO DURING THIS STAGE THE FOLLOWIONG OCCURE:
1 - REVERSAL OF THE FUNCTIONAL POLARITY OF THE I.D.E...
2 –HISTO-DIFFERENTIATION OF THE ODONTOBLASTS ) INDUCTION(.
ASG
C – FORMATIVE STAGE
DENTIN
AMELOBLASTS
G.AG.A.
R.E.RR.E.R..
MM
DISTAL TERMINAL BARS
TOME’S PROCESS
PROXIMAL TERMINAL BARS
ASG
D – TRANSITIONAL STAGE
PRISMLESS ENAMEL
1 – REDUCTIONREDUCTION IN THE HIGHT.
2 – DECREASEDECREASE IN IN ITS VOLUM AND ORGANELLE CONTENT
3 – WITHDRAWAL OF TOME’S ROCESS.
1 – REDUCTIONREDUCTION IN THE HIGHT.
2 – DECREASEDECREASE IN IN ITS VOLUM AND ORGANELLE CONTENT
3 – WITHDRAWAL OF TOME’S ROCESS.
E – MATURATIVE STAGE
AUTOPHAGIC VACUOLES
RUFFLED ENDED AMELOBLASTSMOOTH ENDED AMELOBLAST
CYTOPLASMIC VACUOLES
MM
F – PROTECTIVE AND DESMOLYTIC STAGES
REDUCED ENAMEL EPITHELIUM
1 – PROTECTIVE.
2 - DESMOLYTIC
SUMMARY
De
ntin
Aprismatic enamel
Aprismatic enamel
Prismatic enamel
Ameloblast without
Tome’s process
Ameloblast without
Tome’s process
Ameloblast with
Tome’s process
Late organizing stage
Formative stage Transitional stage
ASG
THE BEGINNING OF MINERALIZATION OF THE ENAMEL MATRIX DOES NOT AWAIT THE
COMPLETION OF ITS FORMATION.
AMELOGENESISAMELOGENESIS
1 - FORMATION 1 - FORMATION OF ENAMEL OF ENAMEL
MATRIXMATRIX
2 - MATURATION 2 - MATURATION OF ENAMELOF ENAMEL
FORMATION OF ENAMEL MATRIX
STRATUM INTERMEDIUM
AMELOBLASTS
ENAMEL MATRIX )DENTINOENAMEL
MEMBRANE (
MANTLE DENTIN
D . J .C.
STIPPLED MATERIAL/OR ENAMEL
NO CLEAR CUT BAND OF ORGANIC MATRIX
25 – 30 % OF THE TOTAL MINERAL CONTENT
De
ntin
Aprismatic enamel
Aprismatic enamel
Prismatic Enamel
Ameloblast without
Tome’s process
Ameloblast without
Tome’s process
Ameloblast with
Tome’s process
Late organizing stage
Formative stage Transitional stage
Prism
Tome’s process
Prism sheath
Interprismatic
substance
Cross
straiation
MORE DETAILS ABOUT THE MODE OF FORMATION AND LOCATION OF THE PRISM, INTERPRISMATIC
SUBSTANCE, PRISM SHEATH AND CROSS STRIATION
ASG
Head / or
Prism
Tail / or
Interprismatic
substance
Tome’s process
Next
1 MORE DETAILS ABOUT THE PROCESS OF SECRETION OF BOTH THE PROTEINS AND THE CRYSTALLITES FROM THE TOME’S PROCESS
ASG
Tome’s process
Next
Tail
Head
2
ASG
Tome’s process
Next
Tail
Head
3
ASG
Tome’s process
Tail
Head
4
Tail
Head
ASG
2 - MATURATION OF ENAMEL
ONCE THE FULL THICHNESS OF ENAMEL MATRIX IS FORMED
MATURATION BEGINS
DURING MATURATION THE FOLLOWING
CHANGES OCCURE
1 - Quantitative And Qualitative Changes In The Organic Component.
2 - 90 % Of Protein And Water Reabsorbed.
3 – Maturation Is Gradually Completed Up To 96% Of The Total Weight Of Enamel ))Primary Primary Maturation(Maturation(
4 – Rapid Influx Of Calcium And Phosphate Ions Already Secreted With The Enamel Matrix.
5 – Increase In Size Of The Crystals By Fusion Of Crystallites ) 1240 Crystal / Um Before And 560 Crystal / Um After Maturation (.
5 – – Directions Of Maturation …)next slide (– Directions Of Maturation …)next slide (
6 - 6 - Secondary Maturation..Secondary Maturation..
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DIRECTIONS OF MATURATION
ENAMEL
DENTIN
PREDENTIN
ENAMEL
DENTIN
PREDENTIN
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SECONDARY MATURATION
MATURATION CONTINUES AFTER ERUPTION OF
THE TEETH THROUGH DEPOSITION OF IONS FROM THE SALIVA.
AGE CHANGES
1 - ATTRITION
ATTRITION
• DEFINITION.• DIFFERENCE BETWEEN D.T. AND P.T.• CLINICALY: OCCLUSAL AND PROXIMAL.• SEX DIFFERENCE.• TYPE OF DIET.• OCCUPATIONAL HABITS.• SEVERE ATTRITION.• MICROSCOPICALLY.
ASG
2 - PERMEABILITY
Main pathRecently
Erupted teeth
Old enamel
2 - PERMEABILITY
• IONIC EXCHANGE BETWEEN THE ENAMEL AND THE SURROUNDING SALIVA.
• SECONDARY MATURATION.• INCREASE NITROGEN AND FLUORIDE.• RESISTANCE TO DECAY IS INCREASED.• TOOTH MAY BECOME DARKER IN COLOUR
)THE EFFECT OF THE DAYSTUFFS STAINS(
THANK YOUAND
GOOD LUCK
THANK YOUAND
GOOD LUCK