The document summarizes the development of dental tissues from early gestation through adulthood. It describes how at 4 weeks, the oral cavity begins forming from prominences in the face. Tooth development initiates around 6 weeks as epithelial bands thicken. Teeth then pass through stages of initiation, bud, cap, and bell formation from 6-12 weeks. This involves the epithelial and mesenchymal tissues developing and differentiating into structures that will become the enamel, dentin, cementum, and pulp of the teeth. Humans develop two sets of teeth - the primary (deciduous) set and permanent set.
Development of tooth
•Tooth development (odontogenesis)
is a complex process of tooth
formation from embryonic cells,
eruption, and integration with its
surrounding tissues.
Development of oral tissues – Moamer Gabsa
4.
Development of tooth- Dentition
• Humans have two sets of teeth in their
lifetime
• Primary (Deciduous)
• Permanent
• Primary dentition develops during
prenatal period .
• Permanent dentition develops as the jaw
grows and matures.
Development of oral tissues – Moamer Gabsa
• At theend of the fourth week,
the center of the face is
formed by the stomodeum,
surrounded by the first pair of
pharyngeal arches.
Moamer Gabsa - Development of head and neck 6
Oral cavity development
7.
• When theembryo is 24 days old, five
mesenchymal prominences can be recognized:
• The mandibular prominences (first
pharyngeal arch), caudal to the stomodeum
• The maxillary prominences (dorsal portion
of the first pharyngeal arch), lateral to the
stomodeum
• The frontonasal prominence, a slightly
rounded elevation cranial to the stomodeum.
front nasal
Maxillary
mandible
Moamer Gabsa - Development of head and neck 7
Oral cavity development cont…
• The primitiveoral cavity, or stomodeum, is lined
by stratified squamous epithelium called the oral
ectoderm or primitive oral epithelium.
• The oral ectoderm contacts the endoderm of the
foregut to form the buccopharyngeal membrane.
• At about the 27th day of gestation this membrane
ruptures and the primitive oral cavity establishes a
connection with the foregut.
Development of oral tissues – Moamer Gabsa
Oral cavity development cont…
10.
• Most ofthe connective tissue cells
underlying the oral ectoderm are of neural
crest or ectomesenchyme in origin.
• These cells are thought to instruct or
induce the overlying ectoderm to start
tooth development, which begins in the
anterior portion of what will be the future
maxilla and mandible and proceeds
posteriorly.
Development of oral tissues – Moamer Gabsa
Oral cavity development cont…
Tooth formation
• Firstsigns of formation at day 11
• Thickening of the epithelium where
tooth formation will occur, on the
1st branchial (pharyngeal) arch
• More than 90 genes have been
identified in the oral epithelium,
dental epithelium and dental
mesenchyme.
Development of oral tissues – Moamer Gabsa
13.
Stages of toothdevelopment
(Odontogenesis)
• Initiation stage – 6th to 7th week
• Bud stage – 8th week
• Cap stage – 9th to 10th weeks
• Bell stage – 11th to 12th weeks
• Apposition stage – varies per tooth
• Maturation stage – varies per tooth
Development of oral tissues – Moamer Gabsa
• Involves thephysiologic process of induction.
• Induction of ectodermal tissues by the developing
mesenchyme
• Mechanisms remain unknown
• At the 6th week the stomodeum is lined with
ectoderm (outer portion) ( oral epithelium)
• Oral epithelium that cover stomodeum gives rise
to the primary epithelial bands
• Also is a developing mesenchyme which contains
neural crest cells that have migrated to the area
of stomodeum.
• The developing oral epithelium and mesenchyme
separated by basement membrane.
Development of oral tissues – Moamer Gabsa
Initial stage
16.
The initiation oftooth formation starts
around the 37th day of gestation.
- Primary epithelial bands (PEB):
is a horseshoe-shaped bands that appear
approximately around the 37th day of
development, one for each jaw.
- There are two subdivisions of PEB:
Vestibular lamina and Dental lamina
- The dental lamina grows deep into the
mesenchyme , develops in the future spot
for the Dental arches and the ingrowths
represent the future sites for each deciduous
tooth.
- The vestibular lamina cells rapidly
enlarge and then degenerate and forms a cleft
that becomes the vestibule of the oral cavity
Development of oral tissues – Moamer Gabsa
Initial stage
• This stageis marked by the incursion of
epithelium into the mesenchyme and it
is a period of extensive proliferation
and growth of the dental lamina forms
into tooth buds or oral masses that
penetrate into the mesenchyme
• Each tooth bud is surrounded by the
mesenchyme and separated by
basement membrane.
• buds + mesenchyme develop into the
tooth germ and the associated tissues of
the tooth.
Development of oral tissues – Moamer Gabsa
1. Tooth bud
2. Oral epithelium
3. Mesenchyme
Bud Stage
21.
Development of oraltissues – Moamer Gabsa
Bud Stage
Tooth bud in
upper jaw
• Simultaneous with the differentiation
of each dental lamina, round or
ovoid swellings arise from the
basement membrane at 10 different
points, corresponding to the future
positions of the deciduous teeth.
• These are the primordia of the
enamel organs, the tooth buds
Tooth bud in
upper jaw
22.
Development of oraltissues – Moamer Gabsa
Tooth Bud
Bud Stage
• In the bud stage, the enamel organ consists
of peripherally located low columnar cells
and centrally located polygonal cells .
• Many cells of the tooth bud and the
surrounding mesenchyme undergo mitosis.
• As a result of the increased mitotic activity
and the migration of neural crest cells into
the area the ectomesenchymal cells
surrounding the tooth bud condense.
• The area of ectomesenchymal condensation
immediately subjacent to the enamel organ
is the dental papilla.
• Characterized bycontinuation of the
ingrowth of the oral epithelium into the
mesenchyme.
• Tooth bud of the dental lamina proliferates
unequally in different parts of the bud forms
a cap shaped tissue attached to the
remaining dental lamina.
• This stage marks the beginning of histo-
differentiation (differentiation of tissues)
• The tooth germ also begins to take on form start
of morpho-differentiation
Development of oral tissues – Moamer Gabsa
Cap shape
Cap Stage
27.
Development of oraltissues – Moamer Gabsa
Vestibular
lamina
Dental
Organ
Cap Stage
9th week 10th week
Dental
Organ
28.
• A depressionforms in the deepest part of each tooth
bud and forms the cap or Enamel organ (or dental
organ) produces the future enamel (ectodermal
origin)
• Below this cap is a condensing mass of mesenchyme
Dental papilla produces the future dentin and pulp
tissue (mesenchymal origin)
• The basement membrane separating the dental organ
and the dental papilla becomes the future site for the
Dentinoenamel junction (DEJ)
• Remaining mesenchyme surrounds the dental/enamel
organ and condenses to form the Dental sac or the
Dental follicle
Development of oral tissues – Moamer Gabsa
Cap Stage
29.
• Together theenamel organ +
dental papilla + dental follicle is
considered the developing Tooth
germ.
• These germs are found in the
developing dental arches and will
develop into the primary dentition.
Development of oral tissues – Moamer Gabsa
Cap Stage
• Continuation ofhistodifferentiation and
morpho-differentiation (Early stage)
• Cap shape then assumes a more bell-like
shape
• Differentiation produces four types of
cells within the enamel organ
1. Inner enamel epithelium
2. Outer enamel epithelium
3. Stellate reticulum
4. Stratum intermedium
Development of oral tissues – Moamer Gabsa
Bell Stage
34.
• The dentalpapilla undergoes
differentiation and produces two
types of cells
1. Outer cells of the DP forms the dentin-
secreting cells (odontoblasts)
2. Central cells of the DP forms the
primordium of the pulp
• Dental sac/follicle increases its
collagen content and differentiates
at a later stage than the EO and DP
Development of oral tissues – Moamer Gabsa
DP: dental papilla
EO: enamel organ
Bell Stage
Histo-differentiation of theEnamel organ
• At early stage of bell stage the enamel organs
cell are differentiate into:
1. Inner enamel epithelium
2. Outer enamel epithelium
3. Stellate reticulum
4. Stratum intermedium
Development of oral tissues – Moamer Gabsa
37.
• Outer enamelepithelium (OEE)
• Cuboidal cell
• Protective barrier during enamel
production
• Other name outer dental epithelium
• Inner enamel epithelium (IEE)
• Short columnar cells
• Differentiates into the enamel secreting
cells Ameloblasts
• Separated from the dental papilla below
it by a basement membrane
• Other name inner dental epithelium
• The IEE and OEE are continuous the Region
where they connect curved rim of the enamel
organ called cervical loop
Development of oral tissues – Moamer Gabsa
Cervical loop
IEE
OEE
Histo-differentiation of the Enamel organ
38.
• Stellate reticulum
•Star-shaped cells in many layers
• Center of the enamel organ
• Forms a network (Reticulum)
• Supports production of enamel
• Stratum intermedium
• Inner layer of compressed flat to
cuboidal cells
• Supports production of enamel
Development of oral tissues – Moamer Gabsa
Histo-differentiation of the Enamel organ
39.
Development of oraltissues – Moamer Gabsa
Histo-differentiation of the
Enamel organ
• The dentalpapilla is separated from the enamel
organ by a basement membrane
• Immediately below this BM is a region called the
acellular zone this is where the first enamel
proteins will be laid down
• The dental lamina begins to break up into
discrete islands of epithelial cells (epithelial
pearls) that separates the oral epithelium from
the developing tooth.
• The inner enamel epithelium completes its
folding and you can begin to identify the shape of
the future crown pattern.
Development of oral tissues – Moamer Gabsa
Late Bell Stage- early crown formation
42.
• The cellsin the center of the
enamel organ begin to synthesize
and secrete GAGs
(glycosaminoglycan's)
• This pulls water into the enamel
organ, Increasing amount of fluid
in the enamel organ forces the
central cells apart
• However, they remain connected
via cellular processes which
makes them star shaped stellate
reticulum .
B = inner dental epithelium (inner enamel epithelium)
Development of oral tissues – Moamer Gabsa
Late Bell Stage
Cap and Bellstages & Permanent
teeth ( Successedenous )
Development of oral tissues – Moamer Gabsa
46.
• During thecap stage the development
of the permanent dentition begins
• The primordia for these teeth appears
as an extension off the developing
dental lamina
• Its site of origin is called the
successional dental lamina
• These permanent teeth are called
succedanuos teeth (anterior teeth and
the premolars) teeth that form with the
primary tooth buds (primary
predecessors)
Development of oral tissues – Moamer Gabsa
Cap and Bell stages & Permanent teeth
( Successedenous )
47.
Stages of toothdevelopment
(Odontogenesis)
• Initiation stage – 6th to 7th week
• Bud stage – 8th week
• Cap stage – 9th to 10th weeks
• Bell stage – 11th to 12th weeks
• Apposition stage – varies per tooth
• Maturation stage – varies per tooth
Development of oral tissues – Moamer Gabsa
48.
Appositional stage
• Itcharacterized by secretion of hard
tissues of tooth: Enamel, Dentin and
Cementum.
• These tissues are initially secreted as a
matrix that is partially calcified serves
as a framework for later calcification
• Varies per tooth
Development of oral tissues – Moamer Gabsa
49.
Stages of toothdevelopment
(Odontogenesis)
• Initiation stage – 6th to 7th week
• Bud stage – 8th week
• Cap stage – 9th to 10th weeks
• Bell stage – 11th to 12th weeks
• Apposition stage – varies per tooth
• Maturation stage – varies per tooth
Development of oral tissues – Moamer Gabsa
• Ameloblasts
• Thecells of the IEE assume a more
columnar shape or they elongate
• Differentiate into pre-ameloblasts
• The pre-ABs induce the cells of the
dental papilla to differentiate also
• Odontoblasts
• Differentiation by the mesenchyme of
the dental papilla
• Occurs after differentiation of pre-ABs
begins
• Results because the pre-ABs induce
differentiation of the mesenchymal cells
also
• After differentiation – the ODs then
start Dentinogenesis
Development of oral tissues – Moamer Gabsa
ODs : odontoblasts
ABs : Ameloblast
Ameloblasts and Odontoblasts formation
54.
• Before dentinforms – cells of the EO receive
blood supply from vessels of the dental lamina
• As dentin forms, it cuts of this papillary
source of blood/nutrients
• This causes a drastic reduction in the amount
of nutrients that reach the EO
• But the ABs require extensive nutrients to
form enamel – stellate reticulum collapses and
invagination of the OEE – this brings in blood
supply from peripheral vessels found outside
the tooth
Development of oral tissues – Moamer Gabsa
OEE :outer enamel epithelium
EO : enamel organ
Ameloblasts and Odontoblasts formation
• Takes placeas the crown is
completely shaped and the tooth
begins to erupt
• Therefore the tooth forms from the
“top down” – i.e. crown to root
• Root formation is through the
formation of a cervical loop
• The CL is the most cervical portion of
the enamel/dental organ – two layers
consisting of IEE and OEE
• the CL begins to grow down into the
dental sac
• it forms a Hertwig's root sheath
Development of oral tissues – Moamer Gabsa
CL: cervical loop
ROOT Formation
58.
A, The rootis beginning to form as an extension of the inner and outer dental epithelia in the cervical
loop region (circles) which form a bilayered structure called Hertwig’s epithelial root sheath.
B. Formation of dentin by odontoblasts above the root sheath
Development of oral tissues – Moamer Gabsa
59.
• Grows downto encompass all but
the basal portion of the pulp
• This sheath shapes the root and
induces dentin formation in the
root area by the ODs of the dental
papilla
• This sheath lacks the stellate
reticulum and stratum
intermedium
• Is capable of differentiating into
ODs BUT NOT ABs
Development of oral tissues – Moamer Gabsa
ODs : odontoblasts
ABs : ameloblasts
ROOT Formation
• The rootof the tooth is composed by dentin
and cementum
• Dentin forms when the outer cells of the dental
papilla are induced to differentiation into ODs
• Similar to what occurs at the crown area
• Influenced by Hertwig’s root sheath
• The ODs then undergo Dentinogenesis and
secrete predentin
• After dentin formation – the BM disintegrates
along with the Hertwig’s sheath
Development of oral tissues – Moamer Gabsa
ABs : ameloblasts
ODs : odontoblasts
BM : basement membrane
Root Dentin
62.
Cementum and Pulpformation
Development of oral tissues – Moamer Gabsa
63.
• Cementogenesis inthe root area also occurs upon degradation of the H. root
sheath
• The degradation allows contact of the dental sac cells with the dentin surface –
induces the formation of cementoblast cells
• The CBs cover the root dentin and undergo Cementogenesis – laying down
cementoid
• Only upon mineralization of the cementoid can it be called cementum
• The region of contact between cementum and root dentin = dentinocemental
junction or DCJ
• While the cementum is forming - the central cells of the dental papilla form the
pulp
Development of oral tissues – Moamer Gabsa
CBs : cementoblast
Cementum and Pulp formation
• The surroundingtissues of the tooth also
develop as the crown and root form
• The mesenchyme of the dental sac condenses to
form the periodontal ligament
• Forms adjacent to the new cementum
• Ends of these fibers insert into the outer layer of
cementum and surrounding alveolar bone
• The cells of the disintegrating H. root sheath
develop into discrete islands of epithelial cells
• Become epithelial rests of Malassez
• Unknown function
• They can be identified in the periodontal
ligament and are responsible for the
development of radicular cysts.
Development of oral tissues – Moamer Gabsa
Periodontal ligament formation
66.
Multirooted teeth
• Anteriorteeth, premolars and molars
all begin as a single root – root trunk
• Root of the posterior teeth divides
from the trunk into the correct
number of root branches
• Differential growth of the H. root
sheath results in the division of the
root trunk into two or three roots
Development of oral tissues – Moamer Gabsa
• Entire primarydentition initiated
between 6 and 8 weeks of embryonic
development.
• Successional permanent teeth initiated
between 20th week in utero and 10th
month after birth
• Permanent molars between 20th week in
utero (first molar) and 5th year of life
(third molar)
Development of oral tissues – Moamer Gabsa
Timetable for tooth development