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    Amelogenesis

    Professor Dr Maha M F Mounir

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    Dentinogenesis occurs prior to

    amelogenesis

    Soon after the deposition of

    the first layer of dentin (mantle

    dentin), odontoblasts express

    MMPs to digest the basementmembrane to allow E & D

    matrices & their respectivemineral phases to come onto direct contact

    a strong mechanical bond is

    formed between E & D

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    Stages of ameloblastic diffrentiation

    & formation of enamel

    1. Morphogenic stage

    2.Organization & differentiation stage

    3. Formation stage

    4. Apposition stage 5. Secretory stage

    6. Early & late maturation stage 7. Protection stage

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    Matrix formation

    Cells of IEE begin todifferentiate into

    ameloblasts, theyelongate & their nuclei

    shift Distally (away

    from DP), & thecytoplasm becomes filled

    with organelles neededfor synthesis &

    secretion of enamel

    proteins

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    First formed enamel- rodless enamel

    The proximal end of the newly

    formed ameloblast (near the DP)Is still flat. The ameloblast start

    to synthesize & secrete enamelproteins (matrix) against the

    newly mineralized mantle dentin

    Fine hydroxyapatite crystalsbecomes packed perpendicular to

    ameloblastss flat proximal end rodlessE

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    Secretory Phase of ameloblast

    ameloblast cell

    lengthen,

    proliferation ofRER+ redistribun

    of cellularOrganelles i.e;

    basal migration of

    nucleus & apical

    migration of Golgi

    (Polarization )

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    Secretory Phase of ameloblast

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    After this first rodless E layer is formed, the

    ameloblasts migrate away from dentin surface

    which permits the

    formation of conicalprojections called Tomes

    Processes( separatedFrom the cell body by

    Junctional complex).

    Saw-toothed appearance.

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    Enamel formation & maturation The formation of enamel & dentin matrices

    occurs nearly simultaneously. Following the deposition of a layer of

    aprismatic (rodless) enamel, ameloblastsdeposit enamel in the form of rods or

    prisms that become highly mineralized.

    This is followed by enamel maturation

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    TP divided into 2 parts

    1.Proximal part; contactsadjacent amelobls A, takes

    Place earlier & results in theformation of E matrix wall.

    These walls enclose a pit

    into which the slopping--2.Distal interdigitating

    part fills(the pit)with matrix;surrounded by or

    interdigitates with enamel

    B

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    Tomes processes The Tomes process

    fits in the pit forming the

    enamel rod growth zone,

    while the edges of theTomes process corres-

    ponds to rod sheath &inter-rod enamel

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    Enamel maturation Ameloblasts function to resorb much of the

    water & organic matrix from enamel inorder to provide space for the growing

    enamel crystals.

    Hydroxyapatite crystals in enamel

    increase in size, which results in enamel

    being formed of 96%mineral, & 4%organic material + water.

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    The arrangement of ameloblasts with their

    Tomes process results in the formation of

    enamel rods.

    A 4 fold increase in the size of crowns

    occurs from the start of initiation until

    completion of hard tissue deposition. Thisincrease is accomplished by cell division,

    then incremental deposition i.e. ameloblast

    first forms an increment of organic matrix,that later mineralizes. As daily increments of

    organic matrix form, the adjacent earlier-

    formed increment mineralizes. Enamel & dentinal matrices form by

    incremental deposition of about 4$m of

    matrix daily

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    incremental deposition of

    enamel

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    Life cycle of ameloblast The process of amelogenesis is a series of

    successive stages of proliferation,differentiation, secretion & maturation.

    The formation of enamel & dentin matrices

    occurs nearly simultaneously

    The tooth follicle develops around the

    tooth & eventually gives rise to thesupporting structures.

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    Enamel rod & rodless enamel

    (prismless)

    When enamel secretion

    occurs along a flat secretory

    front, during the initial & final

    secretion of enamel, there areno orisms in the enamel

    When enamel secretion occursby fully developed secretory

    ameloblast with Tomes process,

    enamel rods are formed.

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    Enamel cuticle

    Completed crownsin crypts have a

    cuticle formed on

    the surface of

    enamel for

    protection

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    Thank you