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    DR. SAMIHA J. SAMARA

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    At bell stage of tooth development4 distinct layers is observed :

    1. Outer enamel epithelium

    2. Stellate reticulum

    3. Stratum intermedium

    4. Inner enamel epithelium

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    - uboidal

    cells- !ighly

    vasculari"ed

    - Has villi,

    cytoplasmicvesicles andnumerousmitochondria

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    - Star shaped cells with long processesseparated yintercellularsustance

    - Renders the enamelorgan elastic andresistant to

    physical !orces thatmay disturamelogenesis

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    - #lat andcuboidal cells

    - ontrols fluiddiffusion intoand out o!amelolasts and

    contriution o!!ormativeelements oren"ymes

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    - olumnarshaped cells

    - Di!!erentiatesintoameloblast

    that actuallyproducesenamel

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    - #here the outer and

    inner enamelepithelium meet at

    the rim o! the enamel

    organ

    - uboidal cells thatelongates to !orm the

    !ert$ig%s epithelial

    root sheath

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    1. &orphologic

    2. Organi"ing

    3. #ormative

    4. &aturative'. (rotective

    ). *esmolytic

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    - +o$ columnar cells with large centrallylocated nucleus

    - $olgi apparatus andcentrioles are atpro,imal portion o!cells

    - Separated !rom dental

    papilla y delicate basallamina

    - Amelolast receivenutrients !rom dentalpapilla

    pro%imal

     distal

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    - *ifferentiation o!

    odontolasts andamelolasts

    - -eversal offunctional polarity

    - -eversal ofnutritional source

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    - mutual interaction etween enamel anddentin

    - &rganelles are active

    !or secretion- Amelolasts migrate

    away !rom D'J asenamel matri, is laid

    do$n and has a luntprocess on thepro%imal end (omes process

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    - &inerali"ation stage- Starts a!ter !ull thic)ness o!

    enamel has een laid down- Development o! microvilli/

    numerous vacuoles andstriated border  at thepro%imal ends o!amelolast

    - * processes in !ull

    minerali"ation+. removal o! water andorganic material*. addition or deposition o!inorganic material

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    - ormation o! -00reduced enamelepithelium from O00

    and I00- R'' separates mature

    enamel !orm surroundingconnective tissue as

    tooth erupts- rea) in R'' may

    produce anomalies in theenamel

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    - R'' produceen"yme to destroyconnective tissueas tooth erupts

    - #usion of -00and oral

    epithelium

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    1. 0namel matri, formation2. &inerali"ation and

    maturation

    1st stage

    2nd stage

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    - Starts after thin layer ofdentin is formed

    1. *entinoenamel membrane

    2. omes processes

    3. *istal terminal bars

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    1st stage

    - Immediate partialminerali"ation

    - 2''5 o! mineral content isdeposited down as theenamel is laid down

    2nd stage

    - &aturation stage

    - /ompletion o! minerali"ation

    - urther decrease o! inorganic

    content

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    . actors that can disturb enamelformations 0systemic diseases, nutritionalde!iciencies, endocrinopathies, !erile

    diseases and chemical into%ications1- maye in a !orm o!+

    !6(O(+ASIA ( disturance in enamel

    matri% !ormation!6(OA+I#IAIO7 ( lac)ing orincomplete maturation

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    Maye +

    +OA+

    &8+I(+0S6S0&I

    !0-0*IA-6

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    2. 0,cess of fluoride content in the

    enamel $ill cause fluorosis that maymanifest as a moth eaten appearance inthe enamel.

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    3. etracycline may also producediscoloration of enamel and dentin.

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    07A&0+

    'mryology tissue ectoderm

    /ells in mature tissue noneormative cells amelolasts

    Degradative cells odontoclasts

    &rganic matri% 'namelin, amelogeninsMineral Apatite 234

     Aility to repair 5o repair, reminerali"ation

    Sensitive 5oIncremental lines Ret"ius, neonatal line

    lood supply avascular  

     Age change 6oss o! tissue, increase stain