MindMap Gallery Dental tissue-enamel
Dental tissue is composed of enamel, dentin, cementum and dental pulp. Enamel is a specialized epithelial tissue. This mind map summarizes the knowledge points related to enamel, and the bolded parts are the content of questions that can be asked/seen before. The oral medicine series of mind maps are study notes from oral medicine textbooks. They can be used after purchase to supplement what you have learned based on this map. Thanks for using ♥
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
enamel
enamel
A layer of hard tissue covering the surface of the tooth crown.
The thickness at the incisal edge of the incisors is about 2mm, and the thickness at the cusps of the molars is about 2.5mm, gradually becoming thinner towards the neck of the teeth.
Enamel appearance
Milky white or light yellow
The higher the mineralization, the more transparent the enamel
The enamel of deciduous teeth is less mineralized than that of permanent teeth
Baby teeth are milky white
Physical and chemical properties
The hardest in the human body
Inorganic matter accounts for 96% to 97% of the total
Enamel crystals are similar to hydroxyapatite crystals
F- makes the calcium triangle structure within the apatite crystal compact and strengthens its stability, thus enhancing its resistance to acid.
Organic matter accounts for less than 1% of the total weight
Enamel extracellular matrix protein
amelogenin
It plays an important role in crystal nucleation, crystal growth direction and speed regulation. It reaches 90% in the secretory stage of enamel development. It is mainly distributed in the crystal gap and basically disappears in mature enamel.
nonamelogenin
amelogenin
amelogenin
amelogenin
Protease
Metalloproteinase
Involved in the modification and splicing of amelogenin and non-amelogenin after secretion
serine protease
Decomposes amelogenin between mature enamel crystals to provide space for further growth of enamel crystals.
Histological features
Glaze column
An elongated columnar structure originating from the enamel-dentin junction, running through the entire enamel layer, and reaching the tooth surface.
The pits and fissures are radial
Enamel pillars are concentrated from the enamel-dentin junction to the bottom of pits and fissures
The cervical area of the near teeth is almost horizontal
The near surface 1/3 is straight and the inner 2/3 is curved
twisted glaze
The enamel pillars are more obviously twisted and bent at the incisal edges and cusps of the teeth.
Arrangement
Adjacent glaze columns are arranged head to tail.
Glaze pillar gap
There are uneven and widened gaps at the intersection of the two groups of crystals at the tail of one glaze column and the head of the adjacent glaze column.
Enamel sheath
The gaps between the glaze pillars form a clear, arc-shaped boundary on the head of the glaze pillar.
Schreger line
Observe the longitudinal grinding section of the tooth using epilight, and you can see alternating light and dark bands of varying widths, distributed in the inner 4/5 of the enamel. Changing the angle of the incident light can change the light and dark bands.
reason
The regular arrangement of glaze pillars changes in direction and causes refraction.
Unglazed column enamel
In the enamel that is first formed at the enamel-dentin boundary and in the approximately 30 μm thick enamel on the surface of most deciduous and permanent teeth, no enamel pillar structure can be seen, and the crystals are arranged parallel to each other.
reason
For those located at the enamel-dentin junction, it may be that when the ameloblasts first secrete enamel, the Tomes process has not yet formed. The surface enamel-less pillar enamel may be caused by the cessation of the ameloblast secretion activity and the shrinkage of the Toms processes.
Enamel growth lines/Ray's lines
Observe the enamel grinding disc under low power. This line appears dark brown.
In the longitudinal grinding film, the tooth cusps are arranged in a ring around the tooth cusps, and the proximal tooth neck gradually forms a diagonal line.
In the transverse grinding disc, the growth lines are arranged in concentric rings.
Enamel growth lines are intermittent lines formed by periodic changes in the growth rate of enamel, and their width and spacing vary depending on the development status.
An aggravated growth line is commonly seen on the grinding discs of deciduous teeth and first permanent molars.
reason
The enamel of deciduous teeth and first permanent molars is formed partly during the fetal period and partly after the child is born.
new line
After birth, due to environmental and nutritional changes, the development of enamel in this area is disturbed, which is called the neonatal line.
Glaze board
It is a thin plate-like structure perpendicular to the tooth surface, or stops in the enamel, or reaches the enamel-dentin junction, or extends into the dentin. The matrix there is incompletely calcified and contains a large amount of enamel protein.
Glaze panels contain a lot of organic matter, which can become a pathway for caries-causing bacteria to invade.
The enamel plates at the bottom of pits and fissures and on the adjacent surfaces of teeth are favorable channels for the development of caries.
The vast majority of glazes are harmless and can be remineralized by the deposition of mineral salts in saliva.
glaze cluster
It originates from the enamel-dentin junction and spreads toward the tooth surface, taking on the shape of a tussock. The height is 1/5~1/4 of the enamel thickness.
It is a cluster-like image formed by the overlapping projection of some glaze pillars with poor mineralization and relatively high protein content in different planes and directions.
glaze shuttle
Spindle-shaped structure located at the enamel-dentin junction
More common at the apex of teeth
Its formation is related to the expansion of the terminal end of the odontoblast cytoplasmic process through the enamel-dentin junction and being embedded in the enamel.
enamel-dentin boundary
The junction between enamel and dentin is not a straight line, but is formed by many small arcs connected
three dimensional angle
The enamel-dentin boundary is composed of many closely spaced arc-shaped pits.
Small bumps towards dentin
The concavity coincides with the morphology of ameloblast Tomb processes.
clinical significance
As we age, organic matter and other substances enter the enamel, causing its color to darken and its permeability to decrease, and enamel metabolism slows down.
Fluoride is commonly used clinically to prevent the occurrence of enamel caries
reason
F- enters the apatite crystal and will be replaced with HCO3- and OH-, etc.
Enamel crystal structure becomes more stable
Enhance the caries-resistant ability of enamel
The enamel on the occlusal surface has small spots and narrow fissures
Bacteria and food residues are easily retained in fissures and grooves and are difficult to clean, often becoming the starting point of caries.
Once caries occurs, it quickly spreads deep into the
Early sealing of fissures and grooves is helpful in preventing caries.
As age increases, the fissures and fissures gradually smooth out, and the incidence of caries in this area tends to decrease.
The arrangement of the twisted glaze enhances the shear strength of the enamel and makes it less likely to be split during chewing.
When treating caries and preparing a cavity, it is not appropriate to retain the suspended enamel that has lost dentin support.
The suspended enamel is easily broken when pressed under pressure after filling, causing cracks at the edges of the cavity and causing secondary caries.
Enamel surface acid etching is an important step before clinical resin repair, spot fissure sealing or correction with ring cementing.
A honeycomb-like rough surface is formed by partial dissolution of inorganic apatite in acid-etched enamel to enhance retention.
The degree of dissolution of the enamel surface is related to the arrangement direction of the enamel columns and crystals.
When etching unglazed column enamel, especially deciduous teeth, the etching time should be appropriately extended.
30s for permanent teeth and 60s for deciduous teeth