Transcript for:
Understanding Dentinogenesis and Tooth Formation

Dentinogenesis is the processes of formation  of dentin. And its formation is carried out   by cells called Odontoblasts. Dentin is the  calcified tissue which forms the bulk of tooth,   whereas the odontoblasts are  the present in pulp and there   processes extend through the thickness  of dentin called odontoblastic processes.  If we take a look at the chronology of teeth,  formation of primary dentin begins just before   the beginning of enamel formation, then  it continues even after tooth eruption   and ends with root completion. However,  now the secondary dentin formation begins,   which continues during the whole life span of  the tooth and ends only when the tooth dies.  Differentiation of Odontoblasts. The dentin of a tooth can be divided   into two part, dentin in the crown  called coronal dentin and dentin in   the root the root dentin. Let us first see how  odontoblasts of the coronal dentin are formed.  During tooth development, in the enamel organ,  the cells of the inner enamel epithelium are   separated from the cells of the dental papilla by  a 'cell free zone'. The cells of the inner enamel   epithelium then transform into Ameloblast. During the life cycle of Amelobalsts,   as the cells enter the Organizing stage they  become tall columnar. This eliminates the cell   free zone and the Ameloblasts now come in direct  contact with the cells of the dental papilla.  The Ameloblasts then release signalling  molecules and growth factors because of which   the undifferentiated cells of the dental  papilla, differentiate in to Odontoblasts.  Odontoblasts are tall columnar cells, around  7 microns in diameter, 40 microns in length   and with nucleus positioned  towards the dental papilla.  Now the differentiation of root dentin  odontoblasts. This also occurs during   tooth development but at a later stage after the  formation of Hertwigs Epithelial Root Sheath.   Hertwigs epithelial root sheath is a  bilaminar layer made of inner enamel   epithelial cells and outer enamel epithelial  cells. It is this sheath which releases   signalling molecules and growth factors to the  undifferentiated cells of the dental papilla   and differentiate them in to Odontoblasts. Formation of odntoblastic processes.  This is a unique feature of Dentinogensis. As  Odontoblasts deposit dentin and move backwards   they leave an extension of cells in  the forming dentin. As cells continue   moving backwards these extensions continue  growing in length. These cell extensions are   odontoblastic processes, which extend from  odontoblasts to the dentino enamel junction.  So, till now we have studied about the  formation of odontoblasts and formation of   odontoblastic processes. let us now study about  the formation of the calcified part of dentin.  Dentinogenesis occurs in two steps. Step 1 is formation of organic   matrix. Step 2 is mineralization. First the formation of organic matrix.  The organic matrix is made of proteins, of  which collagen forms 90%. In this collagen,   majority is formed by type 1 collagen and small  amount by type 3 collagen and type 5 collagen.   In non collagenous proteins there are,  denitn phosphoprotein (DPP), dentin   sialoprotein (DSP), dentin glycoprotein (DGP),  dentin matrix protein (DMP-1). The odontoblasts,   release all these proteins into the stroma. A scaffold is formed by collagen type 1 which   accommodates large portion of minerals.  Whereas, The non collagenous proteins,   regulate this mineral deposition. They may act  as an inhibitor or promoter of mineralization.  Predentin. As odontoblasts start formation of dentin,   the first layer that is deposited,  the layer nearest to the odontoblast   is made only of organic matter, called  PREDENTIN. It has no mineral deposition as yet.   It is similar to the organic layers  seen in other mineralized tissues.   So, as Dentinogensis goes on, this predentin layer  will always be present. No   matter if its the primary dentin formation,  secondary dentin formation or tertiary   dentin formation. The zone from which mineralizaton  starts, is called the mineralization front. It is   because of the fact that, the mineralization  always lags behind organic matter formation.  Mineralization The main inorganic portion of dentin   is formed by the hydroxyapetite crystals. They are about 3nm wide and 100nm long.   These crystals are larger than the ones present  in bone but way smaller than the ones in enamel.  Mineralization mainly occurs by matrix  vesicles. In which, Odontoblasts release   membrane bound vescicles, into the organic  matrix, they are 25nm to 250 nm insize,.   They contain hydroxyapetite crystals, calcium  ions phospholipids and many such chemicals which   initiate and promote mineralization. There are 2 patterns of mineralization-   Globular or Calcoshperic pattern and Linear  pattern. Globular pattern is mostly seen in   in coronal dentin, near mantle dentin. Linear  pattern, more in root dentin and near the pulp.   The rate of mineralization is faster in  globular pattern than in linear pattern.  In Globular mineralization the Odontoblasts  deposit the hydroxyapatite crystal in several   areas of collagen matrix. These crystals  then grow centrifugally with deposition   of more minerals. Eventually these enlarging  globules fuse to form a single mineralized mass.   In case, there is hinderance in the fusion  of these globules, the produced hypocalcified   areas are called interglobular dentin. In linear mineralization the crystals   get deposited along the collagen fibers. These  crystals fuse together early, at a smaller size,   and so make the mineralization  front appear in a straight line  This was, the process of dentinogenesis in primary  dentin which is same in secondary dentin and   tertiary dentine, the difference is  only in the rate of dentinogenesis.   Secondary dentin formation is much slower  compared to primary dentin deposition.   However Rate of Tertiary dentin  formation is inconsistently rapid   due to which irregularities are  commonly seen in its structure..