Embryology Definitions
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- Name the 3 periods of pre-natal development.
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Pre-implantation
Embryonic
Fetal - When does pre-implantation occur?
- 1st week
- When is the embryonic period and what happens?
- 2nd week to the end of 8th week. Major development of body structure, cells change into tissues and organs (differentiate), and cells form systems (integrate)
- What are the 3 embryonic layers and when are they formed?
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Ectoderm
Mesoderm
Endoderm - Explain ectoderm
- Outer layer that forms the brain, spinal cord, skin and appendages, enamel, and lining of oral cavity
- Explain mesoderm.
- Middle layer that forms bones, muscles, circ. system, kidneys, ducts, reproductive system, abdominal lining, dentin, pulp, cementum
- Explain endoderm.
- Inner layer that forms the digestive system lining, lining of lungs, parts of the urogenital system.
- When does the 1st pair of brachial arches get formed?
- week 4
- What is the 1st brachial arch comprised of?
- bones, muscles, nerves, lower lip, masticatory process, anterior of alveolar process
- What is another name for the 2nd brachial arch?
- Hyoid
- What is the 2nd brachial arch, or hyoid, comprised of?
- stapes of ear, styloid process (forms base of temporal), side and front of neck, muscles of facial expression (MOBZ)
- The palate forms in 3 stages, what are they?
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Primary palate
Secondary palate
Fusion - When is the hard and soft palate differentiated?
- week 5 to 8 (primary dentin has begun, number of teeth, and arrangement)
- When is the fetal period and what happens?
- week 9 to 38. Systems continue growth, fetus is less vulnerable to malformation
- What is odontogenesis?
- The life cycle of a tooth.
- What are the 3 stages of odontogenesis?
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1. Grow
2. Calcification
3. Eruption - Explain the bud stage of tooth growth.
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-Tooth pattern is formed
-dental lamina makes curves in each arch for the buds of primary teeth
-by week 17 all 20 primary teeth are formed - Explain the cap stage of tooth growth.
- Cells increase and grow to different steps and sizes depending on the tooth
- Explain the bell stage of tooth growth.
- Epithelial cells become ameoblasts
- Peripheral cells become ________________.
- odontoblasts
- Inner cells of the dental sac become _______________.
- cementoblasts
- What is morphodifferentiation?
- the process where the basic shape and size of each tooth is established.
- What is calcification?
- The hardening of material.
- A _____ is the point where 2 developmental grooves cross over.
- Pit
- A _________ is the incomplete joining of the lobes during development.
- Fissure
- What is eruption?
- The movement of teeth into the functional position in the oral cavity.
- All teeth (primary and permanent) erupt, but only the primary teeth ___________.
- Exfoliate
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What teeth erupt at about
6 to 10 months? - Upper and lower centrals.
- What teeth erupt at 7 to 10 months?
- Lower laterals
- What teeth erupt at 9 to 12 months?
- Upper laterals
- What teeth erupt at 12 to 18 months?
- Upper and lower 1st molars.
- What teeth erupt at 16 to 22 months?
- Upper and lower canines.
- What teeth erupt at 20 to 32 months?
- Lower 2nd molars.
- What teeth erupt at 24 to 32 months?
- Upper 2nd molars.
- What teeth exfoliate at 6 to 7 years?
- Upper and lower centrals.
- What teeth exfoliate at 7 to 8 years?
- Upper and lower laterals.
- What teeth exfoliate at 9 to 11 years?
- Upper and lower 1st molars.
- What teeth exfoliate at 9 to 12 years?
- Lower canines.
- What teeth exfoliate at 10 to 12 years?
- Upper canines and upper and lower 2nd molars.
- What teeth erupt at 6 to 7 years?
- Upper and lower 1st molars and lower centrals.
- What teeth erupt at 7 to 8 years?
- Upper centrals and lower laterals.
- What teeth erupt at 8 to 9 years?
- Upper laterals.
- What teeth erupt at 9 to 10 years?
- Lower canines.
- What teeth erupt at 10 to 12 years?
- Upper and lower 1st and 2nd pre-molars.
- What teeth erupts at 12 to 13 years?
- Upper and lower 2nd molars and upper canines.
- What teeth erupt at 17 to 21 years?
- Upper and lower 3rd molars. (wisdom teeth)
- What are succedaneous teeth?
- Permanent teeth that replace the primary teeth.
- What are the non-succedaneous teeth?
- 1st, 2nd, and 3rd upper and lower molars.
- What is micrognathia?
- An abnormally small jaw. (usually results in a Class 2 occlusion)
- What is macrognathia?
- An abnormally large jaw. (usually results in a Class 3 occlusion)
- What is microdontia?
- Abnormally small teeth.
- What is macrodontia?
- Abnormally large teeth.
- What are supernumary teeth?
- Teeth in excess of 32.
- What is dens in dente?
- "Tooth within a tooth" (a cluster of enamel and dentin in the pulp)
- What are pegged-shaped associated with?
- Also known as Hutchinson's Incisors. Associated with maternal syphillis.
- What is fusion?
- When the dentin and enamel of one tooth are joined with 2 or more = reduced number of teeth in the arch.
- What is gemination?
- When a tooth bud tries to divide and when it fails, the result is an incisal notch.
- What is amelogenesis imperfecta?
- Defects in the enamel formation formation (hereditary)
- Define hypocalcification.
- Incomplete hardering of the enamel.
- Define attrition.
- The normal wearing away of tooth structure. The first sign of attrition is the wearing of mamelons.
- Define abrasion.
- Abnormal wearing of teeth.
- Define impaction.
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Tooth remains unerupted.
Causes:
-premature loss of baby teeth
-developing tooth shifts horizontally
-teeth shifts because of other tooth in space or lack of jaw space or large crowns. - Define bruxism.
- Involuntary grinding or clenching of teeth.
- What is erosion?
- Wearing of lingual surfaces caused from stomach acids; usually seen in those with bulimia.
- What can various head/neck infections be caused by?
- Orofacial piercings.
- Define exostoses.
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Also known as tori or torus.
In plate - torus palatinus
Lower lingual - torus mandibularis (near the premolar/molar area)
Both are benign bony overgrowths. - Describe cleft lip.
- When the maxillary and medial nasal processes do not fuse.
- Describe cleft palate.
- When the palatal shelves do not fuse with the primary plate (incisive papilla area)
- Describe cleft uvula.
- Covered with mucous membrane and looks like a bony projection in the center or middle of the hard palate.
- Define ankylglossia.
- "tongue-tie" A short lingual frenum is extended to the tip (apex) of the tongue.
- Define glossitis.
- General term for inflammation of the tongue.
- Describe pernicious anemia.
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The body is not able to absorb vitamin B12 (ie seafood, meats, milk)
S&S: anemia, pallor, fatigue, nausea, diahhrea, abdominal pain, loss of appetite. - Define fissured tongue.
- Tongue appears to have deep grooves on dorsum. May be caused from vitamin deficiency or chronic trauma.
- What is a geographic tongue?
- Loss of filiform papillae. Results in smooth patches. More common in women.
- Define black hairy tongue.
- After antibiotics, papillae are elongated (due to oral flora imbalance)and become stained with food, tobacco, etc.
- What is atrophic candidias?
- After broad spectrum of antibiotics, mouth feels like its been burned; antifungal therapy should clear it in 14 days.
- Define candidias (of soft tissue)
- Most common oral-fungal infection. Initial clinical manifestation in pts with AIDS.
- What is morphology?
- The study of the shape and form of teeth.
- Which tooth has the longest root?
- Cuspids (also known as canines)
- Name the 5 tooth surfaces.
- Occlusal (incisal)vestibular, labial, facial), lingual, mesial, distal
- Where is the greater palatine foramen?
- On either side of the soft palate.
- Where is the incisive foramen?
- Under the incisive papilla.
- What is histology?
- The study of the structure and function of the teeth and oral tissue.
- Describe the crown of the tooth.
- Dentin and pulp covered by enamel.
- Describe the root.
- Has dentin and pulp covered by cementum.
- What is the anatomic crown?
- Part of the tooth that is covered by enamel.
- What is the clinical crown?
- Part of the tooth that is visible.
- The root is usually embedded in the _________ ___________.
- alveolar process
- What is bifurcation and trifurcation?
- Bifurcation is the division into 2 roots. Trifurcation is the division into 3 roots.
- Define apex.
- The tapered end of each root.
- Where is the apical foramen?
- At the opening of each root apex.
- Define the periapical area.
- Consists of anything surrounding the apex.
- Name the tissues of the tooth.
- Enamel, dentin, pulp, cementum
- Describe enamel.
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-makes up the anatomic crown
-hardest material in the body
-crushing strength of 100,000 psi.
-formed by ameloblasts
-96-99% inorganic, 1-4% organic
-composed of prisms (enamel rods) - Describe dentin.
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-makes up bulk of tooth
-covered by enamel on the crown and cementum on the root.
-supports the enamel
-formed by odontoblasts
-contain dental tubules
-capable of continued growth and repair - What are the types of dentin?
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Primary-formed before eruption
Secondary-formed after eruption and continues slowly
Tertiary-reparative, formed in response to irritation - Describe pulp.
- -inner portion of the tooth pulp chamber
- Define coronal pulp.
- Pulp that is in the crown.
- Define radicular pulp.
- Pulp in the root portion. Made up of nerves and blood vessels.
- What are fibroblasts?
- Cells that form the pulpal tissue
- Describe cementum.
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-rigid (bone-like) connective tissue
-covers the root
-NOT shiny
-formed by cementoblasts - What is the difference between osteoclasts and osteoblasts?
- Clasts resorb bone and blasts build bone.
- What is the periodontium divided into?
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Attached apparatus (cementum, alveolar process, and periodontal ligaments)
Gingival unit (lining mucosa, masticatory mucosa, and specialized mucosa)