Table of Contents
Anatomy | Development | Three phases of activity | Teeth | Ameloblasts | Cementicles | Cementum | Dental lamina | Dental pulp | Dentin | Enamel | Nests of Serres | Odontoblasts | Rests of Malassez | Drawings | Microscopic (histologic) description | Microscopic (histologic) imagesCite this page: Pernick N. Anatomy & histology. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/mandiblemaxillahistology.html. Accessed December 25th, 2024.
Anatomy
- Contain primitive embryonic structures from early fetal development to 25 years of age
- Divided into alveolar bone (supports teeth) and body with variable thickness ranging from paper thin overlying roots of cuspid (canines) and bicuspid (premolar) teeth to thick at apex of chin
- Mandible
- Receptor for lower teeth
- Consists of curved horizontal body and two perpendicular rami
- Maxillae
- Forms upper jaw, boundaries of roof of mouth, floor and lateral wall of nose, floor of orbit
- Consists of zygomatic, frontal, alveolar and palatine processes
Development
- Primitive oral cavity (dental lamina, derived from ectoderm) invaginates, acquires a bell shape, and ameloblasts develop along inner (concave) surface; called "enamel organ" at this stage
- Dental papilla, derived from mesoderm, forms within "enamel organ", is loose stellate reticulum; its outer layer matures to become odontoblasts
- Dental sac or follicle forms from outer layer of dental papillae / odontoblasts, which form periodontium, a fibrous sheath enveloping the tooth
- Inner layer of dental sac becomes cementoblasts and deposit cement over newly formed dentin, and outer layer of dental sac becomes osteoblasts and produces alveolar bone
Three phases of activity
- Initiation of entire deciduous dentition (first set of teeth) during second month of gestation (above)
- Initiation of permanent dentition (second set of teeth) and extension of dental lamina distal to dental organ of second deciduous molar
- After 5 - 6 years of activity, dental lamina breaks up into epithelial rests or islands that may develop into odontogenic cysts or tumors
Teeth
- From medial to lateral:
- Incisors
- Canines (cuspids)
- Premolars (bicuspids)
- Molars
Ameloblasts
- Also called adamantoblasts
- Secrete enamel matrix
Cementicles
- Rounded, strongly basophilic structures normally within periodontal ligament
Cementum
- Similar to bone, cellular or acellular, intensely basophilic
- Also present in other parts of skeletal system
Dental lamina
- Epithelium with potential to develop teeth
- Derived from primitive oral epithelium along free margin of arches of jaws
Dental pulp
- Hypocellular, myxoid
- Resembles myxoma but is compact and has peripheral odontoblasts
Dentin
- Radially striated due to numerous minute canals (dentinal tubules) containing cytoplasmic processes from odontoblasts
- Resembles osteoid if tubules / canals are absent
Enamel
- Thin rods or prisms separated on cross section by concentric lines of Retzius
Nests of Serres
- Nests of ameloblasts, cementoblasts and odontoblasts located in alveolar mucosa, due to breakup of dental lamina
Odontoblasts
- Form dentinal matrix
Rests of Malassez
- Nests of ameloblasts, cementoblasts and odontoblasts embedded within periodontium
Drawings
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Microscopic (histologic) description
- Composed of outer enamel adjacent to dentin and inner pulp
- Surrounded by periodontal membrane and attached to bone by cementum