enamel is the _______ calcified tissue in the human body
hardest
is enamel radiolucent or radiopaque
radiopaque
why is enamel so radiopaque
because its so calcified
enamel has no ______ or ______ _______
nerves
blood vessels
what is the chemical equation for calcium hydroxyapatite
Ca10(PO4)6(OH)2
enamel is _____-_____ but looks ______ because of underlying dentin
bluish-white
yellow
what is the secretory surface of the ameloblast?
tomes' process
what dictates the shape of each pillar aka _____ ____ of enamel?
Tomes' Process
enamel rods
what is the shape of the enamel rods?
hexagonal
the matrix is first formed at the ______ and laid in waves until it gets to the ______
incisal
CEJ
what pumps hydroxyapatite into the matrix?
ameloblasts
where does the ameloblast pump hydroxyapapatite from?
the blood stream
similar to ______ mineralization starts at the _____ and moves to the _____
appostition
incisal
CEJ
after the tooth erupts what mineralizes the tooth?
fluoride
calcium ions in saliva
why don't the ameloblasts mineralized the tooth after eruption?
they aren't present after eruption
what is the crystalline structural unit of enamel?
enamel rodes
rodes extend _______ to the DEJ
perpendicular
the space between each enamel rod?
interpreismatic region
where does the stain collect?
interprismatic region
what used to be the basement membrane that formed the battle lines for dentin and enamel?
dentinoenamel junction
what are the four types of incremental lines?
lines of retzius
imbrication lines
perikymata
neonatal line
what is the incremental line that shows that enamel is secreted cyclically
lines of retzius
what are the lines of retzius
incremental lines showing that enamel is secreted cyclically
what type of lines are the raised scale like pattern of enamel?
imbrication lines
what are the grooves between each imbrication line?
perikymata
what is an accentuated incremental line because of the trauma at birth?
neonatal line
what is the darkest line when looking at the tooth microscopically?
neonatal line
what are odontoblasts that crossed the basement membrane and get stuck in the forming enamel?
enamel spindles
t/f enamel spindles are asymptomatic.
true
what are small dark brushes with their bases near the DEJ
enamel tufts
t/f enamel tufts don't crystallize correctly and are asymptomatic
true
what are partially calcified enamel sheets that extend from the DEJ to the occlusal surface
enamel lamellae
t/f enamel lamellae are narrower and longer than enamel tufts and are asympotmatic
true
what is the wearing away of enamel caused by tooth to tooth contact and can be caused by normal occlusion or grinding
attrition
what is the wearing away of enamel caused by non tooth contact. usually caused by hard toothbrushing and abrasive toothpastes
abrasion
what is the wearing away of enamel caused by chemical means usually stomach acid or beverages.
erosion
what is the deminearlization of enamel from the acidic byproducts of cariogenic bacteria and occures when pH is less than 5.5
caries
at what pH do you get caries?
5.5
what is it called when enamel just breaks away at the cervical margin of the tooth and may be caused by tensile or compressive forces during tooth flexure
abfraction
why do we do sealants?
to create a barrier so bacteria cannot penetrate the pit or groove
how are deep pits or grooves formed?
while laying down the matrix, the ameloblasts backed into each other and it cut off their nutritional supply, this created incomplete enamel
t/f both ameloblasts die off when a deep pit or groove is formed?
true
this incomplete _____ is a ____ or _____ in the tooth and is too ______ for your toothbrush bristles but _____ enough for bacteria
enamel
pit or groove
small
large
a pit or groove is large enough for_____
bacteria
what does the bacteria do when it passes through the gaps in enamel?
starts to demineralize the less calcified dentin and pulp beneath
what does systemic fluoride help with?
helps form stronger crystalline structures while teeth develop
what does topical fluoride help with?
remineralizes enamel after bacterial demineralization
what kind of fluoride helps to remineralize enamel after bacterial demineralization?
topical fluoride
what kind of fluoride helps to form stronger crystalline structures while teeth develop?
systemic fluoride
what is the importance of etching?
removes some of the organic portions of enamel to open gaps in the enamel so that the sealant material can flow in and increase surface attachment
sealants are a ______ attachment
mechanical
what kind of product bleaches out stain?
peroxide
where does the bleach out stain?
interprismatic region
t/f bleach can reach all the way to the dentin?
true
why do the teeth become sensitive if the bleach reaches to the dentin?
dentinal tubules communicate directly with pulp
what is something that can be used to close the pores from bleaching to limit sensitivity?
fluoride
why doesn't enamel have nerves or blood vessels?
because they would hurt all the time
enamel ____ and _____ as it forms and this forms _____ like tree rings
starts
stops
lines
______ are smooth breaks vs ______ are sharp breaks