Dentinogenèse

Dentinogenesis is the formation of dentin, a substance that forms the majority of teeth. Dentinogenesis is performed by odontoblasts, which are a special type of biological cell on the outer wall of dental pulps, and it begins at the late bell stage of a tooth development. The different stages of dentin formation after differentiation of the cell result in different types of dentin: mantle dentin, primary dentin, secondary dentin, and tertiary dentin. Odontoblasts differentiate from cells of the dental papilla. This is an expression of signaling molecules and growth factors of the inner enamel epithelium (IEE). They begin secreting an organic matrix around the area directly adjacent to the IEE, closest to the area of the future cusp of a tooth. The organic matrix contains collagen fibers with large diameters (0.1-0.2 μm in diameter). The odontoblasts begin to move toward the center of the tooth, forming an extension called the odontoblast process. Thus, dentin formation proceeds toward the inside of the tooth. The odontoblast process causes the secretion of hydroxyapatite crystals and mineralization of the matrix (mineralisation occurs due to matrix vesicles). This area of mineralization is known as mantle dentin and is a layer usually about 20-150 μm thick. Whereas mantle dentin forms from the preexisting ground substance of the dental papilla, primary dentin forms through a different process. Odontoblasts increase in size, eliminating the availability of any extracellular resources to contribute to an organic matrix for mineralization. Additionally, the larger odontoblasts cause collagen to be secreted in smaller amounts, which results in more tightly arranged, heterogeneous nucleation that is used for mineralization. Other materials (such as lipids, phosphoproteins, and phospholipids) are also secreted. There is some dispute about the control of mineralization during dentinogenesis. The dentin in the root of a tooth forms only after the presence of Hertwig epithelial root sheath (HERS), near the cervical loop of the enamel organ.