Coronal Cementum and Reduced Enamel Epithelium on Occlusal Surface of Impacted Wisdom Tooth in a Human.

Dent J (Basel)

Department of Oral Pathology and Medicine Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8530, Japan.

Published: October 2024

AI Article Synopsis

  • Limited research exists on coronal cementum formation, particularly in impacted wisdom teeth.
  • A histological and analytical examination of an impacted wisdom tooth from a 46-year-old female revealed widespread coronal cementum on the enamel with connections between them.
  • Findings suggest that the presence of reduced enamel epithelium may be linked to coronal cementogenesis in impacted teeth, highlighting differences in the types of cementum formed.

Article Abstract

There is only limited research on the coronal cementum of a tooth, and the mechanisms of its forming process are not well-defined. This report presents a coronal cementum on the occlusal surfaces of enamel in an impacted wisdom tooth in a human, which is not nearly the cervical portion. The tooth (Tooth #1) was derived from a 46-year-old female. Histological analysis, including hematoxylin and eosin (HE) and toluidine blue (TB) staining, and Scanning Electron Microscopy and Energy Dispersive X-ray Spectrometer (SEM-EDS) analysis of the extracted tooth were conducted. Radiographic examination showed that Tooth #1 was horizontally impacted in the maxilla and had the apex of a single root placed between the buccal and palatal roots of Tooth #2. Coronal cementum was distributed widely on the enamel, and reduced enamel epithelium was also found with enamel matrix proteins histologically. The formation of acellular cementum was observed to be more predominant than that of the cellular cementum in Tooth #1. SEM showed that the occlusal cementum connected directly with enamel. Calcium mapping revealed an almost similar occlusal cementum and enamel. In addition, the spectrum of elements in coronal cementum resembled the primary cementum according to SEM-EDS. Thus, coronal cementogenesis in impacted human teeth might be related to the existence of reduced enamel epithelium.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593094PMC
http://dx.doi.org/10.3390/dj12110348DOI Listing

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October 2024

Department of Oral Pathology and Medicine Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8530, Japan.

Article Synopsis
  • Limited research exists on coronal cementum formation, particularly in impacted wisdom teeth.
  • A histological and analytical examination of an impacted wisdom tooth from a 46-year-old female revealed widespread coronal cementum on the enamel with connections between them.
  • Findings suggest that the presence of reduced enamel epithelium may be linked to coronal cementogenesis in impacted teeth, highlighting differences in the types of cementum formed.
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