An erupted odontoma associated with pigmentation: a histogenetic and histological perspective.

Odontomas are hamartomatous malformations of odontogenic origin composed of all the structures that form the tooth. Pigmentation associated with odontomas is rare, with only two cases reported in the literature. The genesis of this composite malformation is attributable to the organizational failure of the developing odontogenic apparatus leading to abnormal morphodifferentiation. Although some odontomas erupt into the oral cavity, it defies the existing views of normal physiologic tooth movement thus raising questions over the use of this term. Here, we review a case of large odontoma in a 23-year-old male surfacing into the oral cavity from its intraosseous location. The unusual occurrence of melanotic pigmentation in the odontogenic epithelial rests was demonstrated by Mason Fontana special stain. The histogenesis of this unusual entity and explanation to its possible occurrence is discussed.

Gene deployment for tooth replacement in the rainbow trout (Oncorhynchus mykiss): a developmental model for evolution of the osteichthyan dentition.

Repeated tooth initiation occurs often in nonmammalian vertebrates (polyphyodontism), recurrently linked with tooth shedding and in a definite order of succession. Regulation of this process has not been genetically defined and it is unclear if the mechanisms for constant generation of replacement teeth (secondary dentition) are similar to those used to generate the primary dentition. We have therefore examined the expression pattern of a sub-set of genes, implicated in tooth initiation in mouse, in relation to replacement tooth production in an osteichthyan fish (Oncorhynchus mykiss). Two epithelial genes pitx2, shh and one mesenchymal bmp4 were analyzed at selected stages of development for O. mykiss. pitx2 expression is upregulated in the basal outer dental epithelium (ODE) of the predecessor tooth and before cell enlargement, on the postero-lingual side only. This coincides with the site for replacement tooth production identifying a region responsible for further tooth generation. This corresponds with the expression of pitx2 at focal spots in the basal oral epithelium during initial (first generation) tooth formation but is now sub-epithelial in position and associated with the dental epithelium of each predecessor tooth. Co-incidental expression of bmp4 and aggregation of the mesenchymal cells identifies the epithelial-mesenchymal interactions and marks initiation of the dental papilla. These together suggest a role in tooth site regulation by pitx2 together with bmp4. Conversely, the expression of shh is confined to the inner dental epithelium during the initiation of the first teeth and is lacking from the ODE in the predecessor teeth, at sites identified as those for replacement tooth initiation. Importantly, these genes expressed during replacement tooth initiation can be used as markers for the sites of "set-aside cells," the committed odontogenic cells both epithelial and mesenchymal, which together can give rise to further generations of teeth. This information may show how initial pattern formation is translated into secondary tooth replacement patterns, as a general mechanism for patterning the vertebrate dentition. Replacement of the marginal sets of teeth serves as a basis for discussion of the evolutionary significance, as these dentate bones (dentary, premaxilla, maxilla) form the restricted arcades of oral teeth in many crown-group gnathostomes, including members of the tetrapod stem group.

Periodontal ligament: structural and clinical correlates.

This paper reviews certain structural aspects of the periodontal ligament. These include collagen (type, crimping and fibril diameters), ground substance (functions), cells (fibroblast morphology, cell heterogenicity and distinguishing of cell phenotypes, cell kinetics, 'foetal' characteristics), nerves (presence of neuropeptides) and blood vessels (presence of fenestrations). Attention is drawn to recent advances in our understanding of the development of the periodontal ligament, especially cementum formation, and in the presence of bioactive molecules such as growth factors and cytokines.

Cellular Retinole Acid Binding Protein In the Periodontal Ligament.

As retinoic acid is an important signaling molecule during embryological development. Since periodontal tissues are thought to have fetal-like properties, the present study was to determine the presence and distribution of cellular retinoic acid-binding protein I(CRABP I) in the periodontal tissues of the rat. Following demineralization, wax sections of the molar teeth of four adult male rats were cut in a plane parallel to the molar tooth row. Five representative sections from each jaw were then processed and stained to reveal the presence of CRABP. This protein was identified by immunochemistry utilizing an affinity-purified rabbit polyclonal antibody. The IgG antibody was used at a dilution of 1 µg ml-1 and immunoreactivity detected with a kit according to protocol. Immunoreactivity was detected with diaminobenzidine and sections counterstained with hematoxylin. Results showed that virtually all the cells of periodontal ligament, the vast majority representing fibroblasts, contained CRABP. Fibroblasts in the gingiva above the level of the alveolar crest also stained positively for CRABP. The periodontal tissues of all three molar teeth were similarly affected. Fibroblasts in other regions of the oral cavity, such as the dermis of the skin of the cheek or the lamina propria of the buccal mucosa or of the diastema region, exhibited little or no staining for CRABP. Because of its properties as a signaling molecule and its ability to interact with other regulatory molecules, retinoic acid and cellular retinoic acid-binding protein may play an important role in the biology of the periodontal tissues. J Periodontol 1993;64:392-396.