Striae of Retzius

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Tooth of a Paranthropus robustus with striae of Retzius visible on the left side SKX 21841 Recto.jpg
Tooth of a Paranthropus robustus with striae of Retzius visible on the left side

The striae of Retzius are incremental growth lines or bands seen in tooth enamel. They represent the incremental pattern of enamel, the successive apposition of different layers of enamel during crown formation.

Contents

Striae of Retzius visible on the lower incisors of a 26-year-old patient. Striae of Retzius.png
Striae of Retzius visible on the lower incisors of a 26-year-old patient.

There are 3 types of incremental lines: Daily incremental lines (cross striation), striae of Retzius and neonatal lines.

Appearance

The terminations of striae of Retzius in a canine, called perikymata. (Visible in the picture's high resolution) Frontzahn Oberkiefer 20090930 02.JPG
The terminations of striae of Retzius in a canine, called perikymata. (Visible in the picture's high resolution)

When viewed microscopically in cross-section, they appear as concentric rings. In a longitudinal section, they appear as a series of dark bands. The presence of the dark lines is similar to the annual rings on a tree. They are named after Swedish anatomist Anders Retzius.

In the longitudinal section of a tooth, these lines appear near the dentin. They bend obliquely near the cervical region. They curve occlusally near the cuspal regions or the incisal regions.

Produced during the second stage of enamel calcification, also known as the maturation stage, ameloblasts produce matrix and enamel at the rate of 4 micrometers per day; however every fourth day there is a change in development. Brownish lines, the striae of Retzius, develop as a result of a change in the growth process. Macroscopically, these lines can be seen on the labial surface or lip side of anterior or front teeth as horizontal lines on the tooth crown, also known as perikymata or "imbrication lines" . [1]

Evenly spaced Retzius lines indicate a 6- to 11-day cycle of enamel formation.

Causes

Occasional darker striae or grooves of Retzius result from systemic disturbances in the human body. For example, a fever can cause some lines to appear darker than those surrounding them. Normally, amelogenesis involves a period of enamel matrix formation and a rest period. In case of any disturbance, the rest periods are prolonged and occur close to one another. Consequently, the line of Retzius appears broader and much more prominent, often presenting a brownish colour under the microscope. The neonatal line is the darkest band, which represents the disrupted enamel formation due to the stress of being born.

It is also said to occur due to periodic bending of enamel rods.

The formation of the striae of Retzius results from a constriction of Tomes' processes when the activity of ameloblasts – cells only present in laying down enamel – is narrowed in conjunction with an increasing process of interrod enamel development. The striae of Retzius often extends from the Dental-enamel junction to the outer surface, ending in shallow pits known as perikymata.

Qualities

Lines of Retzius (think age bands like tree growth rings) – Stria (A)

Illustrations

Several diagrams and photographs of these lines (and others) appears in a document published by the Max Planck Institute for Evolutionary Anthropology on their website: [2]

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<span class="mw-page-title-main">Cementum</span> Specialized calcified substance covering the root of a tooth

Cementum is a specialized calcified substance covering the root of a tooth. The cementum is the part of the periodontium that attaches the teeth to the alveolar bone by anchoring the periodontal ligament.

<span class="mw-page-title-main">Tooth enamel</span> Major tissue that makes up part of the tooth in humans and many animals

Tooth enamel is one of the four major tissues that make up the tooth in humans and many animals, including some species of fish. It makes up the normally visible part of the tooth, covering the crown. The other major tissues are dentin, cementum, and dental pulp. It is a very hard, white to off-white, highly mineralised substance that acts as a barrier to protect the tooth but can become susceptible to degradation, especially by acids from food and drink. In rare circumstances enamel fails to form, leaving the underlying dentin exposed on the surface.

<span class="mw-page-title-main">Dentin</span> Calcified tissue of the body; one of the four major components of teeth

Dentin or dentine is a calcified tissue of the body and, along with enamel, cementum, and pulp, is one of the four major components of teeth. It is usually covered by enamel on the crown and cementum on the root and surrounds the entire pulp. By volume, 45% of dentin consists of the mineral hydroxyapatite, 33% is organic material, and 22% is water. Yellow in appearance, it greatly affects the color of a tooth due to the translucency of enamel. Dentin, which is less mineralized and less brittle than enamel, is necessary for the support of enamel. Dentin rates approximately 3 on the Mohs scale of mineral hardness. There are two main characteristics which distinguish dentin from enamel: firstly, dentin forms throughout life; secondly, dentin is sensitive and can become hypersensitive to changes in temperature due to the sensory function of odontoblasts, especially when enamel recedes and dentin channels become exposed.

<span class="mw-page-title-main">Ameloblast</span> Cells which deposit enamel during tooth development

Ameloblasts are cells present only during tooth development that deposit tooth enamel, which is the hard outermost layer of the tooth forming the surface of the crown.

Perikymata are incremental growth lines that appear on the surface of tooth enamel as a series of linear grooves. In anatomically modern humans, each perikyma takes approximately 6–12 days to form. Thus, the count of perikymata may be used to assess how long a tooth crown took to form. They may disappear as the enamel wears over time after the tooth erupts.

<span class="mw-page-title-main">Enamel organ</span> Aggregate of cells involved in tooth development

The enamel organ, also known as the dental organ, is a cellular aggregation seen in a developing tooth and it lies above the dental papilla. The enamel organ which is differentiated from the primitive oral epithelium lining the stomodeum. The enamel organ is responsible for the formation of enamel, initiation of dentine formation, establishment of the shape of a tooth's crown, and establishment of the dentoenamel junction.

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<span class="mw-page-title-main">Dental papilla</span>

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The neonatal line is a particular band of incremental growth lines seen in histologic sections of both enamel and dentin of primary teeth. It belongs to a series of a growth lines in tooth enamel known as the Striae of Retzius denoting the prolonged rest period of enamel formation that occurs at the time of birth. The neonatal line is darker and larger than the rest of the striae of retzius. The neonatal line is the demarcation between the enamel formation before birth and after birth i.e., prenatal and postnatal enamel respectively. It is caused by the different physiologic changes at birth and is used to identify enamel formation before and after birth. The position of the neonatal line differs from tooth to tooth

<span class="mw-page-title-main">Odontoblast</span> Type of cell that produces dentin in teeth

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<span class="mw-page-title-main">Dentin dysplasia</span> Medical condition

Dentin dysplasia (DD) is a rare genetic developmental disorder affecting dentine production of the teeth, commonly exhibiting an autosomal dominant inheritance that causes malformation of the root. It affects both primary and permanent dentitions in approximately 1 in every 100,000 patients. It is characterized by the presence of normal enamel but atypical dentin with abnormal pulpal morphology. Witkop in 1972 classified DD into two types which are Type I (DD-1) is the radicular type, and type II (DD-2) is the coronal type. DD-1 has been further divided into 4 different subtypes (DD-1a,1b,1c,1d) based on the radiographic features.

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<span class="mw-page-title-main">Enamel hypoplasia</span> Lack of tooth enamel

Enamel hypoplasia is a defect of the teeth in which the enamel is deficient in quantity, caused by defective enamel matrix formation during enamel development, as a result of inherited and acquired systemic condition(s). It can be identified as missing tooth structure and may manifest as pits or grooves in the crown of the affected teeth, and in extreme cases, some portions of the crown of the tooth may have no enamel, exposing the dentin. It may be generalized across the dentition or localized to a few teeth. Defects are categorized by shape or location. Common categories are pit-form, plane-form, linear-form, and localised enamel hypoplasia. Hypoplastic lesions are found in areas of the teeth where the enamel was being actively formed during a systemic or local disturbance. Since the formation of enamel extends over a long period of time, defects may be confined to one well-defined area of the affected teeth. Knowledge of chronological development of deciduous and permanent teeth makes it possible to determine the approximate time at which the developmental disturbance occurred. Enamel hypoplasia varies substantially among populations and can be used to infer health and behavioural impacts from the past. Defects have also been found in a variety of non-human animals.

In dentistry, enamel matrix derivative (EMD) is an extract of porcine fetal tooth material used to biomimetically stimulate the soft and hard tissues surrounding teeth to regrow following tissue destruction.

<span class="mw-page-title-main">Tooth discoloration</span> Medical condition

Tooth discoloration is abnormal tooth color, hue or translucency. External discoloration is accumulation of stains on the tooth surface. Internal discoloration is due to absorption of pigment particles into tooth structure. Sometimes there are several different co-existent factors responsible for discoloration.

<span class="mw-page-title-main">Pitting enamel hypoplasia</span> Presence of rounded depressions in the surface enamel of teeth

Enamel hypoplasia can take a variety of forms, but all types are associated with a reduction of enamel formation due to disruption in ameloblast production. One of the most common types, pitting enamel hypoplasia (PEH), ranges from small circular pinpricks to larger irregular depressions. Pits also vary in how they occur on a tooth surface, some forming rows and others more randomly scattered. PEH can be associated with other types of hypoplasia, but it is often the only defect observed. Causes of PEH can range from genetic conditions to environmental factors, and the frequency of occurrence varies substantially between populations and species, likely due to environmental, genetic and health differences. The most striking example of this is in Paranthropus robustus, with half of all primary molars, and a quarter of permanent molars, displaying PEH defects, thought to be caused by a specific genetic condition, amelogenesis imperfecta.

The ameloblastic fibro-odontoma (AFO) is essentially a benign tumor with the features characteristic of ameloblastic fibroma along with enamel and dentin. Though it is generally regarded as benign, there have been cases of its malignant transformation into ameloblastic fibrosarcoma and odontogenic sarcoma. Cahn LR and Blum T, believed in "maturation theory", which suggested that AFO was an intermediate stage and eventually developed during the period of tooth formation to a complex odontoma thus, being a hamartoma.

References

  1. Brand, Richard W.; Isselhard; Satin, Elaine (2003). Anatomy of Orofacial Structures . St. Louis: Mosby. p.  269. ISBN   978-0-323-01954-5.
  2. Smith, Tanya M. (2005). "Dental Microstructure" (PDF). Max Planck Institute for Evolutionary Anthropology.