Tooth development is a sequential process governed by reciprocal interactions between ectoderm and neural crest‐derived mesenchyme. Initially, the inductive signal resides in the epithelium, but during subsequent developmental stages, it shifts to the mesenchyme. The complex signalling and cellular cross‐talk generate differentiated cell lineages which will ultimately form the intricate tooth structure, composed of heterogeneous cellular compartments and mineralised matrices, namely enamel, dentin and cementum. The first morphological sign of tooth development is dental lamina, a thickening of the oral epithelium at the sites of future tooth rows. Humans generate two separate dentitions: primary and permanent teeth which are formed from primary dental lamina and its extension (successional dental lamina), respectively. Many signalling pathways involved in tooth development have been identified and characterised. While some molecules demonstrate transient expression during tooth morphogenesis, many signalling pathways are active at all stages of tooth development and regulate tooth induction, morphogenesis and cytodifferentiation.
Key Concepts
Tooth development is regulated by a chain of epithelial–mesenchymal interactions that generate unique morphological features which mark different stages of development.
The first sign of tooth formation is an epithelial thickening known as the dental lamina. In humans, the initial dental lamina generates primary dentition and extends into a structure called successional lamina from which permanent teeth develop.
Budding morphogenesis and crown formation are regulated by signals emanating from the epithelial signalling centres called initiation knots and enamel knots, respectively.
Many signalling molecules and receptors are expressed at different stages of tooth development and have been shown to play important roles in the regulation of tooth morphogenesis and in induction of the differentiation of odontoblasts and ameloblasts.
Morphogenesis of the replacement and successionally formed teeth is similar to the morphogenesis of the primary teeth and is regulated by the same signalling pathways.