Your Teeth
 
             
 
   
   
             
 

Your teeth are a very precious commodity.  Not only do they play a major role in facial esthetics, but they also fulfill a very important functional role.  Proper nutritional intake is greatly facilitated with a well maintained set of teeth.  Furthermore, physiologically teeth play a major role in maintaining facial muscle tone as well as in jaw bone maintenance.  Once teeth are missing in a certain area, bone tends to resorb in that particular area due to the lack of proper "load" that would have been normally transmitted through the teeth.

It is therefore our greatest concern to maintain or restore your teeth at their optimal esthetic and functional level, so that all the above mentioned parameters can be fulfilled.

 
             
 
 

The human tooth is actually a very complex part of our body.  The following parts are identified on the left image:

  1. Enamel

  2. Dentin

  3. Pulp Chamber

  4. Crown

  5. Root

  6. Gums (Gingiva)

  7. Alveolar Bone

  8. Root Canal

  9. Periodontal Ligament

We will explain the different parts below

 
 

1. The Enamel

Enamel is the outer layer of the exposed tooth. It is a very hard and thin translucent layer of calcified substance that envelops and protects the dentin (the main portion of the tooth structure - see below) of the crown (4) of the tooth.

Enamel is the hardest substance in our body and is almost entirely composed of calcium salts. The hardness of enamel is an important property as the main role of enamel is to protect the softer underlying dentin of the tooth. Enamel also serves as the surface for chewing, grinding and crushing of food and this is another reason for its hardness.  Despite its hardness, it is NOT impervious to decay and resistant to fracture.

Compared to any other structure in our body, enamel has the highest concentration of minerals (90%). The proteins in enamel are not found elsewhere and they are called enamelins and amelogenins. The high mineral content (mature enamel has no cells and is not alive) makes it the hardest component and also most resistant (but not impervious) to bacterial attack since there is little organic matter present. A flaw of enamels hardness though is that it is prone to chipping and splitting, as it is a brittle substance.

2. The Dentin

Dentin is found right underneath the enamel layer and is the most abundant dental tissue. The dentin is the tissue which determines the size and shape of teeth. Dentin is a bone-like substance that is formed by odontoblast cells (bone is formed by osteoblasts), which make up most of the structure of the tooth. The unique structure and composition of dentin allows it to function as the substructure for rigid enamel tissue, thereby providing teeth with the ability to flex and absorb tremendous functional loads without fracturing.

Normal dentin is composed of millions of tubules, and its structure is unusual in that the number and size of its tubules changes as you move from the periphery toward the pulp chamber (3). Near the pulp, the tubules are very close together and the water content of this deep dentin is high. Near the enamel, the tubules are far apart, occupying less than 1% of the surface area. The dynamics of dentin are just beginning to be understood. Dentin also gives the tooth its color.

3. The Pulp Chamber

The pulp chamber is the soft area within the center of the tooth. The tooth's nerve lies within root canals, which lie within the roots or "legs" of the tooth. The root canals travel from the tip of the tooth's root into the pulp chamber, which also contains blood vessels and connective tissue that nourish the tooth.

A tooth's nerve is not vitally important to a tooth's health and function after the tooth has emerged through the gums. Its only function is sensory conduction, in order to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

4. Crown

The crown is the actual exposed part of the tooth that is visible in the mouth.  This is the anatomical term in reference to the human tooth.  To confuse things even more, a crown is also the "cap" that is sometimes placed on a tooth.

5. Root

The root portion of the tooth is the part that is not visible (in a healthy tooth).  It is the portion of the tooth that sits in the bone and anchors the tooth to it.  Within the root travel the root canals, which carry the nerves and blood vessels to and from the pulp chamber.

6. Gums (Gingiva)

The gingiva is the fibrous investing tissue, covered by epithelium which immediately surrounds a tooth and is contiguous with its periodontal ligament (9) and with the mucosal tissues of the mouth. The gingiva can often become inflamed (from excessive plaque and calculus) and this condition is called Gingivitis.

7. Alveolar Bone

Alveolar bone can best be described as a layer of compact bone that forms the socket of the roots and surrounds the roots of all teeth.  Often this alveolar bone shrinks down the root of a tooth, so that the tooth lost some attachment.  This condition is called Periodontitis.

8. Root Canal

The root canal is the canal that runs through the center of any root, carrying the nerves and blood vessels to and from the pulp chamber and connecting them to the big nerve and vessel canal inside the jaw bone.  Again this is an anatomical term, as opposed to the "root canal procedure", which is a procedure, where the nerve and blood vessels are removed from the canal (more about this topic in the Endodontics section).

9. Peridontal Ligament

The  periodontal  ligament is  a  thin, fibrous  ligament  that  connects  the  tooth  to  the  bony socket. Normally,  teeth  do  not  contact  the  bone directly; a tooth is suspended in its socket by the fibers of the ligament. This arrangement allows each tooth limited individual movement. The fibers act as shock absorbers to cushion the force of the chewing impact of mastication.

 
             
  Top of Page     Preventive Dentistry