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5. Orofacial Development

Further Orofacial Development

Palatal Development

Primary Palate Formation

Secondary Palate Formation

Palate Completion

Nasal Cavity and Septum Development

Tongue Development

Body of Tongue Formation

Base of Tongue Formation

Completion of Tongue Formation

6. Tooth Development and Eruption

Tooth Development

Initiation Stage

Bud Stage

Cap Stage

Bell Stage

Apposition and Maturation Stages

Root Development

Root Dentin Formation

Cementum and Pulp Formation

7
 Multirooted Tooth Development

Periodontal Ligament and Alveolar Process Development

Primary Tooth Eruption and Shedding

Permanent Tooth Eruption

Clinical Considerations with Eruption Process

UNIT 3. Dental Histology

7. Cells

Cell Properties

Cell Anatomy

Organelles

Inclusions

Cell Division

Extracellular Materials

Intercellular Junctions

8. Basic Tissue

Basic Tissue Properties

Epithelium Properties

Epithelium Histology

Epithelium Classification

Epithelium Regeneration, Turnover, and Repair

Basement Membrane Properties

8
 Basement Membrane Histology

Connective Tissue Properties

Connective Tissue Histology

Connective Tissue Classification

Connective Tissue Proper

Specialized Connective Tissue Properties

Cartilage Properties

Bone Properties

Blood Properties

Muscle Properties

Muscle Classification

Skeletal Muscle Histology

Nerve Tissue Properties

Nerve Tissue Histology

Nervous SYSTEM

9. Oral Mucosa

Oral Mucosa Properties

Lining Mucosa

Masticatory Mucosa

Specialized Mucosa

Epithelium of Oral Mucosa

9
 Lamina Propria of Oral Mucosa

Oral Mucosa Regional Differences

Labial Mucosa and Buccal Mucosa

Alveolar Mucosa

Ventral Surface of the Tongue and Floor of the Mouth

Soft Palate

Hard Palate

Attached Gingiva

Tongue and Lingual Papillae Properties

Filiform Lingual Papillae

Fungiform Lingual Papillae

Foliate Lingual Papillae

Circumvallate Lingual Papillae

Oral Mucosa Pigmentation

Oral Mucosa Turnover Time, Repair, and Aging

10. Gingival and Dentogingival Junctional Tissue

Gingival Tissue Properties

Gingival Tissue Anatomy

Gingival Tissue Histology

Dentogingival Junctional Tissue Properties

Dentogingival Junctional Tissue Histology

10
 Dentogingival Junctional Tissue Development

Dentogingival Junctional Tissue Turnover

11. Head and Neck Structures

Head and Neck Structures

Gland Properties

Salivary Gland Properties

Thyroid Gland Properties

Lymphatics Properties

Lymph Nodes

Intraoral Tonsillar Tissue Properties and Histology

Nasal Cavity Properties

Nasal Cavity Histology

Paranasal Sinuses Properties

Paranasal Sinuses Histology

Paranasal Sinuses Development

12. Enamel

Enamel Properties

Enamel Matrix Formation

Enamel Matrix Maturation

Enamel Histology

11
13. Dentin and Pulp

Dentin-Pulp Complex

Dentin Properties

Clinical Considerations for Dentin Structure

Dentin Matrix Formation

Dentin Matrix Maturation

Mature Dentin Components

Dentin Types

Dentin Histology

Aging Dentin

Pulp Properties

Pulp Anatomy

Pulp Histology

Pulp Zones

Aging Pulp

14. Periodontium: Cementum, Alveolar Process, and Periodontal

Ligament

Periodontium Properties

Cementum Properties

Cementum Development

Cementum Histology

Cementum Types

12
 Cementum Repair

Alveolar Process Properties

Jaw Development

Jaw Anatomy and Histology

Periodontal Ligament Properties

Periodontal Ligament Cells

Periodontal Ligament Fiber Groups

UNIT 4. Dental Anatomy

15. Overview of Dentitions

Dentitions

Tooth Types

Tooth Designation

Dentition Periods

Primary Dentition Period

Mixed Dentition Period

Permanent Dentition Period

Dental Anatomy Terminology

General Dental Terms

Tooth Anatomy Terms

Orientational Tooth Terms

Tooth Form

13
 Considerations for Dental Anatomy Study

16. Permanent Anterior Teeth

Permanent Anterior Teeth Properties

Permanent Incisors

Permanent Maxillary Incisors

Permanent Mandibular Incisors

Permanent Canines

Permanent Maxillary Canines #6 and #11 (#13 and #23)

Permanent Mandibular Canines #22 and #27 (#33 and #43)

17. Permanent Posterior Teeth

Permanent Posterior Teeth Properties

Permanent Premolars

Permanent Maxillary Premolars

Permanent Mandibular Premolars

Permanent Molars

Permanent Maxillary Molars

Permanent Mandibular Molars

18. Primary Dentition

Primary Dentition Properties

Primary Incisors

14
 Primary Canines

Primary Molars

19. Temporomandibular Joint

Temporomandibular Joint Properties

Joint Bones

Temporal Bone

Mandible

Joint Capsule

Joint Disc

Joint Movement

20. Occlusion

Occlusion Properties

Centric Occlusion

Arch Form

Dental Curvatures and Angulations

Centric Stops

Centric Relation

Lateral and Protrusive Occlusion

Mandibular Rest Position

Primary Occlusion

Clinical Considerations With Occlusion

15
 Malocclusion Considerations

Malocclusion Classification

Bibliography

Glossary

Appendix A. Anatomic Position

Appendix B. Units of Measure

Appendix C. Tooth Measurements

Appendix D. Tooth Development

Index

16
17
Copyright
Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043

ILLUSTRATED DENTAL EMBRYOLOGY, HISTOLOGY, AND

ANATOMY, FIFTH EDITIONISBN: 978-0-323-61107-7

Copyright © 2020 by Elsevier, Inc. All rights reserved.

No part of this publication may be reproduced or transmi ed in

any form or by any means, electronic or mechanical, including
photocopying, recording, or any information storage and retrieval
system, without permission in writing from the publisher. Details
on how to seek permission, further information about the
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www.elsevier.com/permissions.

This book and the individual contributions contained in it are

protected under copyright by the Publisher (other than as may be
noted herein).

Notice

Practitioners and researchers must always rely on their own

experience and knowledge in evaluating and using any
information, methods, compounds or experiments described
herein. Because of rapid advances in the medical sciences, in
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18
operation of any methods, products, instructions, or ideas
contained in the material herein.

Previous editions copyrighted 2016, 2011, 2006, 1997 by Saunders,

an imprint of Elsevier, Inc.

Library of Congress Control Number: 2019949730

Content Strategist: Joslyn Dumas

Senior Content Development Manager: Luke Held
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Publishing Services Manager: Catherine Jackson
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Design Direction: Paula Catalano

Printed in Canada

Last digit is the print number: 9 8 7 6 5 4 3 2 1

19
20
Reviewers
Deborah Bush-Munson, CDA, MS , Program Director,
Associate Professor, Dental Technologies, St. Louis Community
College–Forest Park, St. Louis, Missouri

Tammy S. Clossen, RDH, PHDHP, PhD , Assistant Professor,

Dental Hygiene, Pennsylvania College of Technology,
Williamsport, Pennsylvania

Jamie Collins, RDH, CDA , Dental Assisting Instructor,

Workforce Development, College of Western Idaho, Nampa,
Idaho

Sharon Grisanti, RDH, AS, BA, MS , Assistant Professor,

Dental Hygiene, Health Education Center, St. Petersburg College,
St. Petersburg, Florida

Cathleen Korondi, CDA, RDH, EdD , Professor, Dental

Hygiene Program Director, Health Careers, Illinois Central
College, Peoria, Illinois

Rina A. Nowka, RDH, MA , Adjunct Clinical Professor, Dental

Hygiene, Bergen Community College, Paramus, New Jersey

Danielle Christine Thompson, RDH, BSDH , Adjunct

Professor, Dental Hygiene, College of Lake County, Waukegan,
Illinois

Christine Kelly Turner, BA(Kin), RDH , Coordinator, Dental

Hygiene Program, Health Sciences, Fanshawe College, London,
Ontario, Canada

Sandra Michelle Walker, CDA, CPFDA, BS , Department

Chair, Dental Assisting, Faye eville Technical Community
College, Faye eville, North Carolina

21
22
Preface

23
Overview
This textbook provides an extensive background for student
dental professionals in the area of oral biology as well as dental
professional program graduates who need to take competency
examinations or update their background knowledge in this area.
The textbook strives to integrate the clinical aspects of dentistry
with the basic science information that is key to its successful
performance by the dental professional.
The textbook is divided into four units: Orofacial Structures,
Dental Embryology, Dental Histology, and Dental Anatomy.
The textbook was organized into units to accommodate differing
curriculum; thus, the units do not have to be presented in any
specific order. However, the first unit on orofacial structures
serves as an outstanding review for the students before further
study in oral biology, which is also presented in this textbook.

24
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