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Hertwig epithelial root sheath initiates the formation of dentin in the root of a tooth by causing the differentiation of odontoblasts from the dental papilla. The root sheath eventually disintegrates with the periodontal ligament, but residual pieces that do not completely disappear are seen as epithelial cell rests of Malassez (ERM). [1]
In dentistry, the epithelial cell rests of Malassez (ERM) or epithelial rests of Malassez (pax epithelialis pediodontii) are part of the periodontal ligament cells around a tooth. They are discrete clusters of residual cells from Hertwig's epithelial root sheath (HERS) that didn't completely disappear.
For cementogenesis to begin, Hertwig epithelial root sheath (HERS) must fragment. HERS is a collar of epithelial cells derived from the apical prolongation of the enamel organ. Once the root sheath disintegrates, the newly formed surface of root dentin comes into contact with the undifferentiated cells of the dental sac (dental follicle).
Acellular cementum forms first. The cementoblasts differentiate from follicular cells, which can only reach the surface of the tooth's root once Hertwig's Epithelial Root Sheath (HERS) has begun to deteriorate. The cementoblasts secrete fine collagen fibrils along the root surface at right angles before migrating away from the tooth.
Radicular type: occupying most of the crown and root involving invagination of Hertwig's epithelial root sheath, lined with cementum. [20] Dens invaginatus has a clinical importance as teeth affected with dens invaginatus are predisposed to developing pulpal disease. The invagination allows entry of irritants into an area which is separated ...
During root formation the inner layers of epithelium disappear and only the basal layers are left creating Hertwig's epithelial root sheath (HERS). At this point it is usually referred to as HERS instead of the cervical loop to indicate the structural difference.
The sheath is irregularly fragmented in time and space as it promotes cementum deposition on the newly formed dentin. After this fragmentation, Hertwig's epithelial root sheath also participates in cementogenesis and formation of the periodontal ligament, giving rise to the epithelial rests of Malassez
The dentin in the root of a tooth forms only after the presence of Hertwig epithelial root sheath (HERS), near the cervical loop of the enamel organ. Root dentin is considered different from dentin found in the crown of the tooth (known as coronal dentin) because of the different orientation of collagen fibers, as well as the possible decrease ...