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Teeth
A tooth is a bit like an iceberg
— only a portion of it is visible, and so much
lies beneath the surface. Your pearly whites not
only give you your smile, but extend into your
gums and then beyond the gums into the bones of
your mouth. Although some people think of a tooth
as a solid piece of bone, it is actually a
multilayered structure alive with nerves and blood
vessels.
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Parts Of The Teeth
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Crown — In general, the
crown (or "clinical crown") of the tooth is the
part that you can see extending above your gum
line. Since our gums tend to recede and expose
more of the tooth as we get older, the clinical
crown can get larger over time. Dentists
sometimes talk about the "anatomical crown,"
which is the part of the tooth covered in
enamel. The anatomical crown also can get
smaller as we age because enamel wears down over
time.
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Neck — The neck of the
tooth is where the crown meets the root.
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Root — The root of the
tooth is the part that extends into the upper or
lower jawbones. Different types of teeth have
different root formations. Some, such as
incisors and canine teeth, have a single root
that tapers down from the tooth. Molars may have
one, two or three roots depending on their type
and location in the mouth. At the end of each
root is a small opening (the apical foramen)
that allows blood vessels and nerves to enter
the tooth.
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Enamel — Enamel is the
hard outer shell that covers the visible part
(crown) of the tooth. It is the hardest living
substance in the body, capable of withstanding
the stress of biting, chewing and grinding. But
enamel is also very brittle and is prone to
cracking and chipping. Unfortunately, the body
cannot repair broken enamel the way it mends
broken bones — which is why it's never a good
idea to open bottle tops with your teeth. Enamel
is translucent. Although it is the outer layer
of the tooth, an underlying substance called
dentin is mostly responsible for the color of
the tooth. Coffee, tea, tobacco and poor hygiene
can cause surface stains in the enamel that your
dentist can remove with simple polishing. Other
types of discoloration involve the dentin.
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Cementum — Just as
enamel covers the crown of the tooth, cementum
covers the root(s) of the tooth. It is not as
hard or as white as enamel. Cementum attaches to
tiny fibers that help anchor the tooth to the
jawbone.
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Dentin — Dentin is the
bone-like substance that makes up most of the
tooth structure. It is found just under the
enamel in the crown and under the cementum in
the root. Dentin gives the tooth its color. To
change the color of the tooth, the color of the
dentin must be changed. Although a blindingly
white smile has become the standard in Hollywood
and other entertainment venues, teeth are
typically gray-white. Stains and discoloration
can be caused by overexposure to fluoride,
exposure to the antibiotic tetracycline while
the teeth are developing or by certain diseases.
Teeth also can darken with age. This type of
discoloration can often be improved with dental
whitening.
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Pulp and pulp cavity —
At the core of the tooth, beneath the dentin, is
the pulp cavity. This space contains the blood
vessels, nerves and connective tissue which make
up the "pulp". The pulp's blood supply provides
nutrients that help keep the tooth alive. The
part of the pulp cavity located in the root is
called the pulp canal or the root canal. The
parts of the pulp that points upward toward the
cusps (points of the teeth) are called the pulp
horns.
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Pulp canal(s) or root
canal(s) — The pulp or root canal is the
open space through the core of the root through
which blood vessels and nerves enter the tooth
and become part of the pulp. If the pulp becomes
inflamed, infected or is no longer able to feed
nutrients to the tooth, root canal therapy may
be able to save a tooth that otherwise would
have to be pulled.
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Apical foramen — The
apical foramen is the tiny opening at the tip of
each root that allows nerves and blood vessels
to enter the tooth.
Gums
What surrounds the teeth and
keeps them in place is more than just the
delicate pink flesh we call our gums. As a
group, all these structures are called the
periodontium, and the treatment of gums and
their diseases is called periodontics.
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Periodontal ligament —
The periodontal ligament is composed of bundles
of connective tissue fibers that anchor the
teeth within the jaws. One end of each bundle is
attached to the cementum covering the root of
the tooth and the other end is embedded in the
bony tooth socket (called the alveolar socket).
These bundles of fibers allow the tooth to
withstand the forces of biting and chewing.
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Alveolar process and
socket — If you were to look at a skull that
is missing teeth, you would see that the jaws
are not just flat planes of bone. Within the
bone are small craters that mark where the teeth
had been. These craters are the alveolar
sockets, and the craters' walls are called the
alveolar processes. As teeth erupt through the
gums, the alveolar processes develop around the
teeth to help support them within the jaws.
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Gingiva — The gingiva
is the pink flesh we call our gums. It lies over
the bones of the jaw and hugs the tooth tightly
at its neck. The earliest stage of gum disease —
when the gums can become red, inflamed and bleed
easily — is called gingivitis. Later stages,
when bone loss and possibly tooth loss can
occur, is called periodontitis.
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