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The Hertwig epithelial root sheath (HERS) or epithelial root sheath is a proliferation of
epithelial Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercellu ...
cells Cell most often refers to: * Cell (biology), the functional basic unit of life Cell may also refer to: Locations * Monastic cell, a small room, hut, or cave in which a religious recluse lives, alternatively the small precursor of a monastery w ...
located at the cervical loop of the
enamel organ The enamel organ, also known as the dental organ, is a cellular aggregation seen in a developing tooth and it lies above the dental papilla. The enamel organ which is differentiated from the primitive oral epithelium lining the stomodeum.The enam ...
in a developing tooth. Hertwig epithelial root sheath initiates the formation of
dentin Dentin () (American English) or dentine ( or ) (British English) ( la, substantia eburnea) is a calcified tissue of the body and, along with enamel, cementum, and pulp, is one of the four major components of teeth. It is usually covered by e ...
in the root of a
tooth A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, ...
by causing the differentiation of
odontoblast In vertebrates, an odontoblast is a cell of neural crest origin that is part of the outer surface of the dental pulp, and whose biological function is dentinogenesis, which is the formation of dentin, the substance beneath the tooth enamel on t ...
s 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). These rests can become cystic, presenting future periodontal infections.


Structure

Hertwig epithelial root sheath is derived from the inner and outer enamel epithelium of the enamel organ.Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, p. 66


Function

The sheath is also responsible for multiple or accessory roots (medial growth) and lateral or accessory canals in the root (break in epithelium).Ten Cate's Oral Histology, Nanci, Elsevier, 2013, p. 174 It is controversial, but HERS may be involved in cementogenesis and the secreting of cementum, or that HERS-derived products might be related to enamel-related molecules, and that these proteins might initiate acellular cementum formation.


Other animals

While in mammals the HERS is rather a transient structure, in amphibians it is more or less a permanent one. Here the root epithelium does not fenestrate like in mammalians. Within vertebrates 3 distinct stages of HERS development can be observed. # In teleosts and chondrichthyans no HERS or root is really formed, and tooth development is restricted to crown development. An inflexible joint is formed between the tooth and the bone at the apical end of the tooth where the epithelium remains open. # In amphibians and non-crocodilian reptiles a continuous root sheath or HERS is formed without fragmentation of the epithelium. Once again a rather rigid connection between bone and tooth is formed at the apical end of the tooth where no epithelium is present. # In crocodilians and mammals the HERS is a transient structure and fragments to form the epithelial cell rests of Malassez. Through the gaps in the root epithelium elements of the periodontal ligament can migrate and form a flexible connection between bone and root.


History

Hertwig epithelial root sheath was not discovered in any mammalian species. Instead this epithelial structure was discovered by Oskar Hertwig in 1874 in an amphibian (see notes below for further discussion in other animals).


See also

* Cementum *
Dentin Dentin () (American English) or dentine ( or ) (British English) ( la, substantia eburnea) is a calcified tissue of the body and, along with enamel, cementum, and pulp, is one of the four major components of teeth. It is usually covered by e ...
* Human tooth development *
Tooth eruption Tooth eruption is a process in tooth development in which the teeth enter the mouth and become visible. It is currently believed that the periodontal ligament plays an important role in tooth eruption. The first human teeth to appear, the deciduo ...


References

*Hertwig, O. (1847) Über das zahnsystem der amphibien und seine bedeutung für die genese des skelets der mundhöhle. Arch. Mikrosk. Anat. EntwMech. 11 (suppl): 55–56 {{Authority control Tooth development