Hertwig's epithelial root sheath

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(1) The HERS, (2) ERM, (3) Dental follicle, (4) cementoblasts, (5) periodontal ligament, (6) alveolar cells, (7) bone, (8) odontoblasts.

The Hertwig's epithelial root sheath (frequently abbreviated as "HERS") is a proliferation of epithelial cells located at the cervical loop of the enamel organ in a developing tooth. Hertwig's epithelial root sheath initates 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, but residual pieces that do not completely disappear are seen as epithelial cell rests of Malassez (ERM).

Evolution of HERS

Hertwig's epithelial root sheath was not discovered in any mammalian species. Instead this epithelial structure was discovered by Oskar Hertwig in 1874 in an amphibian. While in mammalian 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.

1. 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.
2. 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.
3. 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.

References

• Ten Cate, A.R. Oral Histology: development, structure, and function. 5th ed. 1998. ISBN 0-8151-2952-1.
• 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
• Luan, X., Ito, Y. and Diekwish, T.G.H. (2006) Evolution and development of Hertwig's Epithelial Root Sheath. Dev. Dyn. 235: 1167-1180.
• Thomas, H.F. (1995) Root formation. Int. J. Dev. Biol. 39: 231-237

Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .