Differential retinoic acid sensitivity of oral and pharyngeal teeth in medaka (Oryzias latipes) supports the importance of pouch-cleft contacts in pharyngeal tooth initiation.

BACKGROUND: Previous studies have claimed that pharyngeal teeth in medaka (Oryzias latipes) are induced independent of retinoic acid (RA) signaling, unlike in zebrafish (Danio rerio). In zebrafish, pharyngeal tooth formation depends on a proper physical contact between the embryonic endodermal pouch anterior to the site of tooth formation, and the adjacent ectodermal cleft, an RA-dependent process. Here, we test the hypothesis that a proper pouch-cleft contact is required for pharyngeal tooth formation in embryonic medaka, as it is in zebrafish. We used 4-[diethylamino]benzaldehyde (DEAB) to pharmacologically inhibit RA production, and thus pouch-cleft contacts, in experiments strictly controlled in time, and analyzed these using high-resolution imaging. RESULTS: Pharyngeal teeth in medaka were present only when the corresponding anterior pouch had reached the ectoderm (i.e., a physical pouch-cleft contact established), similar to the situation in zebrafish. Oral teeth were present even when the treatment started approximately 4 days before normal oral tooth appearance. CONCLUSIONS: RA dependency for pharyngeal tooth formation is not different between zebrafish and medaka. We propose that the differential response to DEAB of oral versus pharyngeal teeth in medaka could be ascribed to the distinct germ layer origin of the epithelia involved in tooth formation in these two regions.

Zebrafish sp7 mutants show tooth cycling independent of attachment, eruption and poor differentiation of teeth.

The capacity to fully replace teeth continuously makes zebrafish an attractive model to explore regeneration and tooth development. The requirement of attachment bone for the appearance of replacement teeth has been hypothesized but not yet investigated. The transcription factor sp7 (osterix) is known in mammals to play an important role during odontoblast differentiation and root formation. Here we study tooth replacement in the absence of attachment bone using sp7 zebrafish mutants. We analysed the pattern of tooth replacement at different stages of development and demonstrated that in zebrafish lacking sp7, attachment bone is never present, independent of the stage of tooth development or fish age, yet replacement is not interrupted. Without bone of attachment we observed abnormal orientation of teeth, and abnormal connection of pulp cavities of predecessor and replacement teeth. Mutants lacking sp7 show arrested dentinogenesis, with non-polarization of odontoblasts and only a thin layer of dentin deposited. Osteoclast activity was observed in sp7 mutants; due to the lack of bone of attachment, remodelling was diminished but nevertheless present along the pharyngeal bone. We conclude that tooth replacement is ongoing in the sp7 mutant despite poor differentiation and defective attachment. Without bone of attachment tooth orientation and pulp organization are compromised.

The external phenotype-skeleton link in post-hatch farmed Chinook salmon (Oncorhynchus tshawytscha).

Skeletal deformities in farmed fish are a recurrent problem. External malformations are easily recognized, but there is little information on how external malformations relate to malformations of the axial skeleton: the external phenotype-skeleton link. Here, this link is studied in post-hatch to first-feed life stages of Chinook salmon (Oncorhynchus tshawytscha) raised at 4, 8 and 12°C. Specimens were whole-mount-stained for cartilage and bone, and analysed by histology. In all temperature groups, externally normal specimens can have internal malformations, predominantly fused vertebral centra. Conversely, externally malformed fish usually display internal malformations. Externally curled animals typically have malformed haemal and neural arches. External malformations affecting a single region (tail malformation and bent neck) relate to malformed notochords and early fusion of fused vertebral centra. The frequencies of internal malformations in both externally normal and malformed specimens show a U-shaped response, with lowest frequency in 8°C specimens. The fused vertebral centra that occur in externally normal specimens represent a malformation that can be contained and could be carried through into harvest size animals. This study highlights the relationship between external phenotype and axial skeleton and may help to set the framework for the early identification of skeletal malformations on fish farms.

Vertebral column regionalisation in Chinook salmon, Oncorhynchus tshawytscha.

Teleost vertebral centra are often similar in size and shape, but vertebral-associated elements, i.e. neural arches, haemal arches and ribs, show regional differences. Here we examine how the presence, absence and specific anatomical and histological characters of vertebral centra-associated elements can be used to define vertebral column regions in juvenile Chinook salmon (Oncorhynchus tshawytscha). To investigate if the presence of regions within the vertebral column is independent of temperature, animals raised at 8 and 12 °C were studied at 1400 and 1530 degreedays, in the freshwater phase of the life cycle. Anatomy and composition of the skeletal tissues of the vertebral column were analysed using Alizarin red S whole-mount staining and histological sections. Six regions, termed I-VI, are recognised in the vertebral column of specimens of both temperature groups. Postcranial vertebrae (region I) carry neural arches and parapophyses but lack ribs. Abdominal vertebrae (region II) carry neural arches and ribs that articulate with parapophyses. Elastic- and fibrohyaline cartilage and Sharpey's fibres connect the bone of the parapophyses to the bone of the ribs. In the transitional region (III) vertebrae carry neural arches and parapophyses change stepwise into haemal arches. Ribs decrease in size, anterior to posterior. Vestigial ribs remain attached to the haemal arches with Sharpey's fibres. Caudal vertebrae (region IV) carry neural and haemal arches and spines. Basidorsals and basiventrals are small and surrounded by cancellous bone. Preural vertebrae (region V) carry neural and haemal arches with modified neural and haemal spines to support the caudal fin. Ural vertebrae (region VI) carry hypurals and epurals that represent modified haemal and neural arches and spines, respectively. The postcranial and transitional vertebrae and their respective characters are usually recognised, but should be considered as regions within the vertebral column of teleosts because of their distinctive morphological characters. While the number of vertebrae within each region can vary, each of the six regions is recognised in specimens of both temperature groups. This refined identification of regionalisation in the vertebral column of Chinook salmon can help to address evolutionary developmental and functional questions, and to support applied research into this farmed species.

Revisiting in vivo staining with alizarin red S--a valuable approach to analyse zebrafish skeletal mineralization during development and regeneration.

BACKGROUND: The correct evaluation of mineralization is fundamental for the study of skeletal development, maintenance, and regeneration. Current methods to visualize mineralized tissue in zebrafish rely on: 1) fixed specimens; 2) radiographic and µCT techniques, that are ultimately limited in resolution; or 3) vital stains with fluorochromes that are indistinguishable from the signal of green fluorescent protein (GFP)-labelled cells. Alizarin compounds, either in the form of alizarin red S (ARS) or alizarin complexone (ALC), have long been used to stain the mineralized skeleton in fixed specimens from all vertebrate groups. Recent works have used ARS vital staining in zebrafish and medaka, yet not based on consistent protocols. There is a fundamental concern on whether ARS vital staining, achieved by adding ARS to the water, can affect bone formation in juvenile and adult zebrafish, as ARS has been shown to inhibit skeletal growth and mineralization in mammals. RESULTS: Here we present a protocol for vital staining of mineralized structures in zebrafish with a low ARS concentration that does not affect bone mineralization, even after repetitive ARS staining events, as confirmed by careful imaging under fluorescent light. Early and late stages of bone development are equally unaffected by this vital staining protocol. From all tested concentrations, 0.01% ARS yielded correct detection of bone calcium deposits without inducing additional stress to fish. CONCLUSIONS: The proposed ARS vital staining protocol can be combined with GFP fluorescence associated with skeletal tissues and thus represents a powerful tool for in vivo monitoring of mineralized structures. We provide examples from wild type and transgenic GFP-expressing zebrafish, for endoskeletal development and dermal fin ray regeneration.

High-Resolution Histology for Craniofacial Studies on Zebrafish and Other Teleost Models.

In the era of molecular biology, identification of cells and even tissues mostly relies on the presence of fluorescent tags, or of "marker gene" expression. We list a number of caveats and present a protocol for embedding, sectioning, and staining semithin plastic sections. The method is neither new nor innovative, but is meant to revive skills that tend to get lost.This easy-to-use and inexpensive protocol (1) yields high-resolution images in transmitted and polarized light, (2) can be utilized simultaneously for transmission electron microscopy, and (3) is applicable to any type of material (wild type, morphants, mutants, transgenic, or pharmacologically treated animals as well as all of their controls), provided the sample size is kept under a limit. Thus, we hope to encourage researchers to use microanatomy and histology to complement molecular studies investigating, e.g., gene function.

Dental agenesis: genetic and clinical perspectives.

Dental agenesis is the most common developmental anomaly in humans and is frequently associated with several other oral abnormalities. Whereas the incidence of missing teeth may vary considerably depending on dentition, gender, and demographic or geographic profiles, distinct patterns of agenesis have been detected in the permanent dentition. These frequently involve the last teeth of a class to develop (I2, P2, M3) suggesting a possible link with evolutionary trends. Hypodontia can either occur as an isolated condition (non-syndromic hypodontia) involving one (80% of cases), a few (less than 10%) or many teeth (less than 1%), or can be associated with a systemic condition or syndrome (syndromic hypodontia), essentially reflecting the genetically and phenotypically heterogeneity of the condition. Based on our present knowledge of genes and transcription factors that are involved in tooth development, it is assumed that different phenotypic forms are caused by different genes involving different interacting molecular pathways, providing an explanation not only for the wide variety in agenesis patterns but also for associations of dental agenesis with other oral anomalies. At present, the list of genes involved in human non-syndromic hypodontia includes not only those encoding a signaling molecule (TGFA) and transcription factors (MSX1 and PAX9) that play critical roles during early craniofacial development, but also genes coding for a protein involved in canonical Wnt signaling (AXIN2), and a transmembrane receptor of fibroblast growth factors (FGFR1). Our objective was to review the current literature on the molecular mechanisms that are responsible for selective dental agenesis in humans and to present a detailed overview of syndromes with hypodontia and their causative genes. These new perspectives and future challenges in the field of identification of possible candidate genes involved in dental agenesis are discussed.

An evolutionary view on tooth development and replacement in wild Atlantic salmon (Salmo salar L.).

To gain an insight into the evolution of tooth replacement mechanisms, we studied the development of first-generation and replacement teeth on the dentary of wild Atlantic salmon (Salmo salar L.), a protacanthopterygian teleost, using serially sectioned heads of early posthatching stages as well as adults. First-generation teeth develop within the oral epithelium. The anlage of the replacement tooth is first seen as a placode-like thickening of the outer dental epithelium of the predecessor, at its lingual and caudal side. Ongoing development of the replacement tooth germ is characterized by the elaboration of a population of epithelial cells, termed here the middle dental epithelium, apposed to the inner dental epithelium on the lingual side of the tooth germ. Before the formation of the new successor, a single-layered outer dental epithelium segregates from the middle dental epithelium. The dental organs of the predecessor and the successor remain broadly interconnected. The absence of a discrete successional dental lamina in salmon stands in sharp contrast to what is observed in other teleosts, even those that share with salmon the extraosseous formation of replacement teeth. The mode of tooth replacement in Atlantic salmon displays several characters similar to those observed in the shark Squalus acanthias. To interpret similarities in tooth replacement between Atlantic salmon and chondrichthyans as a case of convergence, or to see them as a result of a heterochronic shift, requires knowledge on the replacement process in more basal actinopterygian lineages. The possibility that the middle dental epithelium functionally substitutes for a successional lamina, and could be a source of stem cells, whose descendants subsequently contribute to the placode of the new replacement tooth, needs to be explored.

Small teleost fish provide new insights into human skeletal diseases.

Small teleost fish such as zebrafish and medaka are increasingly studied as models for human skeletal diseases. Efficient new genome editing tools combined with advances in the analysis of skeletal phenotypes provide new insights into fundamental processes of skeletal development. The skeleton among vertebrates is a highly conserved organ system, but teleost fish and mammals have evolved unique traits or have lost particular skeletal elements in each lineage. Several unique features of the skeleton relate to the extremely small size of early fish embryos and the small size of adult fish used as models. A detailed analysis of the plethora of interesting skeletal phenotypes in zebrafish and medaka pushes available skeletal imaging techniques to their respective limits and promotes the development of new imaging techniques. Impressive numbers of zebrafish and medaka mutants with interesting skeletal phenotypes have been characterized, complemented by transgenic zebrafish and medaka lines. The advent of efficient genome editing tools, such as TALEN and CRISPR/Cas9, allows to introduce targeted deficiencies in genes of model teleosts to generate skeletal phenotypes that resemble human skeletal diseases. This review will also discuss other attractive aspects of the teleost skeleton. This includes the capacity for lifelong tooth replacement and for the regeneration of dermal skeletal elements, such as scales and fin rays, which further increases the value of zebrafish and medaka models for skeletal research.

Telomerase Expression in Medaka ( Oryzias melastigma) Pharyngeal Teeth.

Nonmammalian vertebrates have the capacity of lifelong tooth replacement. In all vertebrates, tooth formation requires contact and interaction between the oral or pharyngeal epithelium and the underlying mesenchyme. To secure lifelong replacement, the presence of odontogenic stem cells has been postulated, particularly in the epithelial compartment. This study uses an advanced teleost fish species, the marine medaka Oryzias melastigma, a close relative to Oryzias latipes, to examine the expression and distribution of telomerase reverse transcriptase (Tert), the catalytic unit of telomerase, in developing pharyngeal teeth and to relate these data to the proliferative activity of the cells. The data are complemented by expression analysis of the pluripotency marker oct4 and bona fide stem cell marker lgr5. Tert distribution and tert expression in developing tooth germs show a dynamic spatiotemporal pattern. Tert is present first in the mesenchyme but is downregulated as the odontoblasts differentiate. In contrast, in the epithelial enamel organ, Tert is absent during early stages of tooth formation and upregulated first in ameloblasts. Later, Tert is expressed and immunolocalized throughout the entire inner enamel epithelium. The pattern of Tert distribution is largely mutually exclusive with that of proliferating cell nuclear antigen (PCNA) immunoreactivity: highly proliferative cells, as revealed by PCNA staining, are negative for Tert; conversely, PCNA-negative cells are Tert-positive. Only the early condensed mesenchyme is both Tert- and PCNA-positive. The absence of tert-positive cells in the epithelial compartment of early tooth germs is underscored by the absence of oct4- and lgr5-positive cells, suggesting ways other than stem cell involvement to secure continuous renewal.

From conical to spatulate: intra- and interspecific changes in tooth shape in closely related cichlids (Teleostei; Cichlidae: Eretmodini).

The Eretmodini are closely related cichlids endemic to Lake Tanganyika with very divergent oral tooth shapes, ranging from spatulate in Eretmodus to conical in Tanganicodus. To study how closely related cichlids can generate such divergent tooth shapes, we investigated how the enamel organ directs the development of spatulate teeth in Eretmodus cf. cyanostictus (lineage A), both in ontogeny and in adults, and of conical teeth in adult Tanganicodus cf. irsacae, using 3D-reconstructions from serially sectioned tooth germs. The spatulate oral tooth shape that characterizes adult E. cf. cyanostictus (lineage A) is preceded early in ontogeny by a conical tooth shape. We propose two possible hypotheses to account for changes in the folding of the enamel organ (in particular its epithelio-mesenchymal boundary) capable of generating such distinct tooth shapes. Different arguments lead us to favor the hypothesis of an asymmetric growth and differentiation of the enamel organ, such that the tip of a conical tooth corresponds to one "corner" of a spatulate tooth. Applying current molecular models of tooth shape variation, this would imply the existence of asymmetric fields of inhibition. Whether such asymmetric growth reflects the reutilization of a simple mechanism operating in ontogeny has to be clarified.

Zebrafish Collagen Type I: Molecular and Biochemical Characterization of the Major Structural Protein in Bone and Skin.

Over the last years the zebrafish imposed itself as a powerful model to study skeletal diseases, but a limit to its use is the poor characterization of collagen type I, the most abundant protein in bone and skin. In tetrapods collagen type I is a trimer mainly composed of two α1 chains and one α2 chain, encoded by COL1A1 and COL1A2 genes, respectively. In contrast, in zebrafish three type I collagen genes exist, col1a1a, col1a1b and col1a2 coding for α1(I), α3(I) and α2(I) chains. During embryonic and larval development the three collagen type I genes showed a similar spatio-temporal expression pattern, indicating their co-regulation and interdependence at these stages. In both embryonic and adult tissues, the presence of the three α(I) chains was demonstrated, although in embryos α1(I) was present in two distinct glycosylated states, suggesting a developmental-specific collagen composition. Even though in adult bone, skin and scales equal amounts of α1(I), α3(I) and α2(I) chains are present, the presented data suggest a tissue-specific stoichiometry and/or post-translational modification status for collagen type I. In conclusion, this data will be useful to properly interpret results and insights gained from zebrafish models of skeletal diseases.

Histological description of tooth formation in adult Eretmodus cf. cyanostictus (Teleostei, Cichlidae).

The Eretmodini, a tribe of closely related cichlids (Teleostei, Cichlidae) originating from Lake Tanganyika, possess oral tooth shapes ranging from conical (in Tanganicodus) over cylindrical (in Spathodus) to spatulate (in Eretmodus). Prior to a study aiming to understand how these distinctly different tooth shapes can be acquired in such closely related taxa, a detailed histological study was required of tooth formation in a representative of the eretmodines. Here, we present a histological description of replacement tooth development in Eretmodus cf. cyanostictus. Using light-microscopic observations on semithin as well as on ground sections, microradiographs and stereo-microscopic observations of both alizarine red S stained and unstained jaws we can conclude that tooth formation in adult E. cf. cyanostictus roughly corresponds with what is known for teleost tooth development in general. Remarkable features include the localization and shape of the epithelial downgrowth, the transient presence of a layer intermediate between inner dental epithelium (IDE) and outer dental epithelium (ODE), the asymmetric shape of the enamel organ, the fact that the pulp cavity recedes in front of the forming enameloid during enameloid formation, and finally, the pattern of matrix mineralisation and maturation, and the presence of pigment in the enameloid. The observation that the enamel organ in adult E. cf. cyanostictus develops asymmetrically is significant for understanding tooth shape variation in the Eretmodini.

Blocking VEGF signaling delays development of replacement teeth in zebrafish.

The dentition in zebrafish is extremely and richly vascularized, but the function of the vasculature, in view of the continuous replacement of the teeth, remains elusive. Through application of SU5416, a vascular endothelial growth factor receptor inhibitor, we studied the role of the blood vessels in the dentition of the zebrafish. We were unable to show an effect on the development of first-generation teeth as well as first tooth replacement. However, in juvenile fish, a delay was observed in the developmental state of the replacement tooth compared with what was expected based on the maturation state of the functional tooth. Furthermore, we observed a difference between treated and nontreated fish in the distance between blood vessels and developing replacement teeth. In conclusion, our results provide support for a nutritive, rather than an inductive, function of the vasculature in the process of tooth development and replacement.

Early development of the zebrafish (Danio rerio) pharyngeal dentition (Teleostei, Cyprinidae).

In order to build a reference system to assess ongoing in vitro and in situ hybridisation experiments on epithelial-mesenchymal interactions governing odontogenesis in the zebrafish, we describe here the generation of the pharyngeal dentition, and the histological development of teeth up to fourteen days post-fertilization, using serial semithin sections, handmade and computer-assisted reconstructions and transmission electron microscopy. The tooth pattern in larval zebrafish is generated in a predictable, and bilaterally symmetrical manner from shortly before hatching onwards. Characteristics related to tooth development and structure differ considerably from those seen in juvenile specimens and those described for other bony fishes. Particular features related to the cyprinid condition include the complex epithelial connectivity and the mode of attachment of the teeth.

Phenotypic plasticity in the lower pharyngeal jaw dentition of Astatoreochromis alluaudi (Teleostei: Cichlidae).

The potentially molluscivorous cichlid fish Astatoreochromis alluaudi is known to exhibit a pronounced phenotypic plasticity in its pharyngeal jaw apparatus. Two phenotypes (wild-caught snail-eating specimens and specimens raised on soft food) were examined for differences in the number, size, shape, spacing and wear of functional teeth on the lower pharyngeal jaw. During growth, snail-eating specimens maintain tooth numbers but invest in teeth of a larger size (width and depth). In contrast, specimens fed a soft diet invest in more teeth, their size remaining unchanged except for the central, most posterior teeth. All changes in the dentition must be achieved through successive tooth generations. Serial microradiographs in the caudal area of the lower pharyngeal jaw, a region that is most significant in food processing, indicated that functional teeth in hard-food specimens more often show a successor below. This may be due to more time needed for larger replacement teeth to form and possibly to a shorter replacement cycle linked to the greater wear of the functional teeth. It is hypothesized that maintenance of tooth numbers and increase of tooth size in hard-food specimens is achieved by a one-for-one replacement and expansion of the tooth-bearing region and possibly by closer spacing of the teeth. Increase of tooth numbers in the soft-food specimens is probably achieved through the establishment of new tooth loci at the margins of the dentigerous area in addition to a one-for-one replacement.

Tooth succession in the zebrafish (Danio rerio).

To test whether the formation of replacement teeth in arbitrarily chosen zebrafish follows the same pattern as described for larval and young zebrafish of known age, dentitions of more than 90 animals of different ages and standard lengths were observed under the stereomicroscope. Only the teeth of the ventral tooth row (1V-5V) were considered. Statistical results (G-tests) suggested that tooth replacement does not occur randomly. The most common order of replacement can be represented as the formula 5V-2V-3V-1V-4V and counts for approximately 70% of the observed patterns. Initiation of replacement teeth at positions 4V and 5V is separated by a larger time interval than between any other combination. It is hypothesized that in older juveniles and adults, replacement teeth may be formed during three odontogenic waves.

A quantitative analysis of pharyngeal tooth shape in the zebrafish (Danio rerio, Teleostei, Cyprinidae).

To test whether successive replacement cycles in the pharyngeal dentition of the zebrafish, a polyphyodont vertebrate model organism, entail overall shape changes in the teeth, a qualitative and quantitative analysis was made of size and shape variables in the five ventral teeth. The following measurements were defined: tooth length, tooth height, neck-crown angle, cusp depth, and crown curvature. Ontogenetic changes in fish, ranging between 6 and 29 mm standard length (SL), were analysed by linear regressions on to SL. The teeth became significantly larger with growth of the fish, through successive replacements and cusp depth also increased over time. Neck--crown angle and crown curvature did not change over time. Position-dependent differences were analysed by Friedman ANOVA and Kendall concordance tests. Measurements differed significantly according to tooth position in the pharyngeal jaws. Tooth 1V was always the smallest, 3V the largest. The neck--crown angle and curvature of the crown increased from 1V to 5V. Cusp depth increased from 1V to 3V, and then decreased again. These results indicate that successive replacement cycles entail a size increase accompanied by shape changes apparently restricted to the crown. These quantitative data lay the basis for further descriptive and experimental studies of tooth shape in this model-species.

Structure and development of first-generation teeth in the cichlid Hemichromis bimaculatus (Teleostei, Cichlidae).

In order to build a reference system to assess results of ongoing in vitro experiments on the study of epithelial-mesenchymal interactions during odontogenesis in actinopterygians, we have chosen to study the first-generation teeth of the cichlid Hemichromis bimaculatus from initiation until attachment both at the light and transmission electron microscopical level. Although their development follows the general pattern of teleost tooth formation, first-generation teeth show peculiarities compared with later tooth generations, including their size, bare emergence from the epithelium, absence of dentinal tubules and of nerves and capillaries in the pulp cavity, and organization of the outer dental epithelium. Four developmental stages (a to d) prior to attachment (stage e) have been distinguished. The oral epithelium invaginates into the underlying mesenchyme (stage a) and is later folded to form a bell-shaped dental organ (stage b) without any primordial thickening, or any other morphological indication of imminent invagination. Then, the collagenous enameloid matrix is laid down, most probably by the odontoblasts (early stage c), soon followed by predentine deposition and the beginning of enameloid mineralization (late stage c). With ongoing dentinogenesis, the enameloid matrix matures (stage d), i.e. the organic constituents are removed and the matrix further mineralizes. Finally (stage e), an annular collar of attachment bone is deposited to fix the tooth onto the underlying bone.

Ultrastructural observations on chondroid bone in the teleost fish Hemichromis bimaculatus.

This paper presents transmission electron microscopical observations on the chondroid bone (CB) supporting the neurocraniad articulation facet of the upper pharyngeal jaws of juvenile specimens of Hemichromis bimaculatus (an acellular-boned teleost fish). Chondroid bone, a skeletal tissue morphologically intermediate between cartilage and bone, is composed of a dense mineralized collagenous matrix, resembling that of woven-fibred bone, and large chondrocyte-like cells. The latter vary considerably in their morphological features (functional cells, cells containing a large vacuole and degenerating cells). The CB is mineralized except for its upper layer. Mineralization is initiated in matrix vesicles. Clusters of apatite crystals coalesce at the mineralization front. Distally, the tissue grows by incorporation of cells which exhibit the features of osteoblasts, and which derive from less differentiated fibroblast-like cells located in the outermost layer of the tissue. Proximally, the CB is subjected to erosion by multinucleated clastic cells. The deposition of bone against the wall of lacunae which have been opened by clastic resorption may suggest a possible active involvement of the CB cells. Further studies should point out whether this bone substantially contributes to the acellular dermal dentigerous bone located below.