Cervical loop
Encyclopedia
The cervical loop is the location on an enamel organ
Enamel organ
The enamel organ, also known as dental organ, is a cellular aggregation seen in histologic sections of a developing tooth. It lies above a condensation of ectomesenchymal cells called the dental papilla...

 in a developing
Tooth development
Tooth development or odontogenesis is the complex process by which teeth form from embryonic cells, grow, and erupt into the mouth. Although many diverse species have teeth, non-human tooth development is largely the same as in humans...

 tooth
Tooth
Teeth are small, calcified, whitish structures found in the jaws of many vertebrates that are used to break down food. Some animals, particularly carnivores, also use teeth for hunting or for defensive purposes. The roots of teeth are embedded in the Mandible bone or the Maxillary bone and are...

 where the outer enamel epithelium
Outer enamel epithelium
The outer enamel epithelium, also known as the external enamel epithelium, is a layer of cuboidal cells located on the periphery of the enamel organ in a developing tooth. This layer is first seen during the bell stage....

 and the inner enamel epithelium
Inner enamel epithelium
The inner enamel epithelium, also known as the internal enamel epithelium, is a layer of cells located on the rim nearest the dental papilla of the enamel organ in a developing tooth. This layer is first seen during the bell stage....

 join. The cervical loop is a histologic
Histology
Histology is the study of the microscopic anatomy of cells and tissues of plants and animals. It is performed by examining cells and tissues commonly by sectioning and staining; followed by examination under a light microscope or electron microscope...

 term indicating a specific epithelial structure at the apical side of the tooth germ, consisting of loosely aggregated stellate reticulum
Stellate reticulum
The stellate reticulum is a group of cells located in the center of the enamel organ of a developing tooth. These cells are star shaped and synthesize glycosaminoglycans. As glycosamingoglycans are produced, water is drawn in between the cells and stretch them apart...

 in the center surrounded by stratum intermedium
Stratum intermedium
The stratum intermedium in a developing tooth is a layer of two or three cells between the inner enamel epithelium and the newly forming cells of the stellate reticulum. It first appears during the early bell stage of tooth development, at around the 14th week of intrauterine life. The stratum...

. These tissues are enveloped by a basal layer of epithelium known on the outside of the tooth as outer enamel epithelium
Outer enamel epithelium
The outer enamel epithelium, also known as the external enamel epithelium, is a layer of cuboidal cells located on the periphery of the enamel organ in a developing tooth. This layer is first seen during the bell stage....

 and on the inside as inner enamel epithelium
Inner enamel epithelium
The inner enamel epithelium, also known as the internal enamel epithelium, is a layer of cells located on the rim nearest the dental papilla of the enamel organ in a developing tooth. This layer is first seen during the bell stage....

. During root formation the inner layers of epithelium disappear and only the basal layers are left creating Hertwig's Epithelial Root Sheath
Hertwig's epithelial root sheath
The Hertwig's epithelial root sheath is a proliferation of epithelial cells located at the cervical loop of the enamel organ in a developing tooth. Hertwig's epithelial root sheath initiates the formation of dentin in the root of a tooth by causing the differentiation of odontoblasts from the...

 (HERS). At this point it is usually referred to as HERS instead of the cervical loop to indicate the structural difference.

Cervical loop as epithelial stem cell niche

It is thought that the central epithelial tissue of the cervical loop, the stellate reticulum
Stellate reticulum
The stellate reticulum is a group of cells located in the center of the enamel organ of a developing tooth. These cells are star shaped and synthesize glycosaminoglycans. As glycosamingoglycans are produced, water is drawn in between the cells and stretch them apart...

, acts as a stem cell
Stem cell
This article is about the cell type. For the medical therapy, see Stem Cell TreatmentsStem cells are biological cells found in all multicellular organisms, that can divide and differentiate into diverse specialized cell types and can self-renew to produce more stem cells...

reservoir. In continuously growing teeth such as the rodent incisor the original structure of the cervical loop is maintained and no HERS forms. The stem cells provide the epithelial progeny to sustain the continuous growth.
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