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Tomes Processes — NDEB AFK MCQ

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HardBiomedical SciencesTomes ProcessesNDEB AFK

What is the clinical significance of Tomes processes in amelogenesis?

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Correct answer: CThey are cytoplasmic extensions of ameloblasts responsible for enamel rod (prism) formation

Tomes processes are cytoplasmic extensions of secretory-stage ameloblasts that are directly responsible for the deposition and organisation of enamel rods (prisms). The shape and orientation of the Tomes process determines the characteristic keyhole or fish-scale cross-sectional pattern of enamel rods. The distal (secretory) face of the Tomes process produces the rod enamel, while the proximal face produces the inter-rod enamel. They are resorbed during the transition from secretory to maturation stage.

Reference: Nanci – Ten Cate's Oral Histology, 9th ed., 2017