Epithelial root sheath

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Epithelial root sheath
(1) The HERS, (2) ERM, (3) Dental follicle, (4) cementoblasts, (5) periodontal ligament, (6) alveolar cells, (7) bone, (8) odontoblasts.
Latin vagina epithelialis radicis
TE E5.
Anatomical terminology
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The Hertwig epithelial root sheath (HERS) or epithelial root sheath is a proliferation of epithelial cells located at the cervical loop of the enamel organ in a developing tooth. Hertwig epithelial root sheath initiates 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 with the periodontal ligament, but residual pieces that do not completely disappear are seen as epithelial cell rests of Malassez (ERM).[1] These rests can become cystic, presenting future periodontal infections.[2]


Hertwig epithelial root sheath is derived from the inner and outer enamel epithelium of the enamel organ.[2]


The sheath is also responsible for multiple or accessory roots (medial growth) and lateral or accessory canals in the root (break in epithelium).[3] 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.[4]

Other animals

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.


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).[4]

See also


  1. ^ Ten Cate's Oral Histology, Nanci, Elsevier, 2013, page 166
  2. ^ a b Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, page 66
  3. ^ Ten Cate's Oral Histology, Nanci, Elsevier, 2013, page 174
  4. ^ a b Luan, X; Ito, Y; Diekwisch, TG (May 2006). "Evolution and development of Hertwig's epithelial root sheath". Dev. Dyn. 235: 1167–80. doi:10.1002/dvdy.20674. PMC 2734338Freely accessible. PMID 16450392. 
  • 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


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