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Dentistry · Oral histology and anatomy: Tomes process
Sample itemElectron microscopy of a secretory-stage ameloblast shows a distal projection whose shape determines the pattern of enamel rods. What is this structure called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Tomes process
The Tomes process is the distal extension of the secretory ameloblast and shapes the enamel prisms and interprismatic enamel. It is lost when the ameloblast enters the maturation stage.
Option by option
A. Odontoblast process
The odontoblast process lies in the dentine tubule and forms dentine.
B. Sharpey fibre
Sharpey fibres are collagen bundles embedded in cementum and bone.
C. Hertwig's sheath
Hertwig's epithelial root sheath guides root formation, not enamel.
D. Tomes process (correct)
Correct. The Tomes process of the ameloblast sculpts the rod pattern.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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