| Epithelial root sheath | |
| Latin: | vagina epithelialis radicis |
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.
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]
While in mammals 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.
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).