There has been rapid progress recently in the identification of signal
ling pathways regulating tooth development. It has become apparent tha
t signalling networks involved in Drosophila development and developme
nt of mammalian organs such as the limb are also used in tooth develop
ment Teeth are epithelial appendages formed in the oral region of vert
ebrates and their early developmental anatomy resembles that of other
appendages, such as hairs and glands. The neural crest origin of tooth
mesenchyme has been confirmed and recent evidence suggests that speci
fic combinations of homeobox genes expressed in the neural crest cells
may regulate the types of teeth and their patterning. Signalling mole
cules in the Shh, FGF, BMP and Wnt families appear to regulate the ear
ly steps of tooth morphogenesis and some transcription factors associa
ted with these pathways have been shown to be necessary for tooth deve
lopment. Several of the conserved signals are also transiently express
ed in the enamel knots in the dental epithelium. The enamel knots are
associated with the characteristic epithelial folding morphogenesis wh
ich is responsible for the development of tooth shape and it is curren
tly believed that the enamel knots function as signalling centres regu
lating tooth shape development. The developing tooth has proven to be
an excellent model in studies of the molecular basis of patterning and
morphogenesis of organs and it can be expected that continuing studie
s will rapidly increase the understanding of these mechanisms. (C) 199
7 Elsevier Science Ireland Ltd.