Enamel is the most visible tissue of the tooth. It gives the tooth its whiteness, its brilliance and is the main focus of our attention from an esthetic point of view. Unfortunately, it is not uncommon to see alterations in this enamel, whether they are simple localized discolored spots, or more extensive loss of tooth substance. The etiologies, then, are multiple: toxicity during the mineralization of the bud, hyperthermia or a genetic abnormality. As professionals, making an etiological diagnosis and reassuring the parents is a challenge that we must address on a daily basis.

Tooth germs of upper first molars of 1, 3, and 5-d-old rats, fixed in formaldehyde, were stained for the detection of apoptosis by the TUNEL method, and by the azo-dye method for the demonstration of acid phosphatase. For conventional light and electron microscopy the specimens were fixed in glutaraldehyde- formaldehyde and embedded in glycol methacrylate and Araldite. Results showed that macrophages, present in the stellate reticulum, contained basophilic bodies and TUNEL-positive globules, i.e. apoptotic bodies, in their interior. Macrophages also possessed strong acid phosphatase activity. Electron microscopy showed the presence of large vacuoles inside the macrophages containing dense fragmented material. Taken together these results suggest that the intra-epithelial macrophages of the stellate reticulum engulf apoptotic bodies.