enamel is secreted by ameloblasts derived from tooth epithelial stem cells (Scs). Humans cannot repair or regenerate enamel, due to early loss of tooth epithelial Scs. contrarily in the mouse incisors, epithelial Scs are maintained throughout life and endlessly generate ameloblasts, and thus enamel. Here we isolated Sox2-GFP+ tooth epithelial Scs which generated highly cellular spheres following a novel in vitro strategy. this system enabled analysis of Sc regulation by various signaling molecules, and supported the stimulatory and inhibitory roles of Shh and Bmp, respectively; providing better insight into the heterogeneity of the Scs. further, we generated a novel mouse reporter, Enamelin-tdTomato for identification of ameloblasts in live tissues and cells, and used it to demonstrate presence of ameloblasts in the new 3D co-culture system of dental SCs. Collectively, our results provide means of generating 3D tooth epithelium from adult SCs which can be utilized toward future generation of enamel. Postnatally, stem cells (SC) remain within organ-specific SC niches and provide the source of reparative and regenerative potential. Continuously-growing rodent incisors contain epithelial and mesenchymal SC niches, which unceasingly produce the mineralized constituents of the adult tooth: enamel and dentin, respectively (reviewed in 1). The epithelial SCs reside in the labial cervical loops (LaCL) situated at the proximal end of the tooth, and are surrounded by their progeny, as well as the mesenchymal cells of dental pulp and follicle. Within the LaCL, these SCs are located in the loosely-arranged stellate reticulum and can be identified as slowly dividing, label-retaining cells, which express Sox2, Lgr5, Ptch1, Gli1, ABCG2, Bmi-1, and Oct3/4, among other genes 2-7. In vivo studies and in vitro explant cultures have demonstrated that the survival, proliferation, and differentiation of tooth epithelial SCs are regulated through complex, but not fully elucidated, interactions with the surrounding cells. An intricate signaling network involving several signaling pathways, including FGF, BMP, Activin, and Follistatin, regulates maintenance of SCs, transit-amplifying cell (TAC) proliferation, and ameloblast differentiation (reviewed in 8). In addition, we recently showed that functionally distinct Patched receptors establish multimodal Hedgehog signaling in the cervical loop 9 , which enables simultaneous regulation of maintenance of SCs and ameloblast differentiation, as previously reported 7,10. Published data have demonstrated that Fgf10 and Fgf3 positively regulate SCs, similar to Shh signaling, while BMP4 and mesenchyme-derived Wnt signaling have a negative effect on this population 10-12. Intriguingly, the incisor SC niche is characterized by exclusive lack of Wnt signaling, attributed to the enrichment of Wnt inhibitors 13. Epithelial SCs in mouse incisors continuously generate ameloblasts in a stepwise process during which the cells transit through increasing degrees of differentiation marked by the expression of...