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Tooth eruption in patients with cleft lip and palate.

In boys with a total unilateral cleft the course of eruption of deciduous and permanent teeth in the quadrant of the maxilla with the cleft was investigated and compared with the intact quadrant of the maxilla. The greatest retardation (two years) during eruption was found in deciduous and permanent second incisors in the maxillary quadrant affected by the cleft. This retardation is according to the authors associated with gross morphological changes such as duplication of the second incisor and its altered shape. The second upper permanent incisor erupts only in 60% of the patients and this can be explained by frequent hypodontia. Retarded eruption was observed also in the maxillary quadrant with the cleft in the permanent canine (one year), the first (one and a half year) and second permanent premolar (six months). In these teeth the crowns are not perceptibly malformed and the delayed eruption may be associated with lack of space in the hypoplastic quadrant of the maxilla on the side of the cleft. The permanent first incisor and permanent first and second molar erupt symmetrically in both maxillary quadrants.

Adolescent↗

Rat odontogenic tumors associated with disturbed tooth eruption.

Most odontogenic tumors occurring in rats have the appearance of immature or mature odontomas. The present brief paper describes two spontaneously occurring odontogenic lesions in rats; both had the appearance of complex odontomas. One was associated with a lesion that had the appearance of an odontogenic fibroma; the other occurred concomitant with a lesion that had the appearance of a cementoblastoma. Their possible relationship with disturbed eruption due to malocclusion is discussed.

Animals↗

Interceptive approach to tooth eruption abnormalities: 10 year follow-up of a case.

A child affected by lack of eruption of the upper right primary cuspid from the presence of a compound odontoma was followed from 3 to 13 years of age. The early removal of the obstacle to eruption and the correct control of the case evolution allowed for a satisfactory alignment of the permanent teeth by means of minimal therapeutical intervention.

Child, Preschool↗

External resorption associated with tooth eruption.

A case is presented with severe resorption on the mesial root of the mandibular first permanent molar in a patient with Juvenile Periodontitis. The follicle of the bicuspid is seen in contact with mesial root of the molar.

Aggressive Periodontitis↗

Epidemiological study of some factors related to deciduous tooth eruption.

This community based study evaluates the eruption pattern of the Saudi children (0-24 months), living in the North West region of the country. No child under the age of 6 months in this study had any teeth. The number of teeth acquired correlated strongly with age (r = +0.82, t = 18.7, p < 0.001), and moderately with weight (r = +0.63, t = 9.09, p < 0.001). Age and weight having independent effects on the timing of eruption of deciduous teeth. Before teething began, a threshold weight had to be acquired and female teeth emerged with comparatively lower weights than that of males of the same age. Even though age was highly correlated with the number of teeth erupted, the wide range of normal prevents delay in teething from being a useful index of inadequate growth in this community.

Age Factors↗

The effect of early loss of primary molars on tooth eruption and space conditions. A longitudinal study.

In 186 children study casts were made at the age of 9, 11 and 13 years. The material was grouped according to early loss of primary molars and a comparison was made between children with and without early losses. Early loss was defined as follows: 1. extraction of the first primary molar between 7 1/2 and 9 1/2 years and/or extraction of the second primary molar between 7 1/2 and 10 1/2 years; 2. extraction of the first and/or second primary molar before 7 1/2 years of age. The following variables were studied: space conditions, dental stage for groups of teeth, eruption stage of single teeth. For the incisors the clinical crown length (CCL) was used as a measure of the eruption stage. The results showed that there was a tendency to later eruption and later onset of dental stages in cases without early losses when a comparison was made with investigations where this factor had not been taken into consideration. The second permanent molar erupted earlier in both jaws after early loss of the second primary molar. Children with loss of primary molars before 7 1/2 years developed more crowding than children without losses and losses after 7 1/2 years had little effect on the relative space.

Adolescent↗

Delayed tooth eruption in membrane type-1 matrix metalloproteinase deficient mice.

Membrane-type 1 matrix metalloproteinase (MT1-MMP) is expressed highly in mineralizing tissues including bones and teeth. Mice deficient in MT1-MMP (-/-) display severe defects in skeletal development including dwarfism, osteopenia, and craniofacial abnormalities. Death occurs in these mice by about 3 weeks of age. Since MT1-MMP is expressed by the ameloblasts of the enamel organ and by the odontoblasts of the dental papilla, we asked if the developing teeth were adversely affected in the knockout animals. Molars from MT1-MMP -/- mice and controls were examined by histological, X-ray, and SEM analysis at 4, 18-20, and 25 days of postnatal development. At 4 days of development the molars from the -/- mice appeared histologically normal. At 18-20 days of development, the first molars of the -/- mice had apparently normal tooth crowns with normal dentin and enamel; however, the roots were truncated and the teeth had not yet erupted. In contrast to the -/- mice, the first molars of the 18-20-day control animals had erupted. SEM analysis of a -/- first molar and incisor revealed a normal enamel prism pattern. However, X-ray analysis demonstrated that tooth eruption was delayed by approximately 5 days and that the tooth roots were abnormally short in the knockout animals. Since MT1-MMP-deficient mice have been demonstrated to display a generalized increase in bone resorption, these data suggest that inefficient growth of bone surrounding the tooth root complex causes a delay in tooth eruption.

Animals↗

Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement.

The replacement of teeth lost by children because of trauma can be an important indication for early implant therapy. Osseointegrated dental implants, like ankylosed teeth, alter position as growth-related changes occur within the jawbones (displacement, remodeling, mesial drift). Facial growth of the child and even of the adolescent, as well as the continuous eruption of the adjacent anterior teeth, create significant risk of a less favorable esthetic and/or functional outcome. For patients with a normal facial profile, the placement of an implant should be postponed until growth is complete. For patients with a short or long face type, further growth, especially the continuous eruption of adjacent teeth, creates a serious risk even after the age of 20 years, as illustrated by some recent clinical studies. This review aims to explain these phenomena and provides some recommendations for implant placement.

Adolescent↗

Developmental changes in the extracellular matrix of the dental follicle during tooth eruption.

Eruption of the third and fourth mandibular premolars in the dog begins at 15 weeks of age, is dependent upon the dental follicle, and is complete by 23 weeks. Our study covered the period from 12 to 20 weeks, and revealed several changes in extracellular matrix structure and organization of the follicle which correlate with specific physiological events in eruption. First, the average DNA content per follicle reached a maximum at 14 weeks. Two weeks later, follicle size had increased 1.3- to 2.4- times. Second, the collagen content of follicles increased 2.5-fold over the study period, with two-thirds of this increase over the last four weeks. Type I collagen was the major collagen at all stages of follicular development. The amount of proteoglycan rose 45% from 16 to 20 weeks of age. Third, the ultrastructure of the dental follicle prior to eruption (12 weeks) indicated a disorganized interstitial connective tissue matrix; during eruption, two size classes of fibrils were observed which clustered together in linearly aligned bundles. Fourth, gel electrophoretic analyses resolved more than twenty follicle proteins with the major species a Mr = 95k glycoprotein. Immunoblotting demonstrated only one minor component was derived from serum. Comparison of noncollagenous proteins from different aged follicles indicated that three small polypeptides (Mr = 20-25 k) were present primarily at 16 weeks, the same time at which root elongation begins. A different sequence of changes was exhibited by two other proteins of Mr = 13 and 15 k. These findings may serve as biochemical markers of stages of dental follicle development and facilitate a search for local control mechanisms.

Aging↗

Relationships between tooth eruption, occlusion and alveolar bone resorption: histochemical and cytological studies of bone remodeling on rat incisor alveolar bone facing the enamel after root resection.

The labial side of rat incisor alveolar bone facing the enamel is continuously resorbed as the result of compressive force produced by the occlusion and eruption of incisors. In order to clarify the relationship between this mechanical compressive force and the bone cells involved in bone remodeling, we examined morphological changes occurring in the alveolar bone once the compressive force was eliminated by the removal of the proliferative odontogenic base (root resection according to Berkovitz and Thomas, 1969). After root resection, the incisor migrated halfway along the socket. On the crestal part where incisor still existed, active osteoclasts were prominent on the bone surface, and flattened mononuclear cells lay close upon active osteoclasts. Sinusoidal blood vessels or capillaries were observed at short distances from the bone surface. On the basal part where socket was vacant, osteoblasts lined up on the newly formed bone, and the osteogenic cell layer lay on the osteoblasts. Between the two parts, which correspond to the reversal phase proposed by Baron (1977), osteoblastic cells with developed cell organelles increased in number and the distance between blood vessels and bone surface increased. Osteoclasts reduced their activities, and osteoblastic cells often wedged themselves between the osteoclasts and bone surface. These findings indicate that the elimination of compressive force mediated by incisors leads to the activation of osteoblastic cells and inactivation of osteoclasts, which results in a conversion from bone resorption to bone formation. Thus, osteoblastic cells may play an important role in controlling osteoclastic activity in conversion from bone resorption to bone formation, partly by a direct effect and partly by controlling the access of blood vessels to the bone surface.

Acid Phosphatase↗

[Structure of the periodontal ligament during tooth eruption in the dog: descriptive aspects].

Serially stained uncalcified sections of young dog mandibles were examined to study the structure of the periodontal ligament of the erupting first right molar. The periodontal ligament around tooth crown presents three zones. The first, near the dental follicle, is a tick layer of parallel collagen bundles with numerous flattened fibroblasts. The second, intermediate, contains a blood vessels network, particularly veins and capillaries. The third, outer, is occupied by a continuous layer of osteoclasts and osteoblasts. Also the periodontal ligament around the tooth presents three layers, the outer and the intermediate rich of cells more than the inner. Particularly, the outer layer shows numerous osteoblasts surrounding the developing trabeculae of the alveolar bone and the collagen fiber bundles of the periodontal ligament. These penetrate into the trabeculae and appear similar to the osteoid layer. These results indicate that the alveolar bone increases by ossification of the connective tissue of the periodontal ligament.

Alveolar Process↗

The blood-vessel thrust theory of tooth eruption and migration.

The Blood-Vessel Thrust Theory is a new hypothesis regarding the forces which produce the normal eruption of teeth, and the movement of 'nonerupted' teeth through bone away from their normal position in the jaws. It points out that the flow of blood through the vessels of the dental pulp, and of the tissues surrounding the tooth, must produce hydrodynamic and hydrostatic forces within the blood vessels, and that these forces have a resultant towards the tooth crown, thus causing the tooth to move, crown first, through the bone during normal eruption or abnormal tooth migration.

Humans↗