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III. dental development from birth to 16 years.

Tooth eruption in 212 randomly selected Swedish urban children has been investigated from birth to 16 years as part of a prospective longitudinal study of growth and development. The ages and the order of eruption of the deciduous and permanent teeth were in agreement with those reported in other contemporary studies. The good agreement with another longitudinal study of the tooth eruption of Swedish children born during the same period is an indication that the present sample was representative of contemporary Swedish children. In the deciduous dentition a probable male advancement was found, while girls were consistently the advanced sex as regards the eruption of permanent teeth. Sex differences have also been found in the relation between dental development and other criteria of somatic growth and development. The correlations were low or moderate with, in general, higher values for girls than boys. A positive association with somatic growth was observed both for the deciduous and the permanent dentition but with intriguing sex differences for various body measurements.

Adolescent↗

Delayed dental age in hepatorenal glycogen storage disease.

The dental findings in three patients with hepatorenal glycogen storage disease are described. In two cases, dental maturation and tooth eruption were considerably delayed. In the third case, dental maturation and tooth eruption are normal, possibly because of newer treatment methods of this disease.

Adolescent↗

[Deciduous tooth intrusions and the odontogenesis of the permanent teeth. Developmental disorders of the permanent teeth following intrusion injuries to the deciduous teeth].

Traumata to primary teeth occur very often in small children. The highest prevalence of developmental disturbances of permanent teeth after trauma to their predecessors has been recorded after intrusive injuries of primary teeth. In the present survey 47% of the recalled children had such developmental disturbances. The majority of developmental disturbances consisted of enamel hypoplasia (59%) which included discoloration, defects or a combination of both. In some cases the clinical feature of enamel defects could be diagnosed radiographically before tooth eruption. However, the total number of all enamel discolorations was to be detected after complete tooth eruption only. The so-called pre-eruptive calciotraumatic lines on radiographs corresponded clinically to circular enamel defects or crown dilacerations. Generally, a high correlation was found between the degree of intrusion (of the primary tooth) and the frequency and severity of developmental disturbance (of the permanent tooth). No correlation was found, however, concerning the treatment of intruded primary teeth and the occurrence of developmental disturbances. Whether intruded primary teeth were removed immediately or left to spontaneous re-eruption did not affect the incidence and type of developmental disturbances.

Child↗

Idiopathic failure of eruption of permanent molar teeth.

Failure of permanent teeth to erupt without any known cause is a seldom occurring phenomenon. However, it brings to light our ignorance of the basic physiologic mechanism of tooth eruption. In this article we present five patients with unerupted permanent molar teeth. In all instances, no obvious cause exists. Indications for operative intervention and management are discussed, but the cases are also presented to focus attention on our lack of knowledge of the physiology of tooth eruption.

Child↗

The development and fate of the dental lamina of the mandibular first molar tooth in the rat.

The lamina of the first mandibular molar teeth of rats, age range 13 d intrauterine (i.u.) to 16 d postnatal (p.n.), was examined by light and transmission electron microscopy to establish histological baselines of its development and fate. All material was obtained from animals anaesthetised with ether, killed by cervical dislocation and prepared by routine methods for both types of examination. Contrary to earlier reports that the lamina remains intact throughout development, mesenchymal elements disrupt the lamina. These were seen first at 19 d i.u., as collagen-filled bays in the basal epithelial layers, associated with partial loss of related basal lamina. In the early stages, collagen deposition was limited and it was not obviously preceded by epithelial cell death or transformation, even though many bay-related cells showed lipid and glycogen accumulations. Later disruption of the lamina showed more mesenchymal cells as well as collagen in deeper spaces. After the onset of tooth eruption, mesenchymal cells external to and within the lamina contained lysosomal bodies and these plus evidence of related epithelial cell death and capillaries in the laminar spaces became more and more apparent. Similar collagen deposits were observed in a successional tooth primordium, which appeared at term but eventually aborted between days 5 and 10 p.n. Thus disruption of the lamina by connective tissue began earlier than has been reported previously and progressed as the tooth erupted towards the oral cavity. The evidence suggests that this disruption is initiated and sustained by mesenchymal cell activity rather than by programmed cell death or transformation of the epithelium.

Animals↗

Orthodontic and periodontal considerations in managing teeth exhibiting significant delay in eruption.

AIM: Significant delay in tooth eruption may be observed in many orthodontic patients. This delay may lead to complications, such as devitalization, ankylosis, external root resorption, injury to the adjacent teeth, and mucogingival problems. These complications may result in prolonged treatment time, esthetic deformities, damage to the periodontal tissues, and tooth loss. This report investigates the special considerations needed in treating such cases. METHODS: Combined orthodontic and surgical treatment can be used in managing teeth exhibiting significant delay in eruption. RESULTS: A high rate of success can be achieved in terms of esthetics, occlusion, and periodontal health. CONCLUSION: Nontraumatic surgery, adequate control of gingival inflammation, and use of minimal orthodontic forces may ensure a higher percentage of success and prevention of problems associated with teeth exhibiting significant delay in eruption.

Dental Occlusion↗

[Growth of the tooth root after radiation--an animal experimental study].

The extent to which root growth and tooth eruption can be influenced by irradiation trauma was studied in beagle dogs. A cobalt 60 teletherapy apparatus with various dosages between 600 rad and 2400 rad was used to inflict the trauma on the maxilla and mandible. The results showed that the delay in tooth eruption was dependent on the dosage, but erruption could not be hindered. Longitudinal growth of the roots of irradiation, independent of the level of the dose. The periodontal fibers were normally aligned as with healthy teeth; the apex was formed predominantly by surplus cellular cement.

Animals↗

Apert syndrome with glucose-6-phosphate dehydrogenase deficiency: a case report.

Apert syndrome is characterized by midface hypoplasia, syndactyly of the hands and feet, proptosis of eyes, steep and flat frontal bones, and premature union of cranial sutures. Maxillary hypoplasia, deep palatal vault, anterior open bite, crowding of the dental arch, severely delayed tooth eruption, and dental malocclusion are the main oral manifestations of this syndrome. In this report, a case of Apert syndrome with glucose-6-phosphate dehydrogenase (G(6)PD) deficiency is presented. The patient, a 4-year-old male and the fourth child of healthy parents, was admitted to our department because of delayed tooth eruption. He had all the cardinal symptoms of the Apert syndrome. Clinical examination revealed that primary centrals, canines and first molars erupted; however, primary second molars and laterals had not erupted. The patient had no dental caries. Preventive treatments were applied, and subsequently, the patient was taken to long-term follow up.

Acrocephalosyndactylia↗

Systemic and local teething disturbances: prevalence in a clinic for infants.

The aim of this study was to present data as reported by parents on primary tooth eruption and the occurrence of local and systemic manifestations in children ages 0 to 3 years seen at the baby clinic of the Araçatuba Dental School, UNESP, São Paulo, Brazil. Data from 1,813 records were analyzed, yielding 1,165 records suitable for review. Some type of local and/or systemic manifestation during primary tooth eruption was reported for 95% (1,129) children studied. The predominant manifestation was gingival irritation (85%), while the least frequent symptom (26%) was a runny nose.

Brazil↗

The effect of a microfilament-disrupting drug, cytochalasin B, on 6-hourly and daily eruption rates of the rat mandibular incisor.

The drug did not affect 6-hourly and daily eruption rates of the unimpeded mandibular incisor of the rat. It is suggested that the tooth eruption is not inhibited by the disruption of microfilaments because the disruption was not associated with the motility of the cells and/or that the motility of the cells is not associated with the motive force of tooth eruption. Further studies may be necessary to confirm that the effects of cytochalasin B are on both microfilaments and motility of the periodontal fibroblasts.

Animals↗

[The effect of doxorubicin on the unimpeded eruption rates of rat mandibular incisors].

We examined the effects of daily injections of doxorubicin, an anti-tumor drug, on unimpeded eruption rates, pulp cells, odontoblasts, periodontal ligament and dentine formation in the rat mandibular incisor. The experimental animals were intraperitoneally injected with 5 mg of doxorubicin/kg body weight/day for a period of 7 days. The eruption rates decreased gradually; and on the seventh day, the mean eruption rate had decreased to 14% of the control value. In addition, we noticed marked destruction of pulp cells and periodontal cells at the basal region of the incisor. The amount of dentine formation was measured using the tetracycline labeling method, but significant decreases in dentine formation were not observed. These results suggest that destruction of the basal tissues is related to inhibition of incisor eruption rates, but that tooth eruption is not related to dentine formation.

Animals↗

[Orthodontic treatment for the impacted upper central incisors: report of 28 cases].

PURPOSE: To study the effect of treating the impacted upper central incisors which couldn't erupt by surgical exposure and orthodontic traction. METHODS: 28 cases with 30 impacted upper central incisors were treated with surgical exposure and orthodontic traction. RESULTS: In 1 case, the tooth erupted by traction. but the space was not enough, the child's parents refused extraction of the teeth, which resulted in malalignment of the maxillary incisors. In 1 case, the tooth erupted after 3 months of traction, but the patient gave up further treatment because he had no revisit time. In the remaining 26 cases all the teeth moved into correct position. The average eruption time was 4.5 month (rang: 1 to 10 months). 28 impacted teeth had vital pulp. No root absorption and conglutination were found. CONCLUSIONS: The time of treatment, reasonable orthodontic method, less operative trauma, appropriate traction force, anchorage, control of inflammation are the keys of successful treatment.

Child↗

Morphological change of the nasopremaxillary suture in growing "toothless" osteopetrotic (op/op) mice.

Osteopetrotic (op/op) mice are known to commonly show a failure of tooth eruption. It is also well understood that masticatory function is highly associated with the craniofacial morphology of the growing mouse; however, the effects on sutural growth have not been studied. The present study was conducted to examine, in detail, the morphological and histological changes of the nasopremaxillary suture in these mutant mice and to assess a role of mechanical stress from mastication in the sutural growth. The width of the nasopremaxillary suture was measured on the section for the superior (P1), middle (P2), and inferior (P3) levels. The width of the nasopremaxillary suture for the P1 level in the normal mice fed a solid diet was significantly smaller in 30-day-old mice than in 15-day-old mice, whereas the width for the level P3 was significantly greater in the 30-day-old mice than in the 15-day-old mice. These changes in the sutural space were more prominent in the normal mice fed a solid diet than in the normal mice fed a granular diet. The sutural widths for all the levels became smaller in the 30-day-old op/op mice than in the 10-day-old op/op mice. The endocranial area of the nasopremaxillary suture showed synostosis in 30-day-old op/op mice. In both the normal and op/op mice, the number of tartrate-resistant acid phosphatase (TRAP)-positive cells was greatest at the age of 15 days. Moreover, the TRAP-positive cell number was smaller in the op/op mice than in the normal mice for all the experimental stages. Since, in general, mastication begins in mice after tooth eruption, i.e. from 15 to 30 days after birth, the present findings suggest that failure of tooth eruption and the reduced masticatory function restrict sutural modification.

Animals↗

Attachment to and phagocytosis of mineral by alveolar bone osteoclasts.

The mechanisms by which the osteoclast attaches to and resorbs bone are not fully understood. Morphologic techniques have primarily been used to examine these mechanisms, but many studies have been based on decalcified material. In this study, the attachment of the osteoclast to alveolar bone and its relationship to the mineral component during the active resorption associated with tooth eruption in the rat was examined using transmission electron microscopy and techniques designed to minimize demineralization effects during processing. Large conglomerates of bone mineral were found within both the ruffled border and the vacuoles adjacent to this area. These deposits were clearly more extensive than the isolated mineral fragments described in other sites by previous investigators. Examination of demineralized sections showed that collagen was largely absent within the ruffled border, and not present within vacuoles. These observations suggest that phagocytosis of bone mineral may supplement its extracellular dissolution in situations associated with rapid bone turnover, such as tooth eruption. Two types of clear zone attachment to mineral were also observed, permitting further speculation on the mechanism by which osteoclasts attach to and move along the bone surface.

Animals↗

Fibroblast cell proliferation in the mouse molar periodontal ligament.

Cytogenesis of the developing molar periodontal ligament was studied by determining labelling indices in 4 groups of young mice. Autoradiographs were made using paraffin sections of demineralised specimens from 10 days, 12 days, 16 days and 20 days old mice allowed to survive a varying period (1--96 hours) after the administration of [3H]thymidine. Labelled fibroblasts in number per unit area were counted over three different zones (apical, middle and cervical) of the sections and labelling index distribution curves were drawn. The present study has demonstrated the existence of a progenitor area with proliferating fibroblasts in the apical zone and a migration of these cells into other zones (middle and cervical). However, it has also shown that a measurable proliferative rate is present at all levels of the molar periodontal ligament in all ages of animals investigated. Such an observation if compatible with fibroblasts migrating from the apical zone in an occlusal direction and maintaining a decreasing degree of proliferative activity as they progress. Consequently, a tentative apico-occlusal migratory model for the periodontal ligament fibroblast proliferation and migration is proposed. Accordingly, fibroblast proliferation takes place in the apical progenitor zone, and cells migrate from the apical zone to middle and cervical zones, but maintaining a decreasing degree of proliferative activity as they migrate. Peak proliferative and migratory activity is seen in the 12 days group which is also the time that tooth eruption takes place in the mouse. Thus, a close relationship exists between fibroblast cell proliferation, migration and tooth eruption.

Aging↗

Locomotion and physical development in rats treated with ionizing radiation in utero.

Effects of ionizing radiation on the emergence of locomotor skill, and physical development were studied in laboratory rats (Fisher F-344 inbred strain). Rats were treated with 3 different doses of radiation (150 rad, 15 rad, and 6.8 rad) delivered on the 20th day of prenatal life. Results indicated that relatively moderate (15 rad) to high (150 rad) doses of radiation had effects on certain locomotion and physical development parameters. Exposure to 150 rad delayed pivoting, cliff-avoidance, upper jaw tooth eruption, and decreased body weights. Other parameters, such as negative geotaxis, eye opening, and lower jaw tooth eruption were marginally delayed in the 150 rad treated animals. Exposure to 15 rad delayed pivoting and cliff-avoidance.

Animals↗