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PubMed2000

Teething and tooth eruption in infants: A cohort study.

OBJECTIVE: Many symptoms are attributed to teething in infants. There is little evidence to support these beliefs, despite their implications for clinical management. We investigated relationships between tooth eruption, fever, and teething symptoms. METHODS: Prospective cohort study. PARTICIPANTS: Twenty-one children 6 to 24 months old attending 3 suburban long-day care centers >/=3 days/week. Measures. 1) Daily temperature recording and examination of alveolar ridges for tooth eruption (dental therapist). 2) Daily questionnaires-symptoms over preceding 24 hours (staff and parents independently). 3) Final questionnaire-beliefs/experiences related to teething (parents). Definitions. Eruption day-the first day a tooth could be seen or felt. Non-toothdays-more than 28 days clear of any eruption day. Toothdays-the 5 days preceding eruption days. RESULTS: Data were collected for 236 toothdays and 895 non-toothdays pertaining to 90 teeth. Child temperatures were similar on toothdays and non-toothdays (36.21 vs 36.18, paired t test). Logistic regression adjusted for age did not show an association between toothdays and temperature (odds ratio [OR] = 1.35, 95% confidence interval [CI] = 0.80, 2.27 for high fever; OR = 1.34, 95% CI = 0.48, 3.77 for low fever). Logistic regression models allowing for within-child cluster effects and age were fitted to daily staff and parent reports of mood, wellness/illness, drooling/dribbling, sleep, diarrhea, strong diapers, red cheeks, and rashes/flushing. Only parent-reported (but not staff-reported) loose stools were significantly associated with tooth eruption (OR = 1.86, 95% CI = 1. 26, 2.73). When the toothday definition was varied to 10 days preceding or 5 days surrounding tooth eruption, this single significant association was no longer apparent (OR = 1.42, 95% CI = 0.98, 2.05 and OR = 1.47, 95% CI = 0.97, 2.21, respectively). All parents retrospectively reported that their own children had suffered a range of teething symptoms. CONCLUSIONS: This study did not confirm the expected strong associations between tooth eruption and a range of teething symptoms in children 6 to 30 months old, although we cannot rule out the possibility that weak associations may exist (Type II error). These findings contrast with strong parent and professional beliefs to the contrary. Such beliefs may preclude optimal management of common patterns of illness and behavior in young children.teething, infants, symptoms, tooth eruption, illness.

Adult↗
PubMed2003

The role of epithelial remodelling in tooth eruption in larval zebrafish.

Based on light and transmission electron-microscopic observations on erupting first-generation teeth in the zebrafish, Danio rerio, we propose a biphasic mechanism for tooth eruption: (1). formation of an epithelial crypt prior to eruption of the tooth, possibly as a result of constraints in the epithelium resulting from the growth of adjacent tooth germs, and (2). detachment of cellular interdigitations both within the pharyngeal epithelium, at the pharyngeal epithelium/enamel organ boundary, and between the outer and inner dental epithelium, resulting in the exposure of the tooth tip in the crypt, immediately after tooth ankylosis. Later, further detachment of interdigitations between the inner and the outer enamel epithelium unfolds the epithelium even more and leads to a more pronounced exposure of the tooth tip. The presence of small patches of non-collagenous matrix on the outer surface of the tooth close to where it merges with the attachment bone is interpreted as a device to prevent complete detachment of the enamel organ. The biphasic nature of the mechanism for tooth eruption is supported by observations on in vitro cultured heads. First-generation teeth develop normally and crypts are formed, as under in vivo conditions, but the teeth fail to erupt. Taken together, our observations suggest that epithelial remodelling plays a crucial role in eruption of the teeth in this model organism.

Animals↗
PubMed1992

Tooth eruption and orthodontic movement.

Teeth have been moved in man for centuries and the process of tooth eruption has occurred presumably since he evolved. The cellular and molecular mechanisms which are involved in these two phenomena are amongst the most intriguing questions in dental research today. The aim of this paper is to review some of the theories which have been proposed to explain the two processes. It is also intended to place in context the contribution being made by biological sciences, which might explain tooth eruption and tooth movement. It is not the intention to describe morphologic observations which are well documented and illustrated in more elaborate texts.

Bone Remodeling↗
PubMed1975

Nutritional status and the timing of deciduous tooth eruption.

The number of deciduous teeth in a sample of rural Ladino Guatemalan children was counted every 3 months through 24 months of age, and at 6-month intervals from 24 to 36 months. Nutritional status at birth, whether expressed as full-term birth weight or as maternal caloric supplementation during pregnancy, influences the timing of deciduous tooth eruption. Furthermore, the timing of deciduous tooth eruption seems more closely associated with postnatal weight than with birth weight. Although indices of nutritional deficiencies are associated with retarded tooth eruption, the use of mean number of deciduous teeth erupted as an estimate of mean chronological age in populations living under conditions of mild-to-moderate malnutrition is relatively accurate because errors of age estimation based on mean values for the present sample only vary between 1 and 2 months.

Birth Weight↗
PubMedDate not supplied

Failure of tooth eruption involving a mandibular primary first molar: a case report.

PURPOSE: Primary failure of tooth eruption involving primary teeth is unusual. The purpose of this report was to describe uneruption of a single mandibular primary first molar and the treatment outcome following limited orthodontic care. METHODS: A 5-year, 3-month-old boy was referred to the authors' clinic for treatment of an unerupted primary first molar, 3 months after fenestration by an oral surgeon. Orthodontic traction was performed on the affected molar in the authors' clinic. The affected mandibular primary first molar was fully erupted and in occlusion 16 months after the first fenestration. RESULTS: The histopathological diagnosis of the overlying tissue was pericoronal myxofibrous hyperplasia (PMH) without any calcified obstacles. CONCLUSIONS: Of the 26 primary tooth eruption failure cases treated in the authors' clinic between 1979 and 2003, the present case was the only example of a primary first molar.

Child, Preschool↗
PubMed1995

Altering tooth eruption by blocking bone resorption--the local delivery of bafilomycin A1.

Tooth eruption is a complicated process requiring a coordination of bone resorption and bone formation by a variety of factors in and around the dental follicle proper and bone resorption is the rate-limiting step early in the process. We have recently described a method to deliver to the crypt of erupting dog premolars a reversible blocker of bone resorption, bafilomycin A1, and shown that its delivery for two week blocks bone resorption and eruption during this period without effect on adjacent teeth or on bone formation. In this study we show that delivery of 10(-6) M bafilomycin A1 via a cannulated osmotic minipump for two weeks early in the eruption of premolars delayed the eruption of these teeth for eight weeks. Similar delivery of the vehicle to the contralateral premolar had no effect on eruption. These data are the first clinical application of this potent drug and show that a short term local delivery is reversible and that blocking resorption for two weeks causes a fourfold delay in tooth eruption. Modifications of this approach may have clinical applications in dentistry.

Animals↗
PubMed2005

CSF-1 regulation of osteoclastogenesis for tooth eruption.

The dental follicle regulates the alveolar bone resorption needed for tooth eruption. In the rat first mandibular molar, a decrease in the expression of osteoprotegerin (OPG) in the dental follicle at day 3 enables the osteoclastogenesis needed for eruption to occur. Because colony-stimulating factor-1 (CSF-1) is maximally expressed in the dental follicle at day 3, it was hypothesized that CSF-1 down-regulates OPG gene expression in the dental follicle in vivo. To test this, we compared the expression of OPG in osteopetrotic toothless (tl/tl) rats deficient in CSF-1 with expression in their normal littermates for given ages. OPG gene expression was found to be higher in the dental follicle of the tl/tl mutants than in normals. Transfecting short interfering RNA specific for CSF-1 mRNA into dental follicle cells resulted in an up-regulation of OPG expression. Thus, these studies support our hypothesis that the down-regulation of OPG needed for tooth eruption is mediated by CSF-1.

Animals↗
PubMed1998

Tooth eruption molecules enhance MCP-1 gene expression in the dental follicle of the rat.

Tooth eruption is a localized developmental event that requires the presence of the dental follicle, a loose connective tissue sac that surrounds each tooth. Early postnatally in the first mandibular molar of the rat there is an influx into the follicle of mononuclear cells (monocytes) which, in turn, fuse to form osteoclasts that resorb the bone to form an eruption pathway. The chemoattractant that may attract the mononuclear cells to the follicle to initiate the cellular events of eruption is monocyte chemotactic protein-one (MCP-1). MCP-1 is secreted by the dental follicle cells and its gene is expressed maximally at an early postnatal age, correlating with the monocyte influx into the follicle. In this study, we show that other potential tooth eruption molecules--EGF, IL-1alpha, TGF-beta1 and CSF-1--all enhance the expression of the MCP-1 gene in the cultured dental follicle cells. In vivo, injections of IL-1alpha or EGF also enhance the gene expression of MCP-1 in the follicle with maximal enhancement occurring in the early postnatal days. Thus, there appears to be a redundant function of the different tooth eruption genes to ensure that the MCP-1 gene is expressed. In turn, expression of MCP-1 may be critical for recruiting the monocytes to the dental follicle to initiate the cellular events of tooth eruption.

Animals↗
PubMed2005

Alterations of tooth eruption and growth in pups suckling from diabetic dams.

Several studies have confirmed a decrease in the quality and quantity of milk of mothers with diabetes during lactation. However, it remains unclear how maternal diabetes affects the offspring specifically during lactation. The aim of this study was to evaluate body and mandibular growth and tooth eruption in pups suckling from diabetic dams. The study was performed on 13 Wistar rat pups that were born to dams that were subjected to experimental diabetes on the day of parturition. Body weight and body size were recorded regularly throughout the study. The experimental pups and a group of eight age-matched pups suckling from nondiabetic dams were killed at weaning. Both hemimandibles were excised and fixed. Right hemimandibles were radiographed to assess mandibular growth and tooth eruption. The left hemimandibles were processed to obtain buccolingually oriented sections at the level of the first mesial root of the first lower molar. Histologic and histomorphometric studies were performed. Results showed that body weight and body size were significantly lower in experimental animals at weaning compared with their age-matched controls. Smaller mandible size and reduced tooth eruption in experimental animals compared with controls were observed. The length, width, and bone volume of the developing alveolus were reduced in experimental animals compared with controls. The results obtained in this study allow the conclusion that suckling from diabetic dams results in reduced body, mandible size, and tooth eruption of the pups at weaning.

Animals↗
PubMed1998

Effect of CSF-1 on in vivo expression of c-fos in the dental follicle during tooth eruption.

It has been demonstrated that both colony-stimulating factor-one (CSF-1) and the transcription factor, c-fos are required for tooth eruption. Osteopetrotic mutant rats deficient in CSF-1 activity have unerupted teeth which can be induced to erupt by injections of CSF-1, and osteopetrotic mice deficient in c-fos, have unerupted teeth. Both CSF-1 and c-fos are expressed and translated in the dental follicle, the tissue that is required for eruption. Recent in vitro studies indicate that CSF-1 can enhance the expression of the c-fos gene in cultured dental follicle cells, but the effects in vivo are not known. In the present studies. postnatal rats were injected with 10(6) units of CSF-1 at different ages from birth to day 10 and sacrificed 30 min after injection. Isolation of total RNA from the follicle and reverse transcription PCR showed that CSF-1 injection enhanced the expression of c-fos over the non-injected controls. Chronologically, day 3 postnatally appeared to show the greatest increase of c-fos mRNA following CSF-1 injection. These results suggest that one of the functions of CSF-1 in tooth eruption is to enhance the early expression of c-fos. In turn, c-fos might act to promote fusion of monocytes into the osteoclasts needed for alveolar bone resorption and tooth eruption.

Animals↗
PubMed1985

Deciduous tooth eruption in Israeli children. A cross-sectional study.

Deciduous tooth eruption (DTE) was studied in 366 Jewish Israeli children: 193 boys and 173 girls. The number of erupted teeth (NET) at different ages was similar in both sexes. No statistically significant correlation was found between NET and anthropometric measurements at birth (weight and length) or subsequently, after eliminating the influence of age, between NET and weight, height, and head circumference. The high normal variability in NET at a given age is demonstrated.

Body Height↗
PubMed1995

The daily rhythm of tooth eruption.

A video microscope system, which can resolve tooth movements to 1 to 2 microns, was used to monitor the eruption of 17 human maxillary second premolars in the prefunctional phase. Eruptive movement was detected by the change in position of an optical ruling on the erupting tooth relative to a reference ruling on the occluding adjacent teeth. Eruption was observed as the teeth erupted toward the occlusal plane over approximately a 41-hour period, from late Friday afternoon until Sunday noon. Half hourly observations were made during a 6 to 8-hour continuous laboratory session, which was during the day (9 AM to 5 PM) for nine of the subjects, and during the evening (5 to 11 PM) for eight. A similar pattern of eruption was seen for all subjects. The tooth intruded from before to after dinner on the first day, erupted significantly overnight, ceased eruption and approximately maintained its position during the next day, and erupted again during the second night. On the average, a slight intrusion was observed during the day, and statistically significant intrusion was associated with breakfast and dinner. Eruption occurred during the evening observation period, and the rate of evening eruption was significantly greater in children who were supine and relaxed than those who were upright and active. The 24-hour eruption rate was slower for teeth that were within 1.5 mm of the occlusal plane. The circadian eruption rhythm may be related to fluctuations of hormonal levels that affect metabolic activities within the periodontal ligament. It is also possible that a transient reduction in pressures by the cheeks, lips, and tongue during periods of rest allows eruption to occur then.

Adolescent↗
PubMed2004

Orthodontic assisted tooth eruption in a dentigerous cyst: a case report.

In an orthodontic practice, it is common to deal with impacted teeth, which are one of the most difficult situations dealt with by dentists. This case report describes the surgical and orthodontic management of the impacted teeth in a large dentigerous cyst. In the initial stage of treatment, the cyst was marsupialized over 7 months. After decompression of the cyst, spontaneous eruptions of the impacted tooth were noticed. Then, they were orthodontically brought into the proper occlusion.

Adolescent↗