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Tooth eruption through autogenous and xenogenous bone transplants: a histological and radiographic evaluation in beagle dogs.

The effect of implanting autogenous and xenogenous (Bio-Oss) bone transplants into metabolically active sites within beagle dog mandibles during permanent premolar tooth eruption was examined. Ten 14-week-old beagles were used. Before commencing the radiographic experiments, metal bone markers were placed in the caudal margin of the mandible at the age of 10 weeks. The deciduous first and third molar teeth were extracted and their sockets over the permanent second and fourth premolars were implanted with autogenous particulate enchondral iliac crest bone, autogenous particulate membraneous mandibular body bone, xenogenous bovine anorganic bone mineral spongiosa granules (1-2mm3) (Bio-Oss, Geistlich Pharma, Switzerland) of left empty. The third premolar served as control site. Standardized oblique lateral radiographs were taken once a week. A number of coordinates of defined points and structures were determined by means of a coordinate digitizing system. Animals were killed 4, 10 and 16 weeks after bone transplantation for histological examination of the transplantation sites. All premolars showed no delay in eruption or disruption of crown and root development. On histology, the Bio-Oss particles were not resorbed or integrated in the alveolar bone but were pushed forward into the gingiva. We have demonstrated that there is on difference in the eruption curve of the permanent premolars in the four groups (ANOVA P > 0.5) and that bone transplantation has no inhibitory effect on eruption (ANOVA P > 0.3) and crown development of the underlying permanent premolar but that Bio-Oss does not have the same resorbable or integrating capability as autogenous bone grafts.

Alveolar Process↗

The effect of maternal smoking on the timing of deciduous tooth eruption.

The mean age at the eruption of the first deciduous tooth was calculated for the 10,443 children of a birth cohort in 1966 in Northern Finland. Eruption was advanced by one week on average in the 1,559 children whose mothers had smoked during pregnancy, the difference between these and their controls being statistically significant. A regression analysis on the age at tooth eruption showed highly significant "explanatory" variables, in addition to maternal smoking, to be weight and height at birth and at 6 months, and gestational age, while place of residence on a north-south axis was of lesser significance.

Age Factors↗

Tartrate-resistant acid phosphatase in mononuclear and multinuclear cells during the bone resorption of tooth eruption.

Tartrate-resistant acid phosphatase (TRAP) has been used as a cytochemical marker for the cell mediators of bone resorption, osteoclasts and their mononuclear precursors. We have applied a cytochemical method for TRAP to study the dependence of the osteoclast-mediated bone resorption of tooth eruption on the dental follicle, a connective tissue investment of the developing tooth, by analyzing the TRAP activity of mononuclear cells in the dental follicle before and during pre-molar eruption in dogs. The percentage of TRAP-positive monocyte cells increases until mid-eruption, slightly preceding a previously demonstrated rise in numbers of osteoclasts on adjacent bone surfaces. These data suggest an ontogenetic relationship between follicular mononuclear cells and osteoclasts on adjacent alveolar bone surfaces during tooth eruption. However, because TRAP occurs in other tissues and is not an exclusive indicator of pre-osteoclasts, proof of their relationship will have to await application of more definitive techniques.

Acid Phosphatase↗

Mechanisms of tooth eruption in a computer-generated analysis of functional jaw deformations in man.

Two mechanisms that contribute to tooth eruption are proposed from analysis of the human jaws as elastic structures which are deformed intermittently under functional occlusal loads. One possible source of eruptive force is the transient pressure gradient established within each jaw as it is deformed. The second source, suggested by the computer model, is a consequence of the tension placed on periodontal-ligament fibres as individual tooth-sockets are distorted within the deformed jaws.

Bite Force↗

Tooth eruption in children with growth deficit.

The authors aim to study the relation existing between the chronology of tooth eruption and delayed growth, whether this is delayed growth with or without low genetic height or delayed growth caused by growth hormone deficit. The 50 children included in the sample were studied from the endocrine and dental points of view and it was found that children whose delayed growth is accompanied by a low genetic height or growth hormone deficit presented retardation in dentition and retardation in bone age. However, a retardation in bone age does not necessarily imply a retardation in dentition.

Child↗

Implications for tooth eruption of the effect of interleukin-1alpha on nuclear factor-kappaB gene expression in the rat dental follicle.

Tooth eruption is a localized event and a cascade of molecular signals generated in the dental follicle and stellate reticulum appears to initiate its onset. Consequently, mononuclear cells are recruited into the follicle and, in turn, fuse to become osteoclasts needed to resorb the alveolar bone to form an eruption pathway. One of the transcription factors involved in the sequence of molecular signalling may be nuclear factor (NF)kappaB. This study shows that NFkappaB is expressed and synthesized by cultured dental follicle cells. Moreover, its transcription, activation and translocation were enhanced by interleukin (IL)-1alpha, a potential eruption molecule. The enhancement of transcription of the NFkappaB gene by IL-1alpha was blocked by a tyrosine-specific kinase inhibitor, suggesting that the enhancement may require the phosphorylation of the NFkappaB complex. In vivo, NFkappaB is maximally expressed in the dental follicle of the rat first mandibular molar at day 3 postnatally, the age at which there is a peak influx of mononuclear cells into the follicle. Thus, a transcription factor apparently required for eruption (NFkappaB) is present in the tissue required for eruption, the dental follicle, and its gene expression is maximal at a critical time in eruption.

Age Factors↗

Mandibular growth and tooth eruption after localized x-radiation.

The effect of localized x-radiation on the growth of mandibular bone and molar eruption was evaluated by morphometric methods. A dose of 20 Gy of x-radiation was given to the molar zone of growing rats. The animals were then killed in groups at 30 and 60 days postirradiation. Two groups of nonirradiated, age-matched rats were used as controls. Parameters related to molar eruption, mandibular length, and mandibular height were measured on lateral radiographs. The results obtained showed that the values of the biometric parameters were lower in experimental than in control animals. Odontoblastic atrophy, alveolodentary ankylosis, and meager or no root formation were the most conspicuous histologic findings. Osteodentin was found between canaliculary dentin and bone in cases of ankylosis. The morphometric data presented confirm the probability of alterations in mandibular growth and tooth eruption following x-radiation and suggest that this be considered in planning radiotherapy in children.

Alveolar Process↗

The relation between tooth eruption and alveolar crest height in a human skeletal sample.

It is commonly assumed that alveolar crest height increases with continuing tooth eruption unless affected by marginal inflammation. To test this hypothesis, the relation between eruption and alveolar crest height was examined in skulls from a sample consisting of the remains of 244 individuals from the late medieval period. The mandibular first and second molars and second premolars were analysed. The age of the skulls was determined on the basis of dental development and molar attrition. Radiographs were taken and points representing the levels of the inferior dental canal (IDC), root apices (AP), alveolar crest (AC), cementum-enamel junction (CEJ) and occlusal surface were determined on the radiographs. The level of the IDC was used as a reference not changing with age. The distances between the points were measured with a help of a computer-digitizer system. Variable IDC-AP increased with age, indicating continuous eruption of the teeth. The distance between AC and CEJ also increased while the distance between IDC and AC remained constant, showing that the alveolar crest height did not increase accordingly. The lack of inflammatory changes on the alveolar bone surface suggests that occlusal attrition may be compensated for by continuous eruption without bone growth in the alveolar margin.

Adolescent↗