Dental Eruption Flashcards

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1
Q

Define tooth eruption: (3)

A

Teeth emerge through the soft tissue of the jaws and overlying mucosa to:

  • enter the oral cavity
  • contact teeth of opposing arch
  • function in mastication
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2
Q

Tooth eruption is related to…?

A

growth and development of other craniofacial structures

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3
Q

When does tooth eruption end?

A

continuous process that ends only with the loss of the tooth

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4
Q

What are the phases of tooth eruption? (3)

A
  1. Preeruptive
  2. Prefunctional eruptive
  3. Functional eruptive
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5
Q

What is the pre-eruptive phase of tooth eruption? (2)

A
  • during crown and root formation there is required movements of the tooth
  • happens inside the alveolar bone
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6
Q

What is the prefunctional eruptive phase?

A

-phase that goes from the appearance of the tooth in the oral cavity until it reaches occlusion

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7
Q

What is the functional eruptive phase? (3)

A
  • When the tooth reaches occlusal contact it suffers functional eruptive movements
  • ex. compensation of aw growth and occlusal wear of enamel
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8
Q

Does tooth emergence = tooth eruption?

A

NO

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9
Q

Define tooth emergence: (2)

A
  • Tooth appearance in the oral
    cavity.

-from preeruptive movements to prefunctional eruption.

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10
Q

Stages of preeruptive phase? (2)

A
  • crown completes calcification and starts root formation

- migration of teeth inside alveolar bone towards occlusal

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11
Q

What type of displacement occurs with the preeruptive phase?

A
  • Lateral from LINGUAL to BUCCAL

- NO vertical displacement

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12
Q

Preeruptive phase: what accomodation occurs? (3)

A
  • of tooth germs inside alveolar bone to reach their place of emergence
  • distal, lingual, buccal, mesial movements
  • slight rotations
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13
Q

What are the stages of prefunctional eruptive phase?

A
  • starts when tooth emerges in the oral cavity until reachers occlusal contact
  • starts when 2/3 of root is formed
  • EXCEPT on central incisor & 1st lower permanent molar = starts when half the root is formed
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14
Q

What type of displacement occurs with prefunctional eruptive phase?

A
  • Intense vertical displacement

- faster than the bone development in that direction

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15
Q

Which teeth do not start in the prefunctional eruptive stage when 2/3 of the root is formed ? when do they?

A

half of the root

  • Central incisor
  • lower first permanent molar
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16
Q

What are the two types of eruption during the prefunctional eruptive phase?

A

• Active eruption: Emergency of the crown in the oral cavity.
• Passive eruption: Displacement of the epithelial insertion
(gingiva) in an apical direction

*happen at the same time

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17
Q

What are the stages of the functional eruptive phase? (3)

A
  • age 13-18: final eruption of crown (2-3mm) enabling correct adaptation to facial growth
  • age 18-20:new eruptive balance coinciding with end of facial growth

*once occlusion is achieved. difficult to confirm that these movements occur

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18
Q

What are the types of movements in the functional eruptive phase? (3)

A
  • movements that compensate the alveolar bone’s growth
  • interproximal wear
  • occlusal wear
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19
Q

Describe movements that compensate the alveolar bone’s growth for functional eruptive phase: (2)

A
  • Bone continues growing after occlusion is achieved

- teeth do not separate one from eachother

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20
Q

Describe interproximal wear movements for functional eruptive phase: (2)

A
  • Teeth still have contact

- contact due to transeptal ligaments between the teeth and the anterior factor of the occlusal forces

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21
Q

Describe occlusal wear movements for functional eruptive phase:

A
  • teeth still remain in contact

- due to periodontal ligament

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22
Q

What are the theories of mechanism of eruption? (5)

A
  • Root formation
  • Hydrostatic pressure (vascular theory)
  • Modifications of the alveolar bone
  • Periodontal ligament
  • Apical Cellular proliferation
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23
Q

Mechanism of tooth eruption: root formation theory?

A

believed that the root elongation generates a force that impulses the tooth towards occlusal

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24
Q

What is wrong with the root formation mechanism of eruption theory? (3)

A
  • Clinically we may see that the tooth moves a longer way than the roots length.
  • Anatomic and histologic findings show that the root elongation provokes more bone
    reabsorption than tooth eruption.
  • Experiments show that the tooth continues its emergence even if the root is sectioned.
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25
Q

Mechanism of tooth eruption: hydrostatic pressure / vascular theory? (2)

A
  • The erupting tooth moves from an area of increased
    pressure to an area of decreased pressure.
  • Because the ground substance retains
    additional water, increasing this way the pressure in
    this area.
26
Q

Mechanism of tooth eruption: problems with the hydrostatic pressure / vascular theory?

A

Section the root or the

basal area, eruption still happens.

27
Q

Mechanism of tooth eruption: Modifications of the alveolar bone theory (2)

A
  • There will be bone apposition/reabsorption that will form an eruption channel.
  • Even if the tooth germ is extracted, leaving the tooth follicle
    intact, the eruption channel is formed.
28
Q

Mechanism of tooth eruption: problems with modifications of the alveolar bone theory?

A

The doubt is if the formation of this eruption channel also

produces the eruption movements.

29
Q

Mechanism of tooth eruption: periodontal ligament theory (4)

A
  • The cell to cell adherence between the fibroblasts of the periodontal ligament
  • The presence of contractile elements in the ligaments fibroblasts
  • Remodeling of the principal fiber bundles of the periodontal ligament
    -Inside the periodontal ligament theory there is the Hammock ligament, that
    goes form one side to the other of the alveolus underneath the dental apex
    pushing the tooth upwards
30
Q

What is the Hammock ligament?

A

Inside the periodontal ligament theory there is the Hammock ligament, that
goes form one side to the other of the alveolus underneath the dental apex
pushing the tooth upwards

31
Q

Mechanism of tooth eruption: periodontal ligament theory problems?

A

Rejected because this ligament does not have bone

connections, so it cannot have the force that corresponds to produce the eruption

32
Q

Mechanism of tooth eruption: Apical cellular proliferation theory?

A
  • A cellular growth in this area might produce eruption.
33
Q

Mechanism of tooth eruption: Apical cellular proliferation theory problems?

A
  • This idea is desestimated because even inhibiting this cellular growth there is
    eruption
34
Q

How many children have symptoms during tooth eruption? When?

A

2/3 of children

few days before emergence

35
Q

Symptoms of tooth eruption? (8)

A

 Irritability (they will cry more frequently…)
 Slight fever (when slight fever appears, the basal
metabolism accelerates, possibly accelerating the
eruption)
 Infection of the airways (there may be a
concomitance of an airways infection and tooth
eruption. Tooth eruption will not provoke the airways
infection)
 Excessive salivation (Because of the constant biting
and friction)
Diarrhea (Because of all the saliva they swallow. It also coincides
with changes in their diet)
Constipation
Loss of appetite
Cutaneous eruption (perioral and perianal eruptions)

36
Q

What are the local signs of tooth eruption? (2)

A
  • Redness in the area

- Ischemia

37
Q

How do we treat tooth soreness from eruption? (2)

A
  • Cold bitters

- Apiretal or Dalsy

38
Q

First primary tooth to erupt ?

A

lower central incisors

39
Q

2nd primary tooth to erupt ?

A

upper central incisors

40
Q

3rd primary tooth to erupt ?

A

upper lateral incisors

41
Q

4th primary tooth to erupt ?

A

lower lateral incisors

42
Q

5th primary tooth to erupt ?

A

lower first molar

43
Q

6th primary tooth to erupt ?

A

upper first molar

44
Q

7th primary tooth to erupt ?

A

lower canine

45
Q

8th primary tooth to erupt ?

A

upper canine

46
Q

9th primary tooth to erupt ?

A

lower second molar

47
Q

10th primary tooth to erupt ?

A

upper second molar

48
Q

What is the 6-7 demirjian stage?

A
  • when more than half the root is completed

- when tooth emergence occurs

49
Q

Permanent tooth emergence age: Central incisor?

A

7 years old

50
Q

Permanent tooth emergence age: Lateral incisor

A

8yrs

51
Q

Permanent tooth emergence age: Canine

A

10-13 yrs

52
Q

Permanent tooth emergence age: 1st premolar

A

9-10yrs

53
Q

Permanent tooth emergence age: 2nd premolar

A

10-11 yrs

54
Q

Permanent tooth emergence age: 1st molar

A

6yrs

55
Q

Permanent tooth emergence age: 2nd molar

A

12yrs

56
Q

Favorable eruption of posterior teeth in upper arch?

A

1st PM-2nd PM- C-2nd M

57
Q

Not desfavorable eruption of posterior teeth in upper arch?

A

1st PM-C-2nd PM- 2nd M

58
Q

Desfavorable eruption of posterior teeth in upper arch?

A

1st PM-2nd M-2nd PM or C

59
Q

Favorable eruption of posterior teeth in lower arch?

A

C-1st PM-2nd PM- 2nd M

60
Q

Not desfavorable eruption of posterior teeth in lower arch?

A

1st PM-C-2nd PM- 2nd M

61
Q

desfavorable eruption of posterior teeth in lower arch?

A

2nd M before C / 2nd M before 2nd PM