Dental Eruption Flashcards
Define tooth eruption: (3)
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
Tooth eruption is related to…?
growth and development of other craniofacial structures
When does tooth eruption end?
continuous process that ends only with the loss of the tooth
What are the phases of tooth eruption? (3)
- Preeruptive
- Prefunctional eruptive
- Functional eruptive
What is the pre-eruptive phase of tooth eruption? (2)
- during crown and root formation there is required movements of the tooth
- happens inside the alveolar bone
What is the prefunctional eruptive phase?
-phase that goes from the appearance of the tooth in the oral cavity until it reaches occlusion
What is the functional eruptive phase? (3)
- When the tooth reaches occlusal contact it suffers functional eruptive movements
- ex. compensation of aw growth and occlusal wear of enamel
Does tooth emergence = tooth eruption?
NO
Define tooth emergence: (2)
- Tooth appearance in the oral
cavity.
-from preeruptive movements to prefunctional eruption.
Stages of preeruptive phase? (2)
- crown completes calcification and starts root formation
- migration of teeth inside alveolar bone towards occlusal
What type of displacement occurs with the preeruptive phase?
- Lateral from LINGUAL to BUCCAL
- NO vertical displacement
Preeruptive phase: what accomodation occurs? (3)
- of tooth germs inside alveolar bone to reach their place of emergence
- distal, lingual, buccal, mesial movements
- slight rotations
What are the stages of prefunctional eruptive phase?
- 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
What type of displacement occurs with prefunctional eruptive phase?
- Intense vertical displacement
- faster than the bone development in that direction
Which teeth do not start in the prefunctional eruptive stage when 2/3 of the root is formed ? when do they?
half of the root
- Central incisor
- lower first permanent molar
What are the two types of eruption during the prefunctional eruptive phase?
• 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
What are the stages of the functional eruptive phase? (3)
- 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
What are the types of movements in the functional eruptive phase? (3)
- movements that compensate the alveolar bone’s growth
- interproximal wear
- occlusal wear
Describe movements that compensate the alveolar bone’s growth for functional eruptive phase: (2)
- Bone continues growing after occlusion is achieved
- teeth do not separate one from eachother
Describe interproximal wear movements for functional eruptive phase: (2)
- Teeth still have contact
- contact due to transeptal ligaments between the teeth and the anterior factor of the occlusal forces
Describe occlusal wear movements for functional eruptive phase:
- teeth still remain in contact
- due to periodontal ligament
What are the theories of mechanism of eruption? (5)
- Root formation
- Hydrostatic pressure (vascular theory)
- Modifications of the alveolar bone
- Periodontal ligament
- Apical Cellular proliferation
Mechanism of tooth eruption: root formation theory?
believed that the root elongation generates a force that impulses the tooth towards occlusal
What is wrong with the root formation mechanism of eruption theory? (3)
- 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.