Development And Eruption Of Teeth
Question 1. What is a chronology of deciduous dentition?
Answer:
Chronology of deciduous dentition.
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1. Calcification of primary teeth:
- It begins in utero from 13-16 weeks post-fertilization.
- By 18-20 weeks, all the primary teeth have begun to calcify.
- The first indication of tooth formation occurs as early as the sixth week of prenatal life when the jaws have assumed their initial shape.
2. Crown formation:
- Primary tooth crown formation takes only some 2 completion.
3. Eruption/emergence of primary teeth:
- The emergence of primary dentition takes place between the sixth and thirtieth months of postnatal life.
- It is an important time for the development of oral motor behavior and the acquiring masticator skills.
- After the crown and part of the root are formed, the tooth penetrates the alveolar gingiva and emerges into the mouth.
- The process of eruption is completed when most of the crown has emerged and when it has made contact with its antagonist or antagonists in the opposing jaw.
- The root formation is not complete at this stage.
4. Sequence of the emergence of primary teeth:
- The sequence of eruption of the primary teeth in the individual jaw is.
- Central incisor (A)
- Lateral incisor (B)
- First molar
- Canine
- Second molar (E)
- The mandibular central incisors emerge first through the alveolar gingiva, followed by the other anterior teeth by about 13-16 months except for canines.
- Then the first primary molars emerge by about 16 months of age and make contact with opposing teeth several months later before the canines have fully erupted.
- The maxillary molar erupts earlier than the mandibular molar.
- The primary maxillary canines erupt at about 19 months while mandibular canines at 20 months.
- Lastly, the primary second mandibular molar erupts at a mean age of 27 months, and the primary maxillary second molar at 29 months.
5. Root completion:
- After the crown of the tooth is formed development of the root portion begins.
- At the cervical border of the enamel, the cementum starts to form as a root covering the dentin.
- Root formation is an active factor in moving the crown toward its final position in the month.
- The formation of root dentin and cementum continues after the tooth is in use.
- The root is completed with a complete covering of momentum.
Question 2. The sequence of the eruption of deciduous teeth.
Answer:
The order of eruption of deciduous teeth is as follows:
A B D C E
- Lower central incisor
- Upper central incisor
- Lower lateral incisor
- Upper lateral incisor
- First molars
- Canines
- Second molars.
The first tooth starts erupting at 62 months and the last tooth by 3 years.
Question 3. The sequence of the eruption of permanent teeth.
Answer:
- The order of eruption of upper permanent teeth.
6 1 2 4 5 3 7 8
- The order of eruption of lower permanent teeth
6 1 2 3 4 5 7 8
- The order of permanent teeth is as follows.
- First molars
- Lower central and lateral incisors
- Upper centrals
- Upper laterals
- Lower canines
- First premolars
- Second premolars
- Upper canines
- Second molars
- Third molars.
Question 4. Define eruption and shedding.
Answer:
- Eruption was used to denote the tooth’s emergence through the gingiva.
- Then, it becomes more completely defined to mean continuous tooth movement from the dental bud to occlusal contact.
Shedding:
- The physiologic process resulting in the elimination of the deciduous dentition is called shedding or exfoliation.
Question 5. Dental anomalies.
Answer:
- Dental anomalies results when disturbances in the form, color, arrangement, and structure of the teeth might have occurred.
Teeth affected:
- Third molars, maxillary lateral incisors, mandibular second premolars.
Results:
- Restorative problems in peg-shaped laterals
- Spaces problems – in mandibular second premolars with two lingual cusps.
- Quantitative defects of enamel thickness in enamel hypoplasia.
- Qualitative defects in hypo calcification.
- Cleft lip and palate.
- Screwdriver-shaped central incisor and mulberry molars – in congenital syphilis.
Question 6. Chronology of permanent dentition
Answer:
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