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BMC Oral Health Jul 2015To evaluate disturbances in primary tooth eruption and their management with nonpharmacological remedies. (Clinical Trial)
Clinical Trial Comparative Study
BACKGROUND
To evaluate disturbances in primary tooth eruption and their management with nonpharmacological remedies.
METHODS
In this nonrandomized clinical trial, 270 children aged between 8 and 36 months were selected and divided into 5 groups with 54 children initially enrolled in each group. The children were seen during an 8-day period during tooth eruption. At each appointment data were recorded from oral examination, tympanic temperature measurement and a questionnaire. The five methods used as remedies to reduce teething symptoms were: 1) cuddle therapy, 2) ice, 3) rubbing the gums, 4) teething rings and 5) food for chewing. Teething symptoms, the type of erupted tooth, symptoms of recovery and the mother's satisfaction with treatment were evaluated.
RESULTS
Two hundred and fifty four children (mean age 16 ± 7.2 months) completed the study. The most frequent teething symptoms were drooling (92%), sleep disturbances (82.3%) and irritability (75.6%). These symptoms were more pronounced in low birth weight children (p > 0.05). Canine eruption led to more loss of appetite than incisor (p = 0.033) or molars eruption (p = 0.014). Low grade increases in body temperature were observed only on the day of eruption (36.70 ± 0.39 °C), when body temperature was significantly different compared to the day before and the day after eruption (both p < 0.001). There was no significant correlation between fever as reported by mothers and temperature readings obtained by the investigators. The most favorable results for time to recovery and the mother's satisfaction were seen when teething rings were used, followed by cuddle therapy and rubbing the gums.
CONCLUSIONS
There was no association between teething and symptoms such as fever or diarrhea. Low birth weight children may have more teething symptoms. Teething rings, cuddle therapy and rubbing the gums were the most effective methods to reduce symptoms.
TRIAL REGISTRATION
Iranian Registry of Clinical Trials: code IRCT201211127402N3.
Topics: Adult; Body Temperature; Child, Preschool; Cuspid; Feeding and Eating Disorders; Female; Follow-Up Studies; Humans; Incisor; Infant; Infant Equipment; Infant, Low Birth Weight; Irritable Mood; Male; Massage; Mother-Child Relations; Mothers; Non-Randomized Controlled Trials as Topic; Personal Satisfaction; Sialorrhea; Sleep Wake Disorders; Tooth Eruption; Tooth, Deciduous; Weight Loss; Young Adult
PubMed: 26215351
DOI: 10.1186/s12903-015-0070-2 -
Progress in Orthodontics Jun 2023Central incisor impaction is a rare condition with potentially severe clinical and psychological implications for the patient. Treatment techniques vary according to the...
BACKGROUND
Central incisor impaction is a rare condition with potentially severe clinical and psychological implications for the patient. Treatment techniques vary according to the pretreatment situation and individual factors. The aim of this study was to compare the esthetic outcomes and treatment times between two different approaches.
MATERIALS AND METHODS
In this retrospective study, thirty-one consecutive patients (13 boys, 18 girls; average age 9.5 ± 2.3 years) with a total of 34 impacted permanent upper central incisors were included in the study. Patients were divided into two groups according to method of treatment. Group A comprised patients in whom spontaneous eruption occurred after space opening (n = 12), and Group B comprised patients in whom teeth showed no eruption and required treatment with a modified closed eruption method with palatally oriented traction (n = 19). Treatment time and esthetic outcomes were assessed and compared between groups.
RESULTS
The mean treatment time was 22.0 ± 6.7 months, and all teeth were successfully aligned. No statistically significant difference in average treatment time was found between groups in baseline characteristics (p > 0.05). The amount of attached gingiva was significantly smaller when compared to contralateral reference teeth in the closed eruption group (Group B; p = 0.03). However, no difference in amount of attached gingiva was found between both groups (p = 0.26). Additionally, no difference in the clinical crown length was found between groups (p = 0.27).
CONCLUSION
The closed eruption method with palatal traction directed at the peak of the alveolar crest provided results comparable to the physiologic tooth eruption.
Topics: Male; Female; Humans; Child; Tooth Eruption; Incisor; Traction; Retrospective Studies; Maxilla; Tooth, Impacted
PubMed: 37357250
DOI: 10.1186/s40510-023-00470-7 -
Developmental Dynamics : An Official... Mar 2022Dental follicles are involved in odontogenesis, periodontogenesis, and tooth eruption. Dental follicles are unique structures, considering that their remnants can... (Review)
Review
Dental follicles are involved in odontogenesis, periodontogenesis, and tooth eruption. Dental follicles are unique structures, considering that their remnants can persist within the jawbones after odontogenesis throughout life if the tooth does not erupt. Pathological changes may occur in these tissues as individuals age. The changes range from benign to life threatening. Thus, the assessment of age-related changes in dental follicles associated with unerupted teeth is of paramount importance. In this review, we summarize the physiological roles and changes in dental follicles in odontogenesis, tooth eruption, and aging, in addition to the pathological changes associated with these structures. We encourage investigators to consider this peculiar tissue as a unique model and explore its potential to clarify its importance from the viewpoints of developmental biology, tissue physiology, and pathology.
Topics: Dental Sac; Humans; Odontogenesis; Tooth Eruption; Tooth, Impacted; Tooth, Unerupted
PubMed: 34324745
DOI: 10.1002/dvdy.406 -
The Angle Orthodontist Jan 2022To compare the normal eruption pattern and angulation in impacted maxillary canines using panoramic radiographs to predict maxillary canine impaction.
OBJECTIVES
To compare the normal eruption pattern and angulation in impacted maxillary canines using panoramic radiographs to predict maxillary canine impaction.
MATERIALS AND METHODS
Patients aged 6 to 15 years were classified into the normal eruption group (n = 229) and the impaction group (n = 191). At least two panoramic radiographs were taken in the normal eruption group during the eruption process of the maxillary canine. The growth pattern of the maxillary canine was analyzed using an XY coordinate system, with the tip of the maxillary lateral incisor as the origin and the tooth's long axis as the Y-axis and measurement of the relative position of the crown tip and angulation of the maxillary canine.
RESULTS
The crown tips of normally erupted maxillary canines were intensively distributed along the distal surface of the maxillary lateral incisor, while those of impacted canines were widely distributed. The angulations of the normally erupted canines increased as eruption increased along the lateral incisor and then decreased at the cervical point of the lateral incisor. The angulations of the impacted canines were scattered, with no uniform pattern.
CONCLUSIONS
While using the normal eruption path of the maxillary canine and the pattern of change in angulation based on the distal surface of the maxillary lateral incisor, early intervention or regular follow-up is needed to prevent maxillary canine impaction.
Topics: Cuspid; Humans; Maxilla; Radiography, Panoramic; Tooth Eruption; Tooth, Impacted
PubMed: 34929035
DOI: 10.2319/030121-164.1 -
Medicina Oral, Patologia Oral Y Cirugia... Mar 2022This study is aimed to determine the prevalence of impacted third molars and to investigate the effects of their eruption level and angulation on caries formation in the...
BACKGROUND
This study is aimed to determine the prevalence of impacted third molars and to investigate the effects of their eruption level and angulation on caries formation in the distal of the adjacent tooth.
MATERIAL AND METHODS
This cross-sectional study was conducted on panoramic radiographs of 38481 patients who were admitted to the Trakya University, Faculty of Dentistry. The panoramic radiographs of 7998 patients with at least one impacted third molar were included. Third molars were classified according to Winter's classification and Pell and Gregory's classification. The frequency of caries in partially impacted third molars and adjacent second molars was determined. The chi-square tests were used to determine potential associations between the third molars' level of eruption, angulation, and caries development.
RESULTS
The study group consisted of 4423 females (55.3%) and 3575 males (44.7%) with a mean age of 36.3±13.4 years. The prevalence of the third molar impaction rate was 23%. The impaction pattern of partially erupted third molars was characterized by an eruption level of A with the vertical position in both jaws. Partially erupted and vertically placed maxillary third molars in the level of position A caused more caries in the adjacent tooth and mesioangularly located partially erupted mandibular third molars were associated with more caries in the adjacent tooth.
CONCLUSIONS
The angulation and eruption level of partially erupted third molars should be carefully examined. The prophylactic extraction of vertically and mesioangularly located third molars, especially with an eruption level of position A can be suggested to eliminate the related complications and risk of caries.
Topics: Adult; Cross-Sectional Studies; Dental Caries Susceptibility; Female; Humans; Male; Mandible; Middle Aged; Molar, Third; Prevalence; Radiography, Panoramic; Tooth Eruption; Tooth, Impacted; Young Adult
PubMed: 35218641
DOI: 10.4317/medoral.25013 -
The Journal of Clinical Pediatric... 2008Eruption disturbances can be broadly classified as disturbances related to time and disturbances related to position. Time related disturbances include premature... (Review)
Review
Eruption disturbances can be broadly classified as disturbances related to time and disturbances related to position. Time related disturbances include premature eruption, delayed eruption or impactions. A common feature of these is a significant deviation in eruption time within the established norms for a particular age, sex, race or ethnicity. Although root development represents the fundamental biologic parameter for tooth eruption, chronological age at presentation is used as the first criteria in the establishment of the diagnosis of prematurity or a delay in eruption. Eruption disturbances related to position include ectopic eruption and transpositions. Positional deviations too can cause a delay in eruption time, however more commonly the involved tooth erupts within the expected time frame with an abnormality in position. The focus of this paper is to present a systematic review of the literature including classification, etiology and treatment modalities available for eruption disturbances of the maxillary incisors.
Topics: Humans; Incisor; Maxilla; Natal Teeth; Orthodontic Extrusion; Orthodontics, Corrective; Tooth Diseases; Tooth Eruption; Tooth Eruption, Ectopic; Tooth, Impacted; Tooth, Supernumerary
PubMed: 18524273
DOI: 10.17796/jcpd.32.3.m175g328l100x745 -
Journal of Dentistry Dec 2021This randomized clinical trial compares retention, survival rate, and evolution of caries of newly erupted permanent molars sealed with bioactive self-etching sealants... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVES
This randomized clinical trial compares retention, survival rate, and evolution of caries of newly erupted permanent molars sealed with bioactive self-etching sealants with pre-reacted glass ionomer (S-PRG).
METHODS
A split-mouth clinical trial was conducted with 56 permanent second molars in stages 2 and 3 of crown eruption; ICDAS (International Caries Detection and Assessment System) was between 0 and 2. The molars were randomized and blinded in relation to the side (right or left) that would receive the sealants; the conventional resin sealant (FS), Fluroshield (Dentsply), or bioactive self-etch sealant (BS), BeautiSealant with S-PRG (Shofu). The sealants were compared in terms of retention, quality of sealant remnant (anatomical shape, marginal adaptation, surface texture, and marginal discoloration), and development of caries by ICDAS after 1, 6, and 12 months. The Wilcoxon, x² of independence, Kaplan-Meier, and Mantel-Cox survival statistical tests were applied (α = 5%).
RESULTS
The total retention was higher for FS (57.1%) at all periods, and there was no difference in the quality of sealants at all periods. The ICDAS decreased after 6 (p = 0.025) and 12 months (p = 0.027) for both materials. Despite the lower retention of BS, the clinical quality of sealants over 12 months were similar.
CONCLUSION
Teeth sealed with BS presented higher sound teeth predominance (ICDAS 0) compared to FS sealant, even with a higher loss of material.
CLINICAL RELEVANCE
Eruption of permanent molars is a relevant period, and the prevention/management of initial caries is essential in these critical stages. Sealants can be an important prevention strategy. After 12 months of follow-up, there was a major failure of the bioactive sealant but without the development of caries lesions.
Topics: Dental Caries; Face; Humans; Molar; Pit and Fissure Sealants; Tooth Eruption
PubMed: 34699954
DOI: 10.1016/j.jdent.2021.103857 -
Scientific Reports Dec 2019The anti-bone resorptive drugs denosumab, an anti-human-RANKL antibody, and zoledronic acid (ZOL), a nitrogen-containing bisphosphonate, have recently been applied for...
The anti-bone resorptive drugs denosumab, an anti-human-RANKL antibody, and zoledronic acid (ZOL), a nitrogen-containing bisphosphonate, have recently been applied for treatment of pediatric patients with bone diseases, though details regarding their effects in growing children have yet to be fully elucidated. In the present study, we administered these anti-resorptive drugs to mice from the age of 1 week and continued once-weekly injections for a total of 7 times. Mice that received the anti-RANKL antibody displayed normal growth and tooth eruption, though osteopetrotic bone volume gain in long and alveolar bones was noted, while there were nearly no osteoclasts and a normal of number osteoblasts observed. In contrast, ZOL significantly delayed body growth, tooth root formation, and tooth eruption, with increased osteoclast and decreased osteoblast numbers. These findings suggest regulation of tooth eruption via osteoblast differentiation by some types of anti-resorptive drugs.
Topics: Animals; Animals, Newborn; Antibodies; Humans; Mice; Osteoblasts; Osteoclasts; Osteopetrosis; RANK Ligand; Rats; Tooth Eruption; Zoledronic Acid
PubMed: 31882595
DOI: 10.1038/s41598-019-56151-1 -
Journal of Veterinary Dentistry Mar 2016Rabbits (Oryctolagus cuniculus) and rodents possess continuously growing teeth, and dental problems are a major health issue in these species. Knowledge of tooth growth... (Comparative Study)
Comparative Study
Rabbits (Oryctolagus cuniculus) and rodents possess continuously growing teeth, and dental problems are a major health issue in these species. Knowledge of tooth growth characteristics is required to adequately treat dental problems and advise owners concerning diets. Most research was performed using bur marks and measuring eruption and wear manually. However, this method cannot be applied to teeth less rostral than the first premolar; therefore, for evaluation of molars, other methods are needed. We evaluated the use of fluorochromes xylenol orange and calcein green to measure growth rates of rabbit teeth and compared this method to results obtained by manually measuring the distance between a bur mark and the gingival margin of the same tooth (eruption) and by measuring the distance between the bur mark and the apex of the same tooth on computed tomography scans (growth). Apical fluorochrome measurements correlated well with eruption and growth rates obtained with bur marks, whereas measurements coronal to the pulp cavity did not. Growth rates were approximately 1.9 mm/wk for maxillary and 2.2 mm/wk for mandibular incisors. Growth rates of premolars were 2.14 ± 0.28 mm/wk in rabbits on a grass/rice hulls/sand pelleted diet and 0.93 ± 0.18 mm/wk in rabbits on a hay diet. Growth of molars could only be assessed using the measurement in dentin on the wall of the pulp cavity, which does not account for the real growth. However, being similar to this measurement in premolars, one could hypothesize similar growth in molars as in premolars. We conclude that the application of fluorochrome staining can be used to measure tooth growth in teeth that are not accessible for bur marks or in animals that are too small to assess tooth eruption or growth by bur marks.
Topics: Animals; Dentistry; Female; Fluorescent Dyes; Microscopy, Fluorescence; Rabbits; Tomography, X-Ray Computed; Tooth; Tooth Eruption
PubMed: 27487654
DOI: 10.1177/0898756416640956 -
The Journal of Clinical Pediatric... 2002Submersion occurs when a previously erupted tooth becomes embedded in the oral tissues. The purpose of this paper is to examine the distribution, the degree of...
Submersion occurs when a previously erupted tooth becomes embedded in the oral tissues. The purpose of this paper is to examine the distribution, the degree of re-impaction, the rate of congenital absence of the successor buds and the treatment in 28 submerged teeth in 17 patients.
Topics: Adolescent; Adult; Anodontia; Child; Dental Prosthesis; Female; Humans; Male; Mandible; Maxilla; Molar; Tooth Ankylosis; Tooth Diseases; Tooth Eruption; Tooth Extraction; Tooth, Deciduous; Tooth, Impacted
PubMed: 11990045
DOI: 10.17796/jcpd.26.3.05618l552p320552