Tooth eruption: Pre-eruptive, eruptive & post-eruptive tooth movements

Hack Dentistry
6 May 202308:49
EducationalLearning
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TLDRThe eruption process of teeth involves three distinct phases: pre-eruptive, eruptive, and post-eruptive. In the pre-eruptive phase, tooth germs position themselves within the jaws before root formation, influenced by jaw growth. The eruptive phase sees the tooth's movement into the oral cavity for functional occlusion, facilitated by root formation and tissue changes. Finally, the post-eruptive phase involves minor adjustments to maintain the teeth's position, accommodating jaw growth and wear. This intricate process is essential for proper dental development and function.

Takeaways
  • 🦷 Eruption is the process of tooth movement from its developmental position to a functional position in the oral cavity, involving bone and oral mucosa.
  • 📈 The eruption process is divided into three phases: pre-eruptive, eruptive, and post-eruptive, each with distinct characteristics and functions.
  • 🌱 During the pre-eruptive phase, tooth germs move within the jaws before root formation, positioning themselves for eruption in relation to jaw growth.
  • 📌 The eruptive phase, also known as the pre-functional eruptive phase, is when the tooth moves towards the occlusal plane to reach the oral cavity in a functional occlusion position.
  • 🔄 Post-eruptive phase, or functional eruptive phase, begins after teeth achieve occlusion and involves slight movements to maintain positions due to jaw growth and wear.
  • 🦴 Tooth germs' growth and movement are influenced by the expansion of the jaws in length, width, and height, affecting the direction of movement (e.g., anterior teeth move forward, molars move backward).
  • 🦷 Permanent tooth germs' position relative to primary teeth is determined by pre-eruptive movements, with permanent teeth eventually positioned lingual and apical to primary teeth.
  • 🥖 The eruptive phase starts with root formation and involves the tooth moving through the bony crypt and oral mucosa into the oral cavity to attain functional occlusion.
  • 🛠️ Pre-eruptive tooth movements are facilitated by bodily movement and eccentric growth, with bony remodeling of the crypt aiding these processes.
  • 🔄 Post-eruptive movements involve slight occlusal and proximal adjustments to compensate for jaw growth and tooth wear, ensuring teeth remain in their functional positions.
Q & A
  • What is the process of tooth movement from its developmental position to a functional position in the oral cavity called?

    -The process is called eruption.

  • How many phases can the tooth eruption process be divided into?

    -The tooth eruption process can be divided into three phases: pre-eruptive, eruptive, and post-eruptive.

  • What is the primary characteristic of the pre-eruptive phase?

    -During the pre-eruptive phase, the tooth germ moves within the jaws before root formation, positioning itself for eruption.

  • What are the two main types of movements that occur during the pre-eruptive phase?

    -The two main types of movements during the pre-eruptive phase are bodily movement and eccentric growth.

  • What is the eruptive phase also known as?

    -The eruptive phase is also referred to as the 'pre-functional eruptive phase'.

  • What is the significance of the reduced enamel epithelium during the eruptive phase?

    -The reduced enamel epithelium plays a crucial role in attracting monocytes that differentiate into osteoclasts, facilitating the resorption of the bony crypt and the establishment of an eruptive pathway for the tooth.

  • What is the term used for the part of the tooth crown that is exposed to the oral cavity?

    -The part of the tooth crown that is exposed to the oral cavity is called the 'clinical crown'.

  • What are the primary functions of the post-eruptive phase?

    -The post-eruptive phase, also known as the 'functional eruptive phase', involves slight occlusal and proximal movements that help maintain the positions of erupted teeth, accommodating for continued jaw growth and compensating for any wear of the teeth.

  • What is the speculated role of myofibroblasts in the eruption process?

    -Myofibroblasts, a special type of fibroblast found in periodontal ligament fibres, are speculated to aid in tooth eruption due to their contractile properties.

  • How does the fundic bone contribute to the eruption process?

    -The fundic bone, or the bone below the tooth germ, gives way for root lengthening during the eruptive phase. As the tooth erupts, bone is deposited in the form of a 'bony ladder' to support the erupting tooth.

  • What is the term for the force generated when teeth are brought together in occlusion that contributes to mesial drifting of teeth?

    -The anteriorly directed force generated when teeth are brought together in occlusion is speculated to contribute to the mesial drifting of teeth.

Outlines
00:00
🦷 Tooth Eruption Process and Phases

The paragraph discusses the process of tooth eruption, which is the movement of teeth from their initial position in the jaw to a functional position in the oral cavity. This process involves three distinct phases: pre-eruptive, eruptive, and post-eruptive. The pre-eruptive phase is characterized by the movement of tooth germs within the jaw before root formation, positioning them for eruption. The eruptive phase, also known as the pre-functional phase, is when the tooth moves towards the occlusal plane to reach the oral cavity. Lastly, the post-eruptive phase, or functional phase, begins once the teeth are in occlusion and involves maintaining the position of the teeth amidst jaw growth and wear. The paragraph also details how tooth germs grow and move in relation to jaw development, and the mechanisms behind pre-eruptive tooth movements, such as bodily movement and eccentric growth, facilitated by bony remodeling of the crypts.

05:06
🦷 Eruption Pathways and Post-Eruptive Movements

This paragraph delves into the specifics of tooth eruption pathways and the events that occur during the eruptive phase. It describes how the dental follicle becomes continuous with the oral mucosa's lamina propria, forming the gubernacular cord and canal, which aids in the tooth's eruption. The paragraph also explains the role of proteolytic enzymes in degrading connective tissue to clear a path for the tooth. As the tooth erupts, the root forms, and periodontal ligament fibers attach to the tooth and bone, potentially aiding in the eruption process. The fundic bone supports the tooth during root elongation, and a bony ladder is deposited and later resorbed. The post-eruptive phase is characterized by minor occlusal and proximal movements that maintain the teeth's position despite jaw growth and tooth wear. The paragraph also discusses the forces that may contribute to mesial drifting of teeth, including those generated during occlusion and from periodontal ligament fibers and soft tissue pressures.

Mindmap
Keywords
💡Eruption
Eruption refers to the process of a tooth moving from its initial developmental position within the jaw to a functional position within the oral cavity. This process is central to the video's theme as it outlines the journey of a tooth from its crypt to its final position in the mouth, where it can engage in the occlusal plane, which is the plane on which the teeth meet when the jaws are closed. The video details the three phases of eruption, emphasizing the complexity and precision of this natural process.
💡Tooth Germs
Tooth germs are the early developmental structures from which teeth grow. They are the source of all teeth and are critical in the pre-eruptive phase as they move within the jaws before root formation. The positioning of these tooth germs is essential for their subsequent eruption and functional occlusion. The script explains how they move in relation to each other and the growing jaws, laying the foundation for the teeth's eventual eruption and alignment.
💡Occlusal Plane
The occlusal plane is the plane on which the teeth meet when the upper and lower jaws are closed. It is the target destination for teeth during the eruption process. The script emphasizes the importance of teeth reaching this plane to achieve functional occlusion, which is essential for proper bite and咀嚼 efficiency.
💡Pre-eruptive Phase
The pre-eruptive phase is the initial stage of tooth development where tooth germs move within the jaw before the formation of the tooth root. This phase is crucial as it sets the stage for the tooth's eruption by positioning the tooth germs correctly within the jaw. The video explains how these movements are preparatory and involve both bodily movement and eccentric growth of the tooth germs.
💡Eruptive Phase
The eruptive phase marks the actual movement of the tooth from its position in the crypt to its appearance in the oral cavity. This phase is critical for the tooth to achieve functional occlusion. The video describes the various events that occur during this phase, such as root formation, movement through bone and oral mucosa, and the tooth's eventual contact with the oral epithelium.
💡Post-eruptive Phase
The post-eruptive phase, also known as the functional eruptive phase, begins once the teeth have reached functional occlusion. This phase involves minor occlusal and proximal movements that maintain the position of the erupted teeth, accommodating for continued jaw growth and compensating for wear on the tooth surfaces. The video emphasizes the importance of this phase in ensuring that teeth remain in their proper positions throughout their functional life in the oral cavity.
💡Bodily Movement
Bodily movement refers to the movement of the entire tooth germ as a single unit. This is a key mechanism during the pre-eruptive phase, allowing for the positioning of the tooth germ within the jaw. The process involves bony remodeling of the crypts, which facilitates the movement of the tooth germ without altering its structure.
💡Eccentric Growth
Eccentric growth is a process where one part of the tooth germ grows while the other part remains constant. This type of growth is crucial during the pre-eruptive phase, as it allows for the positioning of the tooth germs without necessitating movement of the entire tooth germ. The script describes how bony remodeling of the crypt accommodates this growth, which is essential for the correct positioning of the tooth for eruption.
💡Connective Tissue
Connective tissue is a type of tissue in the body that provides support, connection, and structure. In the context of the video, connective tissue is significant during the eruptive phase as teeth move through it to reach the oral cavity. The script describes how the connective tissue in the gubernacular canal is degraded by proteolytic enzymes secreted by the reduced enamel epithelium, facilitating the tooth's eruption pathway.
💡Periodontal Ligament
The periodontal ligament is a fibrous connective tissue that surrounds the tooth root and holds the tooth in the socket. It plays a critical role in the eruptive phase by providing support and stability to the tooth as it moves into the oral cavity. The script describes the appearance of periodontal ligament fibers during the eruption process and their eventual attachment to the tooth and bone, which is essential for stabilizing the tooth in its new position.
💡Functional Occlusion
Functional occlusion refers to the way the upper and lower teeth fit together during normal chewing or biting. It is the end goal of the eruptive phase, where teeth reach their final positions in the oral cavity and are able to function effectively. The video emphasizes the importance of achieving functional occlusion for the proper functioning of the teeth and the overall health of the oral cavity.
Highlights

Eruption is the process of tooth movement from its developmental position to a functional position in the oral cavity.

The eruption process involves the tooth moving through bone and oral mucosa to reach the occlusal plane.

Eruption can be divided into three distinct phases: pre-eruptive, eruptive, and post-eruptive.

In the pre-eruptive phase, tooth germs move within the jaws before root formation.

Tooth germs position themselves for eruption by moving in relation to each other and the growing jaws.

The eruptive phase, also known as the pre-functional eruptive phase, is when the tooth moves in an occlusal direction to appear in the oral cavity.

The post-eruptive phase, or functional eruptive phase, begins when teeth are in occlusion and continues as they maintain their positions.

Permanent tooth germs move in relation to primary tooth germs, with permanent anterior teeth positioning lingual and apical to primary anterior teeth.

Permanent molars do not have a primary predecessor and are positioned with their occlusal surfaces tilted due to space constraints.

Pre-eruptive tooth movements are facilitated by bodily movement and eccentric growth, with bony remodeling of the crypts aiding in these processes.

The eruptive phase starts with the initiation of root formation and the tooth's occlusal movement through bone and oral mucosa into the oral cavity.

An eruptive pathway must be established for teeth to successfully erupt into the oral cavity.

Osteoclasts derived from monocytes resorb the bony crypt, allowing for the establishment of an eruptive pathway.

The periodontal ligament fibers play a crucial role in stabilizing the tooth during and after eruption.

Myofibroblasts within the periodontal ligament fibers have contractile properties that may aid in tooth eruption.

The fundic bone supports root lengthening during the eruptive phase by forming a 'bony ladder'.

In the post-eruptive phase, slight occlusal and proximal movements accommodate jaw growth and tooth wear.

Cemental deposition in the apex compensates for occlusal wear, though the exact mechanism of post-eruptive occlusion movement remains unclear.

Mesial drifting of teeth is influenced by an anteriorly directed force generated when teeth are brought together in occlusion.

Trans-septal fibers of the periodontal ligament and soft tissue pressures from the tongue and cheeks may contribute to the mesial movement of teeth.

Transcripts
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