FACTORS

INFLUENCING
TOOTH ERUPTION
1. Age :-
2. Genetics :-
3. Race:- eruption timing seems to be earlier in
the American black and Indian population
than in American whites of European origin
4. Sex :- Except for the 3
rd
molar Females tend
to calcify and erupt their permanent teeth
about five month earlier than males.


6. Environment :-
1. Socio economic group
2.Climate
7. General Factors :-
1.Disease
2.Hormones
3.Metabolism
4.Vit- C deficiency

5. Height and Weight :- Taller and
heavier have greater number of erupted
teeth then shorter and lighter children

Local Factors :-

1.Pathology, trauma, ankylosis
2.Early Loss of Primary teeth
3.Delayed Loss of Primary teeth
4.Impaction / Crowding
5.Supernumerary teeth
6.Space Available
7.Degree of Root Formation
8.Growth Factor
ERUPTION
DISORDERS OF
All these Conditions are Attributed to a
superficial position of Forming tooth Germ
These may be:-
1.Natal Teeth :-Present at the time of
birth.
2.Neo Natal Teeth:-Erupts with in 30
days after birth.
3.Preerupted Teeth :-Appear in 2
nd
or 3
rd

Month after birth.
Natal teeth

Situations in which it occurs:-
1.Ankylosis


2.Congenital Hypothyroidism
3.Juvenile acquired Hypothyroidism
4.Cleidocranial Dysplasia
5.Down syndrome

6.Gingival Fibromatosis



7.Amelogenesis Imperfecta
8. EPIDERMOLYSIS BULLOSA
9. Mucopolysaccaridosis
Others are:-

9. Achondroplasia
10.Regional Odonto Dysplasia

Physiological process of eruption of primary
dentition through the gingiva

Clinical features:-
A) Local signs-
1.Hyperemia or swelling of the mucosa
overlying the erupting teeth
2. Patches of erythema on the cheeks
3. Flushing in the skin of adjacent cheek

Systemic signs:-

1. General irritability & crying
2. Loss of appetite
3. Sleeplessness, restlessness
4. Increase salivation & drooling
5. Insanity
6. Increase thirst
7. Circumoral rash


TEETHING
DISORDERS
TEETHING PROBLEMS

Discomfort resulting from teething due
to pressure exerted on periodontal
mambrane

SYSTEMIC PROBLEMS:-
1.Fever
2. Diarrhoea
3. Vomiting
4. Convulsions
5. Bronchitis
6. Infantile paralysis

LOCAL PROBLEMS:-
1.Eruption hematoma
2. Eruption sequestrum
3. Ectopic eruption
4. Transmigration
5.Transposition


1.Eruption hematoma