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Non-eruption of non-ankylosed teeth occurs due to an eruption mechanism that has failed leading to a posterior unilateral/bilateral open bite. [28] Infra occlusion is the primary hallmark of PFE. Primary teeth are most commonly affected and normally all teeth distal to the most mesially affected tooth will show characteristics of this disease.
Radiographically, affected teeth have short and narrow roots, and obliterated pulps due to dentine hypertrophy before or shortly after tooth eruption. [2] The severity of these features is variable, with some teeth presenting with total obliteration of the pulp, while other teeth appear to have normal, healthy dentine. [2]
Other events occur during the bell stage. The dental lamina disintegrates, leaving the developing teeth completely separated from the epithelium of the oral cavity; the two will not join again until the final eruption of the tooth into the mouth. [1] Histologic slide of tooth in late bell stage. Note disintegration of dental lamina at top.
[2] [3] This type of failure of eruption has a genetic or familial background precursor as a cause. The prevalence is of PFE is about 0.06% in population. In this type of failure, teeth that are non-ankylosed fail to erupt in the mouth. These teeth do not have a precursor tooth that is blocking their path.
As the cells of the reduced enamel epithelium degenerate, the tooth is revealed progressively with its eruption into the mouth. The degeneration of reduced enamel epithelium also mediates the initial epithelial attachment to the tooth, which is called the junctional epithelium. The reduced enamel epithelium consist of: Inner enamel epithelium
Over-eruption of the opposing tooth into the unoccupied space left by the stalled eruption of a tooth is a risk factor to operculum trauma from biting. Teeth that fail to erupt completely (commonly the lower mandibular third molars) are often the result of limited space for eruption, or a non-ideal angle of tooth eruption causing tooth impaction.
Edge-to-edge articulation is when opposing front teeth meet along their incisal edges when teeth are in maximal intercuspal position. [16] In Posselt's envelope this happens in ICP as the incisors of the mandible slide past the cingulum of the upper incisors to meet the biting edge and continue to maintain tooth contact as mandible protrudes ...
Intraosseous eruption is a stage of tooth eruption that directly precedes the baby tooth emerging from the gums. This stage involves the formation of root of a tooth which allows the tooth to erupt from the bone. It precedes the supraosseous eruption phase which consists of infragingival eruption and supragingival eruption.