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Overeruption can cause interferences in the occlusion and difficulty when constructing dentures. The alveolar bone typically overgrows, but root surfaces can be exposed to the oral environment increasing likelihood of dental caries. Overerupted teeth are often sharp due to lack of tooth wear (dental attrition) by adjacent teeth during chewing.
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.
If multiple teeth are affected then, a segmental osteotomy may be performed to bring the entire segment into occlusion. [4] However, minimal success has been shown following this procedure. [5] These teeth usually are "non-responsive" to the orthodontic force and studies have shown that ankylosis of these teeth can occur if force applied.
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The first stage of treatment involves managing any associated conditions, such as fractured teeth or sharp cusps or incisal edges. These can be resolved by restoring and polishing sharp cusps. Then, desensitizing agents such as topical fluoride varnishes can be applied, and at home desensitising toothpastes recommended.
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