Preclinical Paediatrics · MU Sofia

26. Tooth root formation - stages. Resorption of primary teeth.

Walks through the stages of tooth root formation, from the start of root wall construction through short tapered walls and elongated walls to a fully constructed apex, noting the growth zone and periodontal changes at each stage. It then covers the shedding of primary teeth across primary, mixed and permanent dentition, the pulp changes that accompany resorption, and the cellular mechanism of osteoclast-driven resorption, including its phases and stages.

Inside: 1 section · 16 flashcards · 5 min

Topic 26 of 40 in the MU Sofia syllabus for Preclinical Paediatrics (Dental Medicine, Year 3). The free AceMed note covers it in 1 section, about 810 words (5 min of reading), with 16 flashcards.

In this note

  1. TOOTH ROOT FORMATION- STAGES. RESORPTION OF PRIMARY TEETH

TOOTH ROOT FORMATION- STAGES. RESORPTION OF PRIMARY TEETH

The development of tooth root begins after the formation of the crown.

Phases of Development:

  • Pre-eruptive
  • Eruptive
  • Functional Eruptive

Phases of Tooth Root Formation:

  • Start of Tooth Root Development
  • Short Root Walls
  • Root Walls, close to final length
  • Constructed root walls but undeveloped apex
  • Constructed apex

START OF TOOTH ROOT DEVELOPMENT

  • Crown is formed and root wall construction begins

SHORT ROOT WALLS

  • Can be seen as short, thin, tapered root
  • Walls are diverging. Around the end of the root is situated the growth zone known as the dental follicle
  • Dental Pulp is wider apically than cervical
  • Periodontium is built only where there are root walls and is very wide
  • PDL are not connected

ROOT WALLS CLOSE TO FINAL LENGTH AND ELONGATED

  • Root walls are elongated. Root walls are thickened
  • They are parallel and tapered like a spear.
  • Proliferative zone (Growth zone) is clearly visible. Pulp is almost equally wide in the cervical area and at the end of root walls.
  • Growth zone can be mistaken for periodontitis. Timing of development of teeth must be known in order to avoid fatal errors.
  • Periodontium is created only at the level of forming root. Periodontal space is large

ROOT WALLS ARE CONSTRUCTED BUT UNDERDEVELOPED APEX

  • Eruption is completed and tooth is in function
  • Root walls have reached a length, leading to their thickening and slightly convergent
  • Pulp is wider cervical and narrower apically
  • Apex not built yet so leads to the decreasing of the proliferative zone

CONSTRUCTED APEX

  • At this point, the apex is built, the periodontium is built, not only along the walls of the root but in the area of the apex
  • Proliferative zone decreases

SHEDDING OF PRIMARY TEETH

Humans are considered diphyodont. We posses two dentitions: primary and permanent

  • Teeth in primary dentition are smaller and fewer in number than permanent dentition to conform to the smaller jaws of the young person
  • Functioning of Dentition:
  • Primary Dentition: from about 2 to 6 yo
  • Mixed Dentition: from about six to 10/11 yo
  • Permanent Dentition: after this period

MIXED DENTITION

  • Only part of primary teeth root is present while they undergo resorption
  • Only part of permanent roots is present while they are in formative stage.
  • Nearly 50 teeth can be present in the jaws during these 4 years

PHYSIOLOGICAL RESORPTION

  • Physiological resorption of primary teeth is implemented by the resorptive organ

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