Impacted teeth: Their place is in the dental arch.

Alberto Consolaro,Mauricio De Almeida Cardoso

doi:10.1590/2177-6709.24.6.020-026.oin

Alberto Consolaro, Mauricio De Almeida Cardoso

Open Access

https://doi.org/10.1590/2177-6709.24.6.020-026.oin

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Abstract

ABSTRACTThe starting point for the treatment of unerupted teeth should consider the fact that, biologically, the pericoronal follicle maintains the ability to release EGF and other mediators responsible for eruption over time. The eruptive events may be guided and directed, so that teeth may occupy the space prepared to receive them in the dental arch, as showed in the case presented to evidence the following principle to be considered in these cases: “Regardless of the position of an unerupted tooth, it may be biologically directed to its place in the dental arch. The orthodontist should apply a mechanics to guide it and park it at its site.”

Highlights

Os dentes não irrompidos devem ter como ponto de partida, para seu tratamento, o fato de que biologicamente o folículo pericoronário mantém ao longo do tempo a capacidade de liberar o EGF e outros mediadores responsáveis pela erupção
Unerupted teeth present the tooth eruption organ around their crowns: the pericoronal follicle, even over the years! For several decades, it has been thought that the root was the fundamental structure for eruption, and even though this paper was published in 1980, many professionals are still unaware that the pericoronal follicle is the fundamental structure for tooth eruption.[1]
The soft tissue membrane that composes the pericoronal follicle is firmly attached to the crown surface by the reduced enamel epithelium and fills the radiolucent or hypodense space (Fig 3) around the crowns of unerupted teeth.[2]

Summary

Introduction

Os dentes não irrompidos devem ter como ponto de partida, para seu tratamento, o fato de que biologicamente o folículo pericoronário mantém ao longo do tempo a capacidade de liberar o EGF e outros mediadores responsáveis pela erupção. Based on cell and tissue biology, as well as clinical and laboratory experience, it may be stated that: “Regardless of the position of an unerupted tooth, it may be biologically directed to its site in the dental arch.

Results

Conclusion