"Children's dental health"

Diseases of tooth eruption. Pericoronitis. Acute and chronic forms. Eruption

cysts.

The most frequently encountered abnormalities (anomalies) of eruption are

impacted teeth, the wrong teeth position during the eruption (dystopia), incomplete
eruption through the jaw bone or mucous membrane (semiretention), the delay of
eruption of the fully formed tooth through the compact bone substance (retention).
Etiology:
1. Exchange disorders and transferred infections.
2. Phylogenetic aspects.
3. Local factors.

Pericoronitis is a process of inflammation of the tissues of the gum and the

marginal periodontium with a failure of eruption of the third molars.
A certain value for a difficult eruption of the lower third molar belongs to tooth
dystopia, a lack of space in the jaw, a dense layer of bone and a soft-tissue barrier.
Acute pericoronitis is a process of inflammation of the gingival tissue and
marginal periodontium with a difficult eruption of the third molar.
Acute pericoronitis is divided into catarrhal and purulent.
The catarrhal form develops at the outset of the disease. Patients complain of pain
when chewing in the area of the erupting wisdom tooth. The general condition is
satisfactory. This form of pericoronitis is favorable and is quickly stopped with
timely treatment.
Purulent pericoronitis. Characterized by strong permanent pain behind the second
molar, pain radiating in the ear. Difficulty opening the mouth. When pressing on
the hood from under it, purulent exudate is released, and sharp pain is onset.
Chronic pericoronitis develops with frequent trauma of the hood mostly in the area
of third molars of the lower jaw and repeated exacerbations of the inflammatory
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process. The delay of pus and the development of granulations lead to bone
resorption. Chronic pericoronitis can become exacerbated. The disease is
diagnosed on the basis of the clinical picture and radiographic data.
Eruption cysts.
The development of the eruption cyst is associated with the remains of embryonic
epithelium or encapsulated epithelium due to inflammation and this type of cyst is
called follicular (tooth-containing) cyst.
Diagnosis is based on the radiographic picture: a site of destruction of the bone
with clear boundaries, adjacent to the lower third molar is detected. If cyst’s size is
small, it is removed together with the lower wisdom tooth.
Difficult erupting of other teeth.
Inflammation is mostly attends to the eruption of premolars, canines on both jaws
and the upper third molars. The clinical diagnosis is confirmed by radiographic
data.
Differential diagnosis is carried out with odontogenic inflammatory diseases,
festering of cysts.
Prognosis for difficult eruption is favorable.
Preventive maintenance of diseases of tooth eruption includes the control over
correct development of a jaw tissues and eruption of teeth, sanation of oral cavity
and timely orthodontic treatment, observance of rules of oral hygiene.