In vitro fluoride uptake by erupted and unerupted tooth enamel.
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Trauma to primary teeth may result in direct damage to underlying developing permanent teeth because of the close relationship that exists between the apices of the primary teeth and their permanent successors. Injuries to developing teeth have been classified into ten different categories, using a classification that is largely based on developmental alterations to the permanent teeth. However, this classification does not include other types of trauma that may occur to developing teeth, such as crown fractures. Although apparently rare, such injuries can occur by direct contact of the impacting object with a developing tooth, as illustrated by the following case report.
The case reported is that of an ameloblastic fibro-odontoma in an 11-year-old male. The radiographic and clinical findings were typical, appearing as a well-defined radiolucent-radiopaque lesion coronal to an erupting permanent tooth. Treatment consisted of surgical removal (enucleation) of the hard and soft tissue mass. Recurrence of the lesion is not anticipated.
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The majority of previous studies that have looked at the management of delayed eruption secondary to a supernumerary tooth advocate exposure of the unerupted tooth at the time of supernumerary removal. However, accepted UK orthodontic practice is to extract the supernumerary and provide sufficient space for the unerupted tooth to erupt spontaneously. The aim of this retrospective study was to evaluate the management and outcome for 96 patients who had been referred to Newcastle Dental Hospital between 1976 and 1988 who between them had 120 teeth with delayed eruption secondary to a supernumerary tooth.