Maltha J C
Afdeling Orthodontie en Orale Biologie van het Universitair Medisch Centrum Sint Radboud, Nijmegen.
Ned Tijdschr Tandheelkd. 2006 Aug;113(8):322-5.
A lot of attention has been paid to the questions of how and why teeth erupt. In the past many theories were developed, all of which showed mechanistic characteristics and suggested that a certain structure exerts force on the tooth germ to initiate its eruption. The dominant theory considered the collagenous fibres or the fibroblasts within the periodontal ligament to be the primary moving force in the eruption process. However, most research was done on continuously erupting incisors of rodents or lagomorphs, an experimental model with serious drawbacks. Because dogs, like humans, have teeth with limited eruption, 25 years ago research was carried out on tooth eruption in beagles. One of the most important conclusions of this study was that the periodontal ligament is not the primary moving force in tooth eruption, as its development only begins at the end of the eruption process. In subsequent years several others have focused their research on tooth eruption in beagles. The current state of knowledge in this field can be summarized as follows: the reduced enamel epithelium and the dental follicle control bone deposition and resorption around an erupting tooth germ, enabling its occlusal movement; the periodontal ligament develops only after its emergence in the oral cavity, and is thus not important in the eruption process; the tooth itself does not play a role in the regulation of its eruption.
人们对牙齿萌出的方式和原因问题给予了很多关注。过去提出了许多理论,所有这些理论都具有机械论特征,并表明某种结构对牙胚施加力以启动其萌出。占主导地位的理论认为牙周膜内的胶原纤维或成纤维细胞是萌出过程中的主要驱动力。然而,大多数研究是在啮齿动物或兔形目动物不断萌出的切牙上进行的,这是一个存在严重缺陷的实验模型。由于狗和人类一样,牙齿的萌出是有限的,25年前对比格犬的牙齿萌出进行了研究。这项研究最重要的结论之一是,牙周膜不是牙齿萌出的主要驱动力,因为它的发育仅在萌出过程结束时才开始。在随后的几年里,其他一些人将研究重点放在了比格犬的牙齿萌出上。该领域目前的知识状况可以总结如下:釉质上皮减少和牙囊控制正在萌出牙胚周围的骨沉积和吸收,使其能够进行咬合移动;牙周膜仅在其出现在口腔中后才发育,因此在萌出过程中并不重要;牙齿本身在其萌出的调节中不起作用。