Primary failure of eruption (PFE)

Srivastava

International Journal of Clinical Pediatric Dentistry

2019

Primary eruption failure is a poorly understood condition in which the teeth fail to erupt in oral cavity in absence of any local or systemic factors. First and second molars are most commonly affected but one or more number of teeth, primary or permanent can be partially or completely affected. The orthodontic or surgical methods to get such teeth in occlusion have failed miserably. The early diagnosis of primary eruption failure (PEF) will allow the dentist to accurately rehabilitate the patient without wasting any time on treatments which are bound to fail.How to cite this articleShivakumar GC, Srivastava A, et al. Primary Failure of Eruption: A Cause of Posterior Open Bite. Int J Clin Pediatr Dent 2019;12(4):360–361.

Section: Discussionmentioning

confidence: 99%

Primary Failure of Eruption: A Cause of Posterior Open Bite

Srivastava

International Journal of Clinical Pediatric Dentistry

2019

“…An onlay or a build-up of the crown of the affected tooth should be considered. Alternatively, a removable partial overdenture that overlaps the infraoccluded tooth could be a treatment of choice [ 32 , 33 , 34 ].…”

Section: Treatment Approach Of Primary Failure Of Eruptionmentioning

confidence: 99%

Teeth Eruption Disorders: A Critical Review

Roulias

Kalantzis²,

Doukaki³

et al. 2022

Children

Dental eruption refers to the vertical displacement of a tooth from its initial non-functional towards its functional position. Tooth eruption disorders may be expressed in various clinical conditions, which may be grouped as “primary retention” and “secondary retention”. The purpose of this article is to review the literature and the clinical parameters of the various conditions related to tooth eruption disorders. Materials and Methods: The search strategy of this critical review included keywords in combination with MeSH terms in Medline, Scopus, and Cochrane Library until February 2022 and only in English. Results: “Primary Failure of Eruption” (PFE) occurs during the eruption process and includes clinical characteristics of both primary and secondary retention, which make diagnosis difficult. PFE is distinguished by Types I and II. In Type I, the defect in the eruption process occurs in all the relative teeth at the same time, whilst in Type II, the clinical expressions vary in multiple quadrants of the mouth, and the second molars erupt more. The variability of the PFE’s clinical spectrum seems to be connected to a genetic origin. The differential diagnosis among single ankylosis, secondary retention, and PFE is based on the occlusal relationship between the upper and the lower teeth distally, most commonly the first molar, which has not yet fully erupted. The treatment approach depends on many factors and combines surgical and orthodontic techniques.

“…An interdisciplinary approach is required when considering the management of this rare condition. The various treatment options include the following [22][23][24][25][26] :…”

Section: Treatment Optionsmentioning

confidence: 99%

“…An interdisciplinary approach is required when considering the management of this rare condition. The various treatment options include the following 22‐26 : Accept the infraocclusion. Restorative correction of the occlusion once growth has ceased. Coronal build‐up or onlay of the affected teeth. A removable prosthesis over the affected teeth. Extraction of affected teeth and prosthetic replacement. Surgical repositioning of the affected area with a segmental osteotomy once growth has ceased, although limited success has been reported using this approach …”

Section: Introductionmentioning

confidence: 99%

Review and case report of the treatment in a young girl with primary failure of eruption

Awad

Dalbah

Srirengalakshmi

et al. 2022

Clinical Case Reports

Any localized non‐eruption of teeth can be attributed to myriad of factors. A failure of a permanent tooth to erupt or cessation of initial eruption with no obvious local/systemic causative factor is said to be primary failure of eruption (PFE). The etio‐pathogenesis of PFE is due to the mutation of PTH1R gene. Clinical features such as infra‐occluded teeth, posterior open bite, lack of any cause or habit are usually attributed to diagnosing the condition, and a confirmatory diagnosis is done by the gene analysis of PTH1R gene. Treatment of such a condition is tricky as any application of orthodontic traction to teeth affected by PFE will not be successful and may cause ankylosis. This correspondence reviews and demonstrates the treatment of a case of PFE to restore function and esthetics to the best possible outcome.