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Informationen aus Orthodontie & Kieferorthopädie 2020; 52(01): 35-55
DOI: 10.1055/a-0966-5767
Übersichtsartikel
© Georg Thieme Verlag KG Stuttgart · New York

Durchbruchstörungen bleibender Zähne – Ursachen und Ausprägung

Tooth Eruption Disorders – Causes and Symptoms
Juliane Dürwald
1   Poliklinik für Kieferorthopädie, Universitätszahnmedizin, Universitätsklinikum Leipzig
,
Chris Köbel
2   Poliklinik für Kieferorthopädie des Universitätsklinikums Heidelberg
,
Karl-Heinz Dannhauer
1   Poliklinik für Kieferorthopädie, Universitätszahnmedizin, Universitätsklinikum Leipzig
› Author Affiliations
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Publication History

Publication Date:
25 March 2020 (online)

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Zusammenfassung

Dieser Artikel gibt einen Überblick über die Mechanismen der morphologischen und vertikalen Entwicklung der Zähne (=Dentition) von Milch- und permanentem Gebiss. Es wird zunächst die Physiologie des Zahndurchbruchs beschrieben. Besonderes Augenmerk wird hierbei auf die zeitliche Abfolge von Eruption bzw. Exfoliation in den verschiedenen Entwicklungsphasen (Milchdentition, permanente Dentition) gelegt, um mögliche Anomalien rechtzeitig erkennen zu können. Zahlreiche Faktoren können die Zahnkeime auf ihrem Durchbruchsweg beeinflussen. Dabei sind Prävalenz, Ausprägung und die möglichen Folgen der Anomalien des Zahndurchbruchs der 2. Dentition sehr verschieden.Es werden daher im Einzelnen für die jeweiligen permanenten Zähne mögliche Ursachen sowie typische klinische Merkmale beschrieben, die in Hinblick auf die Diagnosestellung „Durchbruchsstörung“ sensibilisieren sollen, um eine weiterführende Diagnostik und anschließende Therapie einzuleiten.

Abstract

This article provides an overview of the mechanisms regulating the morphological and vertical development of teeth (=dentition) in the deciduous as well as the permanent dentition. First, the physiology of tooth eruption is described. Special attention is paid to the time sequence of eruption or exfoliation in the different developmental phases (deciduous dentition, permanent dentition) in order to be able to detect possible anomalies in time. Numerous factors may influence the tooth germs on their path of eruption. Prevalence, characteristics and possible consequences of tooth eruption anomalies of the second dentition are heterogenous.Therefore, possible causes as well as typical clinical features are described in detail for the respective permanent teeth, which are intended to take the diagnosis "eruption disorder" into account whenever these features are observed and to initiate further diagnostics and subsequent therapy if necessary.

Schlüsselwörter

physiologische Gebissentwicklung - Zahndurchbruchstörungen

Key words

physiological development of the dentition - tooth eruption disorders
 

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