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For human teeth to have a healthy oral environment, all parts of the tooth must develop during appropriate stages of fetal development. Primary (baby) teeth start to form between the sixth and eighth week of prenatal development, and permanent teeth begin to form in the twentieth week. [1]
Bottom teeth of a seven-year-old, showing primary teeth (left), a lost primary tooth (middle), and a fully erupted permanent tooth (right) Although tooth eruption occurs at different times for different people, a general eruption timeline exists. The tooth buds of baby teeth start to develop around 6 weeks of pregnancy.
Cementoblasts form the cementum of a tooth. Osteoblasts give rise to the alveolar bone around the roots of teeth. Fibroblasts develop the periodontal ligaments which connect teeth to the alveolar bone through cementum. [4] Tooth development is commonly divided into the following stages: the bud stage, the cap, the bell, and finally maturation.
The incidence of neonatal teeth varies considerably, between 1:700 and 1:30,000 depending on the type of study; the highest prevalence is found in the only study that relies on personal examination of patients. [3] Natal teeth, and neonatal teeth, can be the baby's normal deciduous teeth, sprouting prematurely. [4]
Teething is the process by which an infant's first teeth (the deciduous teeth, often called "baby teeth" or "milk teeth") appear by emerging through the gums, typically arriving in pairs. The mandibular central incisors are the first primary teeth to erupt, usually between 6 and 10 months of age and usually causes discomfort and pain to the infant.
If teeth do not start to develop at or near these times, they will not develop at all. A significant amount of research has focused on determining the processes that initiate tooth development. It is widely accepted that there is a factor within the tissues of the first pharyngeal arch that is necessary for the development of teeth. [26]
The primary teeth are important for the development of the child's speech, for the child's smile and play a role in chewing of food, although children who have had their primary teeth removed (usually as a result of dental caries or dental injuries) can still eat and chew to a certain extent.
The most acknowledged theory for supernumerary teeth is hyperactivity of dental lamina. [6] On completion of the dentition, the dental lamina is usually destroyed and reabsorbed, but when remnants fail to resorb, it can continue to proliferate abnormally. This abnormal proliferation can form the extra tooth bud leading to supernumerary teeth ...