Definition and Terminology
- Overeruption, hypereruption, supraeruption, supereruption, or continuous eruption are all terms used to describe the physiological movement of a tooth lacking an opposing partner in the dental occlusion.
Pathophysiology and Factors
- Teeth lacking an opposing tooth have a tendency to erupt out of the line of occlusion due to the lack of opposing force and the natural eruptive potential of the tooth.
- Not all teeth lacking an opposing tooth overerupt, particularly in the long term.
- Unopposed upper jaw molars are more prone to overeruption compared to unopposed lower jaw molars.
- Overeruption is more severe in young people and those with periodontal issues.
- The changes associated with overeruption are most visible in the first year after the loss of the opposing tooth.
Consequences and Complications
- Overeruption can cause interferences in the occlusion and difficulties in constructing dentures.
- The alveolar bone typically overgrows, but the exposed root surfaces increase the likelihood of dental caries.
- Overerupted teeth often become sharp due to the lack of tooth wear from adjacent teeth during chewing.
Treatment Options
- Tooth replacement is not recommended as the primary therapy for overeruption.
- Overeruption can be treated by forcing the tooth back using orthodontic techniques or by cutting the interfering part of the tooth and installing a crown.
Related Concepts
- The Dahl effect is related to overeruption and refers to the changes in tooth position and occlusion caused by the placement of an interocclusal appliance.
References:
- Livas, Christos; Halazonetis, Demetrios J.; Booij, Johan W.; Katsaros, Christos; Ren, Yijin (2016-01-21). Does fixed retention prevent overeruption of unopposed mandibular second molars in maxillary first molar extraction cases? Progress in Orthodontics. 17: 6. doi:10.1186/s40510-016-0119-z. ISSN1723-7785. PMC4722044. PMID26798065.
- Kiliaridis, S.; Lyka, I.; Friede, H.; Carlsson, G. E.; Ahlqwist, M. (November 2000). Vertical position, rotation, and tipping of molars without antagonists. The International Journal of Prosthodontics. 13 (6): 480–486. ISSN0893-2174. PMID11203673.
- Lindskog-Stokland, B.; Hansen, K.; Tomasi, C.; Hakeberg, M.; Wennström, J. L. (February 2012). Changes in molar position associated with missing opposed and/or adjacent tooth: a 12-year study in women: CHANGES IN MOLAR POSITION. Journal of Oral Rehabilitation. 39 (2): 136–143. doi:10.1111/j.1365-2842.2011.02252.x. PMID21902708.
- Craddock, Helen L.; Youngson, Callum C.; Manogue, Michael; Blance, Andrew (November 2007). Occlusal Changes Following Posterior Tooth Loss in Adults. Part 1: A Study of Clinical Parameters Associated with the Extent and Type of Supraeruption in Unopposed Posterior Teeth. Journal of Prosthodontics. 16 (6): 485–494. doi:10.1111/j.1532-849X.2007.00212.x. ISSN1059-941X. PMID17559530.
- Faggion, Clovis Mariano; Giannakopoulos, Nikolaos Nikitas; Listl, Stefan (February 2011). How strong is the evidence for the need to restore posterior bounded edentulous spaces in adults? Grading the quality of evidence and the strength of recommendations. Journal of Dentistry. 39 (2): 108–116. doi:10.1016/j.jdent.2010.11.002. ISSN1879-176X. PMID21093527.
over- + eruption
overeruption (countable and uncountable, plural overeruptions)