This document discusses several clinical considerations regarding primary tooth eruption and shedding. It covers topics like teething symptoms, eruption hematoma and sequestrum, ectopic eruption, natal and neonatal teeth, the typical sequence of primary tooth shedding, and management of retained primary teeth. The document provides information on signs and treatments for various conditions that can occur during primary tooth eruption and shedding.

2. Contents :
• Teething
• Eruption hematoma
• Eruption sequestrum
• Ectopic eruption
• Natal & neonatal teeth
• Sequence of shedding
• Remnants f deciduous teeth
• Retained deciduous teeth

3. CLINICAL CONSIDERATIONS IN
ERUPTION

4. TEETHING AND DIFFICULT ERUPTION
teeth erupt after penetrating
the overlying gums

5. ,Loss of appetite , Sleeplessness
SIGNS AND SYMPTOMS

6. redness or swelling of the gingiva
Red flushed cheek or
face.
child wants to put the hand and fingers into
mouth

7. •Treatment:
•local:
Systemic:
1.analgesic
2.hypnotic/sedative
chilled vegetables can be given to bite on.
(OR) chewing on clean,hard,cool objects

8. ERUPTION HEMATOMA ( ERUPTION CYST )
Bluish purple ,
elevated area of tissue

9. •Treatment :
•not necessary
•Surgically uncovering of crown might be
occasionally necessary

10. ERUPTION SEQUESTRUM
Hard tissue fragment

11. •Treatment
•Most of cases,As the tooth
erupts,fragment sequestrates
•if it remains after eruption:Remove

12. ECTOPIC ERUPTION
Tooth erupts in an abnormal position

13. early treatment may prevent a space loss of 6 to 8
mm.
Transpositioning.
TREATMENT:

14. NATAL AND NEONATAL TEETH
Causes and clinical features

15. TREATMENT
Sippy cups with
modified lid –holes

16. Complications:
- Feeding problems
-Aspiration of tooth
- riga fede disease
Sublingual ulceration(Riga fede)
described by Antonio Riga1881

17. PATTERN OF SHEDDING

18. PATTERN OF SHEDDING:
Pressure generated from erupting
perm.teethdictates the pattern.
In incisors &canine:Resorption begins on lingual surface

19. In molars,resorption begins in their inner surfaces.

20. Girls before boys
Mandibular before maxillary
Left and right sides simultaneously

21. Clinical considerations in
shedding

22. Remnants of deciduous teeth:

24. Retained deciduous teeth:

29. Natal and neonatal teeth
Hematoma
Sequestrum
Mech of shedding
Complications of eruption and shedding