Dt Mihriban GÖKÇEK, Ebru Hazar BODRUMLU, NURHAT ÖZKALAYCI

Diş sürmesi

Diş sürmesi organizmada görülen gelişimsel bir süreçtir. Geçmişten günümüze bu sürecin işleyişi ile ilgili çok sayıda sürme teorileri ileri sürülmesine rağmen, sürmenin altında yatan mekanizmalar hiçbir zaman tam olarak anlaşılamamıştır. Diş sürmesi ile ilgili; dişlerin üç yönde hareket ediyor olması, farklı hızlarda sürmeleri ve fonksiyonel pozisyona ulaşmasının kalıtımın etkisi altında olması gibi temel parametrelerin biliniyor olması, önceden ortaya atılmış olan bazı teorileri elimine etmektedir. Diğer taraftan ise bu parametreler alveol kemiğin yeniden şekillenmesi ya da periodontal ligamentin oluşması gibi bazı teorilerin de desteklenmesine yol açmaktadır. İnsan ve hayvan dokuları üzerinde yapılan çalışmalar diş sürmesinin analiz edilebilmesine olanak tanımıştır, fakat diş sürmesini harekete geçiren ya da sürme sürecini sona erdiren kuvvetin ne olduğu tam anlamıyla çözülebilmiş değildir. Sürmenin etiyolojisinin bilinmesi sürme problemlerinin çözümünde gerekli bir faktördür ve bu nedenle diş sürmesinin altında yatan mekanizmanın tam olarak anlaşılabilmesi için günümüzde çalışmalar devam etmektedir. Bu derlemenin amacı dişlerin sürmesinde etkili olan faktörlerin incelenerek ortaya atılmış olan sürme teorilerine genel bir bakış açısı sağlamaktır.

Tooth eruption

Dental eruption is a developmental process in the organism. Various theories have been developed to explain the eruption mechanisms from past to present, but the mechanisms behind the eruption has not been completely understood. Our current knowledge about some basic parameters such as the genetic influence on the 3-dimensional movement of teeth at various speeds and arrival at a functional position have eliminated some previously proposed theories. On the other hand, this knowledge supports some theories such as the remodeling of the alveolar bone and formation of the periodontal ligament. Studies in human and animal tissues allow teeth eruption analyses, but what initiates and ends eruptive forces still is not known. Studies still continue to explain the mechanism behind eruption because understanding the mechanism of the eruption process is required for treating eruption disorders. The aim of this review is to examine the factors that affect tooth eruption and provide an overview of Eruption Theories past to present.

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