Tooth Eruption - Theories

Theories

Although researchers agree that tooth eruption is a complex process, there is little agreement on the identity of the mechanism that controls eruption. There have been many theories over time that have been eventually disproven. According to Growth Displacement Theory, tooth is pushed upward into the mouth by the growth of the tooth's root in opposite direction. Continued Bone Formation Theory advocated that a tooth is pushed upward by the growth of the bone around the tooth. In addition, some believed teeth were pushed upward by vascular pressure or by an anatomical feature called the cushioned hammock. The cushioned hammock theory, first proposed by Harry Sicher, was taught widely from the 1930s to the 1950s. This theory postulated that a ligament below a tooth, which Sicher observed under a microscope on a histologic slide, was responsible for eruption. Later, the "ligament" Sicher observed was determined to be merely an artifact created in the process of preparing the slide.

The most widely held current theory is that while several forces might be involved in eruption, the periodontal ligaments provide the main impetus for the process. Theorists hypothesize that the periodontal ligaments promote eruption through the shrinking and cross-linking of their collagen fibers and the contraction of their fibroblasts.

There is good evidence from experimental animals that a traction force is unlikely to be involved in tooth eruption: Animals treated with lathyrogens that interfere with collagen cross-link formation showed similar eruption rates to control animals, provided occlusal forces were removed.