References

Khalaf K, Miskelly J, Voge E, Macfarlane TV. Prevalence of hypodontia and associated factors: a systematic review and meta-analysis. J Orthod. 2014; 41:299-316
Thilander H, Thilander B, Persson G. Treatment of impacted teeth by surgical exposure. A survey study. Sven Tandlak Tidskr Swed Dent J. 1973; 66:519-525
Banks HV. Incidence of third molar development. Angle Orthod. 1934; 4:223-233
Shinn DL. Congenitally missing third molars in a British population. J Dent. 1976; 4:42-44
Bishara SE, Andreasen G. Third molars: a review. Am J Orthod. 1983; 83:131-137
Lindqvist B, Thilander B. Extraction of third molars in cases of anticipated crowding in the lower jaw. Am J Orthod. 1982; 81:130-139
Richardson M, Orth D, Mills K. Late lower arch crowding: the effect of second molar extraction. Am J Orthod Dentofacial Orthop. 1990; 98:242-246
Harradine NW, Pearson MH, Toth B. The effect of extraction of third molars on late lower incisor crowding: a randomized controlled trial. Br J Orthod. 1998; 25:117-122
Bondemark L, Tsiopa J. Prevalence of ectopic eruption, impaction, retention and agenesis of the permanent second molar. Angle Orthod. 2007; 77:773-778
Shapira Y, Borell G, Nahlieli O, Kuftinec MM. Uprighting mesially impacted mandibular permanent second molars. Angle Orthod. 1998; 68:173-178
Sawicka M, Racka-Pilszak B, Rosnowska-Mazurkiewicz A. Uprighting partially impacted permanent second molars. Angle Orthod. 2007; 77:148-154
Majourau A, Norton LA. Uprighting impacted second molars with segmented springs. Am J Orthod Dentofacial Orthop. 1995; 107:235-238
Richardson ME, Richardson A. Lower third molar development subsequent to second molar extraction. Am J Orthod Dentofacial Orthop. 1993; 104:566-574
Orton-Gibbs S, Crow V, Orton HS. Eruption of third permanent molars after the extraction of second permanent molars. Part 1: assessment of third molar position and size. Am J Orthod Dentofacial Orthop. 2001; 119:226-238
Orton-Gibbs S, Orton S, Orton H. Eruption of third permanent molars after the extraction of second permanent molars. Part 2: Functional occlusion and periodontal status. Am J Orthod Dentofacial Orthop. 2001; 119:239-244
De-la-Rosa-Gay C, Valmaseda-Castellón E, Gay-Escoda C. Spontaneous third-molar eruption after second-molar extraction in orthodontic patients. Am J Orthod Dentofacial Orthop. 2006; 129:337-344
Johnson JV, Quirk GP. Surgical repositioning of impacted mandibular second molar teeth. Am J Orthod Dentofacial Orthop. 1987; 91:242-251
Pogrel MA. The surgical uprighting of mandibular second molars. Am J Orthod Dentofacial Orthop. 1995; 108:180-183
Bjerklin K, Kurol J. Ectopic eruption of the maxillary first permanent molar: etiologic factors. Am J Orthod. 1983; 84:147-155
Bjerklin K. Ectopic eruption of the maxillary first permanent molar. An epidemiological, familial, aetiological and longitudinal clinical study. Swed Dent J. 1994; 100:1-66
Kennedy DB, Turley PK. The clinical management of ectopically erupting first permanent molars. Am J Orthod Dentofacial Orthop. 1987; 92:336-345
Barberia-Leache E, Suarez-Clúa MC, Saavedra-Ontiveros D. Ectopic eruption of the maxillary first permanent molar: characteristics and occurrence in growing children. Angle Orthod. 2005; 75:610-615
Baccetti T. Tooth anomalies associated with failure of eruption of first and second permanent molars. Am J Orthod Dentofacial Orthop. 2000; 118:608-610
Mellor TK. Six cases of non-eruption of the first adult lower molar tooth. J Dent. 1981; 9:84-88
Raghoebar GM, Boering G, Vissink A, Stegenga B. Eruption disturbances of permanent molars: a review.: International Association of Oral Pathologists and the American Academy of Oral Pathology; 1991
Ireland AJ. Familial posterior open bite: a primary failure of eruption. Br J Orthod. 1991; 18:233-237
Frazier-Bowers SA, Koehler KE, Ackerman JL, Proffit WR. Primary failure of eruption: further characterization of a rare eruption disorder. Am J Orthod Dentofacial Orthop. 2007; 131:1-11
Frazier-Bowers SA, Simmons D, Wright JT, Proffit WR, Ackerman JL. Primary failure of eruption and PTH1R: the importance of a genetic diagnosis for orthodontic treatment planning.: American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics; 2010
Stellzig-Eisenhauer A, Decker E, Meyer-Marcotty P, Rau C, Fiebig BS, Kress W Primary failure of eruption (PFE) − clinical and molecular genetics analysis. J Orofac Orthop/Fortschritte der Kieferorthopädie. 2010; 71:6-16

Authors

Tarun K Mittal

BDS

Specialty Registrar, Derriford Hospital, Plymouth

Articles by Tarun K Mittal

Nikki E Atack

BDS, MSc, MOrth RCS, FDS RCS

Consultant Orthodontist, Musgrove Park Hospital, Taunton and School of Oral and Dental Sciences, University of Bristol

Articles by Nikki E Atack

Hywel J Naish

BSc, BDS, MFDS RCS(Ed), MOrth RCS(Ed)

Specialist Practitioner, Cathedral Orthodontics, Cardiff, CF11 9LN

Articles by Hywel J Naish

Julie C Williams

BDS, MFGDP, DPDS MA (Ethics of Healthcare)

StR in Orthodontics, Musgrove Park Hospital, Taunton and Yeovil District Hospital and University of Bristol, Bristol, UK

Articles by Julie C Williams

James S Puryer

BDS, DPDS, MFDS RCS(Eng), MSc, FHEA

Clinical Teaching Fellow in Restorative Dentistry, School of Oral and Dental Sciences

Articles by James S Puryer

Jonathan R Sandy

PhD, MSc, BDS, FDS MOrth, FMedSci

Professor in Orthodontics, Department of Child Dental Health, Bristol Dental Hospital, Bristol

Articles by Jonathan R Sandy

Abstract

Abstract: The eruption of the molar teeth represents the start and end of the establishment of the permanent dentition. This process often occurs without event, but occasionally abnormalities of eruption occur and most frequently this affects the third molar. This article gives an overview of the possible aetiology, diagnosis and treatment of the aberrant molar.

CPD/Clinical Relevance: Awareness of the possible sequelae of unerupted or impacted molars is important in diagnosis and treatment planning.

Article

The molar teeth are unique in that they are accessional teeth, ie they do not have a primary precursor. The eruption of the first permanent molar marks the beginning of the mixed dentition phase of development. This is the first accessional tooth to erupt and is followed by the eruption of upper and lower incisors, premolars and canines (successional teeth). The eruption of the second molar marks the establishment of the permanent dentition, which may be completed with the eruption of the third molar (if present). Abnormalities of eruption are common in the case of the third molar and less so in the case of the first and second molars.

The first molar begins calcification at birth and erupts at roughly 6 years of age. As with most permanent teeth, the lower molar usually erupts just before the upper molar. The second molars begin to calcify at 3 years of age and erupt at about 12 to 14 years. The third molars may be visible radiographically between the ages of 8 to 14 years old and usually erupt between the ages of 17 to 25 years. They are the least predictable teeth in terms of their morphology and behaviour.

Register now to continue reading

Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available