DEFINITION/OVERVIEW
- Delay, disruption, or lack of normal eruption sequence of teeth at anticipated or appropriate times
- Embedded: soft tissue covering
- Operculum: tough fibrous gingival covering that may persist over the crown of a tooth, even if eruption movement is completed; it may appear as an unerupted tooth (Fig. 15-1)
- Impacted: hard tissue covering (bone, caught beneath adjacent tooth, deciduous tooth)
- Unerupted, submerged: other terms occasionally used
ETIOLOGY/PATHOPHYSIOLOGY
- Imbalances of endocrine system: retarded tooth eruption
- Mechanical barriers: closed diastema, malocclusion
- Persistence/retention of deciduous teeth
- Trauma to developing tooth that would impair complete eruption or intrude the tooth
- Familial/breed tendencies
SIGNALMENT/HISTORY
- Occurring in dogs and cats
- Monitor eruption sequence during appropriate period of development
- Deciduous teeth
- Permanent teeth: 4–6 months
- Deciduous teeth
- Delayed eruption: Tibetan terriers, Portuguese water spaniels, Chinese crested
CLINICAL FEATURES
- Unerupted: absence of erupted crown; if not truly missing, it will be present radiographically under the gingival surface
- Mandibular first premolars are a common tooth unerupted in boxers and bulldogs (Figs. 15-2 and 15-3)
- Embedded
- Submerged
- Operculum: crown may be nearly erupted to full height but is covered, partially or completely, with thick fibrous operculum