Response of erupting human premolars to force application

To test the hypothesis that human tooth eruption requires a critical time period during which no force is applied to the erupting tooth, the eruption of a maxillary second premolar in the prefunctional stage was recorded during the afternoon or evening hours in eight children, using an optical device based on the principle of Moire magnification, while intermittent loads of 300-400 mN were applied to the teeth. When a tooth was erupting actively, light force applications either had no discernible effect or decreased the eruption rate for 2 min or less. When a tooth was intruding spontaneously rather than erupting, a varied response was observed, but the rate of intrusion never increased after force application. Often intrusion showed or halted, and especially during the evening, eruption was likely to occur after a force application during an initial period of intrusion. The conclusion is that, although light force applications significantly displace an erupting premolar, they have little or no effect on net eruption, and that a critical time period without force application is not necessary for eruption to occur. (C) 1999 Elsevier Science Ltd. All rights reserved.