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Influence of gestational age on eruption of primary teeth in Indian children - A prospective longitudinal study
Indira Devraj Mysore1, Bhojraj Nandlal1, D Narayanappa2
1Department of Pediatric Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Insights
Gestational age significantly impacts primary teeth eruption timing in Indian children. Preterm infants experience delayed tooth eruption, especially central incisors and second molars, even after adjusting for prematurity.
Area of Science:
- Pediatric Dentistry
- Developmental Biology
- Public Health
Background:
- Primary teeth eruption is a key developmental milestone.
- Factors influencing eruption include genetics, gender, and socio-economic status.
- The impact of gestational age on primary tooth eruption in India remains understudied.
Purpose of the Study:
- To investigate the influence of gestational age on the timing and sequence of primary teeth eruption.
- To assess primary tooth eruption patterns in Indian children from Mysore.
Main Methods:
- Prospective longitudinal cohort study involving 150 newborns.
- Follow-up from birth to 36 months with regular dental assessments.
- Statistical analysis using descriptive statistics, t-tests, and Chi-squared tests.
Main Results:
- Mandibular central incisors were the first teeth to erupt.
- Preterm infants showed a significant delay in overall tooth eruption chronologically.
- Adjusting for prematurity revealed significant delays in central incisor and second molar eruption.
Conclusions:
- Gestational age is strongly associated with primary teeth eruption timing.
- Gestational age is a significant predictor of delayed primary tooth eruption in Mysore children.
Context:
Eruption of primary teeth is the most anticipated event in a child's life. Genetics, gender, socio-economic status, gestational age are a few of the determinants of the primary teeth eruption. However, the effect of gestational age on the timing of primary teeth eruption among the Indian population has not been explored to date.
Aim:
The study was conducted to evaluate the influence of gestational age on time and sequence of eruption of primary teeth among children of Mysore.
Settings And Design:
A prospective longitudinal cohort study design was conducted at 'Baby Oral Health Promotion Clinic' at the Department of Paediatrics, JSS Hospital, Mysore.
Methods And Material:
150 newborn babies were recruited by simple random sampling and followed up from birth to 36 months. Teeth present during each visit were recorded. Data were statistically analysed and interpreted.
Statistical Analysis Used:
Descriptive statistics, t-test for an independent sample, and Pearson's Chi-squared test were applied.
Results:
The mandibular central incisor was the first tooth to erupt. Statistically insignificant early eruption in males was noted in both term and preterm children. When the chronological ages were compared, the preterm group showed a statistically significant delay in the eruption of all the teeth. However, when the age was adjusted for prematurity, only the central incisors and second molars showed a statistically significant delay.
Conclusions:
Gestational age has a strong significant association with the eruption of primary teeth and maybe one of the strong predictors for delayed eruption among children of Mysore.
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