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Emergence Time and Sequence of Primary Teeth in a Sample of Nepalese Children
S Upadhyay1, R Deoju1, S K Mahanta2
1Department of Pediatric and Preventive Dentistry, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Insights
The first primary teeth emerge around 9 months, with the last appearing by 33 months. This study provides baseline data on primary tooth emergence timing and sequence in Nepalese children.
Area of Science:
- Pediatric Dentistry
- Developmental Biology
- Human Growth and Development
Background:
- Primary teeth emergence is a key developmental milestone in children.
- The timing and sequence of primary tooth eruption vary significantly across different populations.
- Establishing normative data is crucial for identifying developmental deviations.
Purpose of the Study:
- To determine the precise timing and sequence of primary tooth emergence in Nepalese children.
- To establish baseline data for the Kavre district population.
- To compare emergence patterns between sexes and sides of the jaw.
Main Methods:
- A descriptive cross-sectional study was conducted on 5-month to 4-year-old children at Dhulikhel Hospital.
- Detailed records of tooth emergence (visible cusp/margin) were collected along with age in months and gender.
- Descriptive statistics and unpaired t-tests were employed for data analysis.
Main Results:
- The mandibular central incisor was the first to emerge (9.37 ± 1.42 months), and the maxillary second molar was the last (32.91 ± 6.39 months).
- No significant differences in emergence time were observed between jaws, sides, or sexes, with minor exceptions.
- Girls showed slightly earlier emergence for the primary maxillary right central incisor and mandibular right second molar.
Conclusions:
- The observed emergence times and sequence provide valuable baseline data for Nepalese children in the Kavre district.
- This data can aid in monitoring normal primary tooth development.
- Understanding population-specific eruption patterns is essential for pediatric dental care.
Abstract:
Background Primary teeth emergence is an important milestone in children and timing of emergence varies among populations. Objective To determine the emergence time and sequence of primary teeth in a sample of Nepalese children visiting Dhulikhel Hospital. Method A descriptive cross-sectional study was conducted in children of 5 months to 4 years visiting Dhulikhel Hospital. The emergence of incisal tip to incisal margin for incisors and canines, cusp tip to occlusal margin of molars visible were recorded along with age in months and gender. Descriptive statistics was done to calculate the mean age of emergence of each tooth with standard deviation. Unpaired t-test was used to assess the difference between the mean age of emergence of teeth between right and left sides and between boys and girls. Result The first teeth to emerge was mandibular central incisor at the age of 9.37 ± 1.42 months and the last one was maxillary second molar at the age of 32.91 ± 6.39 months. There was no significant difference in the mean emergence time between the maxillary and mandibular jaws, between right and left sides of jaws and between boys and girls except for primary maxillary right central incisor and mandibular right second molar which was found to be emerged early in girls. Conclusion The emergence time and sequence of primary teeth observed in the present study can be used as a baseline data for the children of Kavre district.
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