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.

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