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Dental development in precocious puberty.

M W Roberts, S H Li, F Comite

    Journal of Dental Research
    |August 1, 1985
    PubMed
    Summary
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    Children with idiopathic precocious puberty showed significantly retarded dental development. Other causes of precocious puberty did not reveal significant dental abnormalities, highlighting the importance of individualized growth assessment for orthodontic timing.

    Area of Science:

    • Pediatric Endocrinology
    • Orthodontics
    • Dental Radiology

    Background:

    • Precocious puberty involves early onset of puberty, impacting growth and development.
    • Dental development is a potential indicator of skeletal maturation in children.
    • Understanding dental anomalies in precocious puberty is crucial for treatment planning.

    Purpose of the Study:

    • To assess dental root development in children with various forms of precocious puberty.
    • To identify potential correlations between specific etiologies of precocious puberty and dental development.
    • To inform orthodontic treatment timing based on individual growth patterns.

    Main Methods:

    • Oral examinations and panoramic radiography were performed on 101 children with precocious puberty.

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  • Mandibular canines, pre-molars, and molars were analyzed for root development.
  • Patients were categorized by the etiology of precocious puberty.

    • Main Results:

    • Significant dental development retardation was observed in patients with idiopathic precocious puberty compared to chronological age.
    • No significant dental development abnormalities were found in children with McCune-Albright syndrome, familial male precocious puberty, congenital adrenal hyperplasia, or central nervous system lesions.
    • Individualized oral-facial growth assessment is paramount for determining orthodontic treatment timing.

    Conclusions:

    • Idiopathic precocious puberty is associated with delayed dental maturation.
    • Other etiologies of precocious puberty do not appear to significantly affect dental development.
    • Orthodontic treatment decisions should prioritize comprehensive evaluation of a child's unique oral-facial growth trajectory.