Khan Aminah S, Nagar Priya, Singh Parul, Bharti Monali
Department of Pedodontics and Preventive Dentistry, Krishnadevaraya College of Dental Science, Bengaluru, Karnataka, India.
Int J Clin Pediatr Dent. 2020 Jul-Aug;13(4):368-380. doi: 10.5005/jp-journals-10005-1797.
To determine the changes in the sequence and age of eruption of permanent teeth in 5-15-year-old schoolchildren, correlating their dental and chronological age.
A total of 1,477 schoolchildren aged between 5 years and 15 years were examined for the eruption timing, body mass index (BMI), and other oral findings. Dental age was calculated for 10% of the total sample using the Willem's method from their ortho-pento graphs (OPGs) and correlated with their chronological age.
The maxillary teeth erupted earlier than mandibular teeth. Males were found to mature earlier than females. The sequence of eruption observed was: males (maxilla) 1-6-2-4-3-5-7 and (mandible) 1-6-2-3-4-5-7; females (maxilla) 6-1-2-4-3-5-7 and (mandible) 1-6-2-3-4-5-7. The chronological age and the dental age were found to be different in the age range of 9-10 years female; 10-11 years male; and in 13-14 years both male and female. Also when the dental age was correlated with the BMI, the dental age of obese children in 5-6 years and underweight children in 10-11 years were found to be far ahead of their actual chronological age.
This study opens an expected door for a large sample size to be tested in various local populations with different ethnicity and race as there can be changing trend in the eruption pattern.
Changing trends in the sequence and age of eruption of the permanent teeth definitely need to be looked into. As this change, if firmly established in future, can help pedodontist in better planning of space management, interceptive as well as full-mouth orthodontic treatment which largely depends on this sequence being true in most of the cases.
Khan AS, Nagar P, Singh P, . Changes in the Sequence of Eruption of Permanent Teeth; Correlation between Chronological and Dental Age and Effects of Body Mass Index of 5-15-year-old Schoolchildren. Int J Clin Pediatr Dent 2020;13(4):368-380.
确定5至15岁学龄儿童恒牙萌出顺序及年龄的变化,并将其牙龄与实际年龄进行关联。
对1477名年龄在5岁至15岁之间的学龄儿童进行了检查,记录其牙齿萌出时间、体重指数(BMI)及其他口腔检查结果。使用威廉姆斯法根据10%样本的曲面断层片(OPG)计算牙龄,并将其与实际年龄进行关联。
上颌牙比下颌牙萌出早。发现男性比女性成熟更早。观察到的萌出顺序为:男性(上颌)1-6-2-4-3-5-7,(下颌)1-6-2-3-4-5-7;女性(上颌)6-1-2-4-3-5-7,(下颌)1-6-2-3-4-5-7。在9至10岁的女性、10至11岁的男性以及13至14岁的男性和女性中,实际年龄和牙龄存在差异。此外,当牙龄与BMI相关联时,发现5至6岁肥胖儿童和10至11岁体重过轻儿童的牙龄远远超过其实际年龄。
本研究为在不同种族和民族的各种当地人群中进行大样本测试打开了一扇预期的大门,因为牙齿萌出模式可能存在变化趋势。
恒牙萌出顺序和年龄的变化趋势肯定需要深入研究。因为如果这种变化在未来得到确证,可帮助儿童牙医更好地规划间隙管理、阻断性及全口正畸治疗,而这些治疗在大多数情况下很大程度上依赖于这种萌出顺序。
Khan AS, Nagar P, Singh P, 等。恒牙萌出顺序的变化;5至15岁学龄儿童实际年龄与牙龄的相关性及体重指数的影响。《国际临床儿科牙科学杂志》2020年;13(4):368 - 380。