Tooth Exfoliation & Eruption: Primary & Permanent Dentition
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Questions and Answers

What is a primary reason for understanding the eruption and exfoliation patterns of teeth?

  • To predict the exact shade of permanent teeth.
  • To determine deviations from normal development. (correct)
  • To prevent the development of supernumerary teeth.
  • To accelerate the eruption of permanent teeth.

Which systemic factor can potentially lead to delayed eruption or non-formation of permanent teeth?

  • Orthodontic treatment
  • Genetic predisposition (correct)
  • Topical fluoride application
  • Regular dental check-ups

Local factors may cause which of the following impacts on permanent dentition?

  • Accelerated tooth eruption
  • Increased enamel thickness
  • Molar-Incisor Hypomineralisation (MIH) (correct)
  • Uniform tooth spacing

In the maxillary arch, what is the typical eruption order of the deciduous dentition?

<p>A-B-D-C-E (B)</p> Signup and view all the answers

Approximately when does the crown of the permanent maxillary central incisor complete its formation?

<p>4-5 years (B)</p> Signup and view all the answers

What is the general eruption sequence of permanent teeth in the mandibular arch?

<p>6-1-2-3-4-5-7-8 (B)</p> Signup and view all the answers

Which of the following best describes the effect of primary tooth infection on permanent teeth?

<p>Damage to the developing permanent teeth (D)</p> Signup and view all the answers

Why is it important to understand the chronology of tooth eruption and exfoliation?

<p>To determine the sequence of tooth eruption and exfoliation. (A)</p> Signup and view all the answers

In general, do girls' or boys' dentition erupt sooner?

<p>Girls (A)</p> Signup and view all the answers

What could happen if the normal sequence of exfoliation and eruption if disturbed?

<p>Deviations from normal can be determined (B)</p> Signup and view all the answers

What could be a result of early loss of deciduous teeth?

<p>Impacted teeth (C)</p> Signup and view all the answers

At approximately what age does the first permanent molar (6) typically erupt?

<p>6-7 years (C)</p> Signup and view all the answers

If a patient is missing the maxillary lateral incisors (2s), what is this an example of?

<p>Missing dentition (C)</p> Signup and view all the answers

What is one result of trauma to primary teeth?

<p>It can affect the permanent the successor (D)</p> Signup and view all the answers

What systemic condition can affect a patient, leading to abnormal eruption patterns?

<p>Metabolic - hormonal disorders (A)</p> Signup and view all the answers

When does the initial calcification of the first primary molar occur?

<p>5 months in utero (C)</p> Signup and view all the answers

How long, typically, does it take for primary canines to erupt?

<p>16-20 months (B)</p> Signup and view all the answers

What is the last primary tooth to erupt?

<p>Second molar (C)</p> Signup and view all the answers

At how many months in utero, does the primary second incisor calcify?

<p>4-5 (D)</p> Signup and view all the answers

What is the earliest you can expect a primary tooth to erupt?

<p>7.5 months (D)</p> Signup and view all the answers

Which permanent tooth typically completes root formation latest?

<p>Third molar (D)</p> Signup and view all the answers

In the permanent dentition, which teeth erupt before the canines?

<p>Premolars (A)</p> Signup and view all the answers

Which of the following teeth is most likely to be impacted?

<p>Canine (D)</p> Signup and view all the answers

What medication, when taken, may affect tooth dentition?

<p>Phenytoin (C)</p> Signup and view all the answers

What is MIH?

<p>Molar-Incisor Hypomineralisation (A)</p> Signup and view all the answers

What is the age range that the upper third molar erupts?

<p>17-21 years (C)</p> Signup and view all the answers

What can primary teeth do for the permanent teeth?

<p>Hold place in the jaw (D)</p> Signup and view all the answers

Which of the following is NOT a systemic factor that can impact permanent dentition?

<p>Fluorosis (C)</p> Signup and view all the answers

What permanent teeth are most commonly impacted?

<p>Maxillary 3's and Mandibular 8's (A)</p> Signup and view all the answers

What is the typical completion of root of a mandibular central incisor occur?

<p>9 years (D)</p> Signup and view all the answers

Does chemotherapy have an impact on permanent dentition?

<p>Yes, medications – chemotherapy/ epilepsy drugs can have an impact (A)</p> Signup and view all the answers

What does Pyrexia refer to?

<p>Systemic infections (C)</p> Signup and view all the answers

What is the average time of completion of roots for the maxillary first molar?

<p>9-10 years (B)</p> Signup and view all the answers

What is the difference in the order of eruption of the mandibular and maxillary arch?

<p>The mandibular arch erupts the canine, while the maxillary arch erupts the E molar first (A)</p> Signup and view all the answers

At what age does the mandibular lateral incisor erupt?

<p>7-8 years (A)</p> Signup and view all the answers

If you see gingival hyperplasia/fibrosis, what impact does it have on permanent dentitions?

<p>It can cause delayed eruption (A)</p> Signup and view all the answers

What habits relate to low birth weight, and can affect tooth formation?

<p>Smoking (C)</p> Signup and view all the answers

How long does calcification take for the crowns of permanent canines to complete?

<p>6-7 years (B)</p> Signup and view all the answers

Which of the following is least likely to cause early loss of deciduous teeth?

<p>Good oral hygiene practices (A)</p> Signup and view all the answers

What is the eruption time frame of first primary molars?

<p>12-16 months (D)</p> Signup and view all the answers

Which of the following is NOT considered a learning outcome of studying tooth exfoliation and eruption?

<p>To perform advanced surgical extraction of impacted teeth (D)</p> Signup and view all the answers

When does the root completion for mandibular premolars occur?

<p>12-14 years (D)</p> Signup and view all the answers

Approximately when should a dental professional expect to see the eruption of a maxillary lateral incisor?

<p>8-9 years (C)</p> Signup and view all the answers

Which of the following is most indicative of a potential issue with tooth development or eruption timing?

<p>Teeth erupting outside the typical age ranges (A)</p> Signup and view all the answers

In a typical developmental sequence, before the eruption of permanent canines, which teeth are expected to emerge in the maxillary arch?

<p>First and second premolars (A)</p> Signup and view all the answers

What is the expected range for completion of root formation for the permanent mandibular central incisors?

<p>9-10 years (D)</p> Signup and view all the answers

A child exhibits premature loss of a primary mandibular second molar. Which of the following permanent teeth is most likely to be affected by this early loss?

<p>Mandibular second premolar (C)</p> Signup and view all the answers

If a 9-year-old patient's panoramic radiograph shows the absence of permanent maxillary lateral incisors, while all other teeth appear to be developing normally, what condition is most likely?

<p>Congenitally missing lateral incisors (B)</p> Signup and view all the answers

A 7-year-old patient presents with unerupted permanent maxillary central incisors. Radiographic examination reveals adequate space and normal root development for these teeth. Which of the following local factors is LEAST likely to be the cause of the delayed eruption?

<p>Systemic disease affecting bone density (D)</p> Signup and view all the answers

Flashcards

What is tooth eruption?

The sequence and timing of when teeth emerge into the oral cavity.

What is tooth exfoliation?

The process by which primary teeth are naturally shed, making way for permanent teeth.

What is calcification?

The initial formation of hard dental tissues, such as enamel and dentin.

Why are primary teeth important?

Primary teeth maintain space for permanent teeth, guiding them into the correct position.

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Gender differences in dentition

Girls tend to have earlier dental development compared to boys.

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Systemic effects on teeth

Systemic factors can cause delayed eruption, missing teeth, or enamel defects like Molar-Incisor Hypomineralisation (MIH).

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Systemic factors affecting dentition

Genetic conditions, nutritional deficiencies, hormonal imbalances, systemic infections, and certain diseases or medications.

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Local factors on dentition

Early loss of baby teeth, impacted teeth, missing teeth, supernumerary teeth, trauma, gingival issues and cysts.

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Common impacted teeth

Typically maxillary 3's (canines) and mandibular 8's (wisdom teeth).

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Common missing teeth

Maxillary lateral incisors and mandibular third molars.

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Initial Calcification of Maxillary Deciduous Teeth

First Incisor (A): 3-4 months in utero; Second Incisor (B): 4-5 months in utero; Canine (C): 5 months in utero; First Molar (D): 5 months in utero; Second Molar (E): 6 months in utero.

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Completion of Crown of Maxillary Deciduous Teeth

First Incisor (A): 4 months; Second Incisor (B): 5 months; Canine (C): 9 months; First Molar (D): 6 months; Second Molar (E): 10-12 months

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Eruption Time of Maxillary Deciduous Teeth

First Incisor (A): 7.5 months; Second Incisor (B): 8 months; Canine (C): 16-20 months; First Molar (D): 12-16 months; Second Molar (E): 1.75-2.5 years

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Root Completion of Maxillary Deciduous Teeth

First Incisor (A): 1.5-2 years; Second Incisor (B): 1.5-2 years; Canine (C): 2.5-3 years; First Molar (D): 2-2.5 years; Second Molar (E): 3 years

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Initial Calcification of Mandibular Deciduous Teeth

First Incisor (A): 4-5 months in utero; Second Incisor (B): 4-5 months in utero; Canine (C): 5 months in utero; First Molar (D): 5 months in utero; Second Molar (E): 6 months in utero.

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Completion of Crown of Mandibular Deciduous Teeth

First Incisor (A): 4 months; Second Incisor (B): 4.5 months; Canine (C): 9 months; First Molar (D): 6 months; Second Molar (E): 10-12 months

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Eruption Time of Mandibular Deciduous Teeth

First Incisor (A): 4 months; Second Incisor (B): 4.5 months; Canine (C): 9 months; First Molar (D): 6 months; Second Molar (E): 10-12 months

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Usual eruption order

Order of Eruption for Maxillary Deciduous Teeth: A-B-D-C-E

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Mandibular Eruption Order

Order of Eruption for Mandibular Deciduous Teeth: A-B-D-C-E

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Initial Calcification of Maxillary Permanent Teeth

Central Incisor and Lateral Incisor: 3-4 months after birth; Canine: 4-5 months after birth; 1st Premolar: 1.5-1.75 years after birth; 2nd Premolar: 2-2.5 years.

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Crown Completion of Maxillary Permanent Teeth

Central and Lateral Incisors: 4-5 years; Canine: 6-7 years; 1st Premolar: 5-6 years; 2nd Premolar: 6-7 years

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Eruption of Maxillary Permanent Teeth

Central Incisor: 7-8 years; Lateral Incisor: 8-9 years; Canine: 11-12 years; 1st Premolar: 10-11 years; 2nd Premolar: 10-12 years

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Root Completion of Maxillary Permanent Teeth

Central Incisor: 10 years; Lateral Incisor: 11 years; Canine: 13-15 years; 1st Premolar: 12-13 years; 2nd Premolar: 12-14 years

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Initial Calcification of Mandibular Permanent Teeth

Central Incisor and Lateral Incisor: 3-4 months after birth; Canine: 4-5 months after birth; 1st Premolar: 1.75-2 years: 2nd Premolar: 2.25-2.5 years.

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Crown Completion of Madibular Permanent Teeth

Central and Lateral Incisors: 4-5 years; Canine: 6-7 years; 1st Premolar: 5-6 years; 2nd Premolar: 6-7 years

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Eruption of Mandibular Permenant Teeth

Central Incisor: 6-7 years; Lateral Incisor: 7-8 years; Canine: 9-10 years; 1st Premolar: 10 - 12 years; 2nd Premolar: 11-12 years

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Root Completion of Mandibular Permanent Teeth

Central Incisor: 9 years; Lateral Incisor: 10 years; Canine: 12-14 years; 1st Premolar: 12 - 13 years; 2nd Premolar: 13-14 years

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Initial Calcification of Maxillary Upper First Molars

Birth/slightly before.

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Initial Calcification of Mandibular Lower First Molars

Birth/slightly before.

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Eruption of Mandibular Lower First Molars

6-7 years.

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Initial Calcification of Maxillary Third Molars

7-9 years.

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Eruption of Mandibular Second Molars

11-13 years.

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Order of Eruption for Permanent Maxillary post 6

1, 2, 4, 5, 3, 7, 8

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Order of Eruption for Permanent Mandibular post 6

1, 2, 3, 4, 5, 7, 8

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What is missing UL/UR2 means?

Missing lateral incisors.

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Impacted wisdom teeth

Impacted 8s

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Tooth infection

Primary infection affects permament teeth

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Cysts in gum

Eruption cysts

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Study Notes

  • Tooth exfoliation and eruption are key topics
  • GDC Learning Outcomes (2015) related to this include: 1.1.5, 1.1.6, 1.2.4, 1.2.5, 1.2.7, 1.7.7, 1.8.3, 8.2, 9.4, 9.6

Aim

  • This study aims to understand the sequence and importance of eruption and exfoliation chronology
  • It relates to primary dentition and the eruption of secondary dentition

Learning Outcomes

  • Understanding the terminology used in eruption and exfoliation sequences isimportan
  • Understanding normal vs. abnormal dental development is vital
  • Knowing calcification dates for primary and permanent dentition is an important learning outcome
  • Knowing the eruption dates for primary and permanent dentition is essential for dental professionals
  • Knowing exfoliation dates for primary dentition is needed

Reasons for Learning Eruption/Exfoliation Patterns

  • Primary teeth maintain space in the jaw for permanent teeth, which take their place when primary teeth are lost
  • Deviations from normal exfoliation and eruption sequences require understanding the typical sequence
  • Girls' dentition tends to erupt sooner than boys'

Impact to Permanent Dentitions - Systemic or Local

  • Systemic factors may lead to: delayed eruption, non-formation, or Molar-Incisor Hypomineralisation (MIH)
  • Genetic factors can influence dental development
  • Nutrition plays a key role in tooth formation and eruption
  • Metabolic or Endocrine disorders disturb dental development
  • Pyrexia, like systemic infections, can impact teeth
  • Diseases, such as kidney issues or cancer, can affect dentition
  • Certain medications like chemotherapy drugs or phenytoin impact dentition
  • Fluorosis can also affect teeth
  • Low birth weight or exposure to smoking are additional factors

Impact to Permanent Dentitions - Generalised or Localised

  • Local factors also induce delayed eruption, non-formation, or Molar-Incisor Hypomineralisation (MIH)
  • Early loss of deciduous teeth has possible effects on permanent dentition
  • Impacted or misplaced teeth can result in permanent teeth out of position
  • Maxillary 3s and mandibular 8s are frequently impacted
  • Missing dentition often involves maxillary 2s and mandibular 8s
  • Supernumerary teeth present an over number of teeth
  • Trauma, gingival hyperplasia/fibrosis, oral clefts, and eruption cysts can impact permanent dentition

Tooth Chronology: Deciduous Maxillary Dentition

  • First Incisor (A)
    • Initial calcification occurs at 3-4 months in utero (IU)
    • Crown completion at 4 months
    • Eruption at 7.5 months, 1.5-2 years for root completion
  • Second Incisor (B)
    • Calcification occurs at 4-5 months in utero
    • Crown completion occurring ay 5 months
    • Eruption at 8 months, 1.5-2 years for the root
  • Canine (C)
    • Calcification is initiated at 5 months in utero
    • Crown completion take 9 months
    • Erupts between 16-20 months, root completes after 2.5-3 years
  • First Molar (D)
    • Calcifies at 5 months in utero
    • Crown completion occurs at 6 months
    • Erupts between 12-16 months, with root completion taking place around 2-2.5 years
  • Second Molar (E)
    • Calcification starts 6 months in utero
    • Crown takes 10-12 months to complete
    • Erupts between 1.75-2.5 years, with roots completing at 3 years.

Tooth Chronology: Deciduous Mandibular Dentition

  • First Incisor (A)
    • Calcifies at 4-5 months in utero
    • Completes crown in 4 months
    • Erupts at 4 months, with roots completing growth at 1.5-2 years
  • Second Incisor (B)
    • Calcifies at 4-5 months in utero
    • Takes 4.5 months to complete the crown
    • 4.5 months to erupt, with roots completing growth at 1.5-2 years
  • Canine (C)
    • Calcification begins at 5 months in utero
    • Crown completion requiring is 9 months
    • Eruption at 9 months, with roots taking 2.5-3 years
  • First Molar (D)
    • Calcifies at 5 months in utero
    • 6 months to complete the crown
    • Eruption at 6 months, with roots completing growth at 2-2.5 years
  • Second Molar (E)
    • Calcifies at 6 months in utero
    • Requires 10-12 months for crown completion
    • Erupts between after 10-12 months, with roots completing in 3 years

Order of Eruption for Maxillary Deciduous Teeth

  • A-B-D-C-E

Order of Eruption for Mandibular Deciduous Teeth

  • A-B-D-C-E

Tooth Eruption Chronology for Permanent Dentition

  • Includes details about initial calcification, completion of the crown, eruption timing, and completion of the root for maxillary and mandibular permanent teeth
  • Covers central incisors (1's), lateral incisors (2's), canines (3's), 1st premolars (4's), and 2nd premolars (5's)

Tooth Eruption Chronology for Permanent Molars

  • Includes initial calcification, crown completion, eruption, and root completion for maxillary and mandibular
  • First molars (6's), second molars (7's), and third molars (8's) are detailed

Order of Eruption for Maxillary Permanent Teeth

  • 6-1-2-4-5-3-7-8

Order of Eruption for Mandibular Permanent Teeth

  • 6-1-2-3-4-5-7-8

Radiographic Considerations

  • Dentopantomographs (DPT) image mixed dentition
  • Delayed eruption or impacted canines are visible on radiographs

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Explore the sequence and importance of tooth eruption and exfoliation chronology in primary and permanent dentition. Understand normal and abnormal dental development, calcification, and eruption dates. Learn why primary teeth maintain space for permanent teeth and reasons behind Eruption/Exfoliation Patterns.

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