Eruption Of Deciduous Teeth Research Articles

Fever from Primary Tooth Eruption – What is the evidence?

Introduction: There is no consensus on the causal relationship between primary dental eruption and both systemic and local signs and symptoms. Fever, an important sign, is often reported. Such lack of evidence hampers clinical reasoning and may contribute to delayed diagnosis of important conditions. Objective: To review existing evidence underlying the association between primary tooth eruption and fever. Methods: A review of the evidence on English, Portuguese and Spanish scientific publications over the last ten years was performed in the main international databases using the query “tooth eruption” and “fever” [MeSH], and in the index of Portuguese medical journals using the query “erupcao dentaria” and “febre” [DeCS]. SORT system of the American Family Physician was used for rating the strength of evidence. Results: A total of 53 articles were retrieved, from which two meta-analyses and two original studies were selected, comprising a total of 5317 children. Massignan et al. (2016) meta-analysis and Memarpour et al. (2015) clinical trial found a slight temperature increase on the day of primary tooth eruption, but no fever. In Nemezio et al. (2017) meta-analysis, this association was observed in the subgroup that used the rectal method for temperature assessment. Un Lam et al. (2016) observational study reported a fever prevalence of 49.9%. Discussion and conclusions: The present analysis had several limitations, including a significant heterogeneity amongst studies in the definition of fever, interpersonal variability during fever measurements, different fever assessment methods or absence of that information, and no exclusion of confounding factors. Given available evidence, it is not possible to establish a clear association between primary dental eruption and the occurrence of fever. A higher number of robust studies is required to confirm this hypothesis (SORT B).

Türkiye’nin güneyinde yaşayan çocuklarda süt dişlerinin erüpsiyon zamanı ve sekansı

Aim: The aim of the present study was to evaluating the sequence and timing of eruption of primary teeth, as well as gender differences, in children whose living in south of Turkey. Method(s): This study was done on 584 children with healthy under 36 months. A tooth was considered to be erupted when any part of it had pierced through the gingiva and could be seen and touched. The Primary Universal Numbering System was used for dental notation.Results:In this study, there were 318 boys and 266 girls with mean age of the children were 13.14 months. The first primary tooth was erupted, on average, at 208 days and the last primary tooth at 741 days. The tooth erupting in order was central incisor, lateral incisor, first molar, canine, and second molar. Conclusion: Timing and sequence of primary teeth eruption in southern Turkish children is occurring similar results which previously reported studies that living children in the other geographical area. There was no significant correlation between gender and time of eruption of the primary teeth.

Teething symptoms in children with congenital Zika syndrome: A 2-year follow-up.

The eruption of primary teeth represents a stage of many challenges for parents. To investigate the occurrence of signs and symptoms related to the eruption of the primary dentition in children with congenital Zika syndrome. Longitudinal study developed with 79 children followed up for a period of 24months. Data on sex, gestational age, low birthweight, microcephaly, signs and symptoms related to the dental eruption phase, and use and type of medication were collected. Data were presented by descriptive and inferential statistics (chi-square test). The majority (94.9%) exhibited simultaneously two or more signs and symptoms related to dental eruption. Increased salivation (91.1%), irritability (86.1%), and gingival itching (83.5%) were the most commonly reported signs and symptoms. Bivariate analysis showed association between elevation of body temperature and sex (P<0.05). Almost two-thirds of mothers (63.3%) reported using medication to relieve symptoms presented by the child; however, the use of topical medication prevailed (57.1%). All children with congenital Zika syndrome presented manifestations related to the eruption of primary teeth, with increased salivation, irritability, and gingival pruritus. The use of ointments and gels was the option of mothers in the treatment of the oral discomfort presented by infants.

Misconceptions and traditional practices towards infant teething symptoms among mothers in Southwest Ethiopia

BackgroundThe assumption of a link between common symptoms such as febrile illness, diarrhea and the eruption of primary teeth has been established over many centuries. According to traditional beliefs in Ethiopia, diarrhea and fever at the time of milk teeth eruption may be due to a worm in the child’s gums. Current medical observations show little more than restlessness, drooling, and finger sucking resulting from teething. The purpose of this research was to assess mothers’ traditional beliefs and practices towards teething symptoms.MethodsA cross-sectional descriptive study design was used with the convenience sampling technique. Mothers were approached at the pediatric Out Patient Department (OPD) of Jimma University Specialized Hospital, southwest Ethiopia. A structured questionnaire was used for data collection. The data were analyzed by SPSS (version 20).ResultsA total of 107 mothers were interviewed. Ninety-eight (91.6%) claimed that teething was associated with various symptoms. Ninety-seven (90.7%) attributed diarrhea to teething. Only one mother said she would give her child Paracetamol to relieve the teething symptoms. Five (4.7%) mothers said they would allow their children to bite on a pacifier. Ten mothers (9.3%) said that they would prefer the child’s milk tooth to be extracted. Some of the practices by mothers to relieve the symptoms include rubbing the gum of the child with garlic (12.1%) or rubbing the gum with herbs (6.5%).ConclusionsMost of the mothers had misconceptions about the symptoms that usually appear during teething. Health education should be provided by dentists and professionals concerned with child care in correcting these misconceptions and cultural beliefs about teething symptoms.

Knowledge, Beliefs and Practices Associated with Teething Among Mothers in Mangalore Taluk, South India

Background: To assess mother’s knowledge and beliefs about teething signs and symptoms, to evaluate their experience during the teething of their youngest child and to assess the practices undertaken by mothers to relieve the teething symptoms. Methods: Random number of anganvadis, 5 from the rural and 5 from the urban areas of Mangalore were selected. A cross sectional survey was conducted using a self administered questionnaire. The questionnaire form included three sections eliciting demographic characteristics and assessing parent's knowledge, and beliefs regarding teething of their youngest child. Result: The majority of the respondents were in the age group of 28 – 37 years of age and had only primary level of education . Almost about 93% of the mothers knew that the tooth eruption starts around 6 – 7 months of age and the first tooth to erupt is the lower central incisors. About 85 % of the mothers said that the primary tooth eruption gets completed by 2 years of age. Almost 90 % parents attributed fever and diarrhea to teething. Almost 55 % of the parents consulted a doctor for fever and diarrhea. There is no statistically significant difference between the rural and urban mothers about teething knowledge and its associated symptoms. Conclusion: This study identified mother’s conceptions about teething signs and symptoms. Health care providers must review and dispel long held cultural myths and beliefs about teething, acknowledge and share the evidence that tooth eruption is not strongly associated with significant symptoms.

Microbial Profile and Dental Caries in Cleft Lip and Palate Babies Between 0 and 3 Years Old.

The aim of this study was to examine the microbiological changes in newborn babies with cleft lip palate from birth up to age 3 and to correlate them with their caries levels and mothers' microbiological data and to compare with normal infants. Prospective. Marmara University, Faculty of Dentistry, Pediatric Dentistry Clinic, and Şişli Hamidiye Etfal Education and Research Hospital New Born Clinic. Cleft lip palate (n = 21) and healthy (n = 13) newborns and their mothers. Intraoral samples were taken from babies in each group at least 3 times over the 3 years. Saliva samples of the mothers were collected just after the birth of the babies and examined microbiologically. Dental caries was noted as either present or absent. The most frequent microorganisms were candida, found at birth (n = 9, 42%) in cleft palate with or without cleft lip (CP±L) group. The number of babies infected with Lactobacilli were found to be significantly higher in the CP±L group than in the control group at birth ( P = .029) and after eruption of the first primary tooth ( P = .030). Mutans Streptococci were found in 10% of babies with CP±L at birth. Initial caries was identified in 20% of the babies with an oral cleft compared with 0% of the controls after eruption of the first primary incisors. The results show that the CP±L babies must be considered as a group with an increased caries risk.

Nonsyndromic extremely premature eruption of teeth in preterm neonates – a report of three cases and a review of the literature

Abstract Objective Preterm birth is connected to a delay in the development and eruption of primary teeth. The aim of the study is to present clinical findings, complications and management of prematurely erupted primary teeth. Subjects Three premature neonates with prematurely erupted teeth were examined during a 3-year period. The gender, gestational age, birthweight, mode of delivery and general health status were recorded. The literature search was conducted using several databases. Results The intraoral examination of three premature neonates revealed the presence of partially erupted lower central incisors. All teeth erupted between 4 and 6 weeks after preterm birth and were extracted due to their hypermobility. Two retrospective studies and 10 case reports concerning preterm infants with natal or neonatal teeth were found. Conclusion Careful examination of preterm infants with natal or neonatal teeth is very important not only for a treatment decision but also for the possible presence of syndromic conditions.

Characterizing oral microbial communities across dentition states and colonization niches

Methods The present study aimed to identify patterns and processes in acquisition of oral bacteria and to characterize the microbiota of different dentition states and habitats. Mucosal, salivary, supragingival, and subgingival biofilm samples were collected from orally and systemically healthy children and mother-child dyads in predentate, primary, mixed, and permanent dentitions. 16S rRNA gene sequences were compared to the Human Oral Microbiome Database (HOMD). Functional potential was inferred using PICRUSt.ResultsUnweighted and weighted UniFrac distances were significantly smaller between each mother-predentate dyad than infant-unrelated female dyads. Predentate children shared a median of 85% of species-level operational taxonomic units (s-OTUs) and 100% of core s-OTUs with their mothers. Maternal smoking, but not gender, mode of delivery, feeding habits, or type of food discriminated between predentate microbial profiles. The primary dentition demonstrated expanded community membership, structure, and function when compared to the predentate stage, as well as significantly lower similarity between mother-child dyads. The primary dentition also included 85% of predentate core s-OTUs. Subsequent dentitions exhibited over 90% similarity to the primary dentition in phylogenetic and functional structure. Species from the predentate mucosa as well as new microbial assemblages were identified in the primary supragingival and subgingival microbiomes. All individuals shared 65% of species between supragingival and subgingival habitats; however, the salivary microbiome exhibited less than 35% similarity to either habitat.ConclusionsWithin the limitations of a cross-sectional study design, we identified two definitive stages in oral bacterial colonization: an early predentate imprinting and a second wave with the eruption of primary teeth. Bacterial acquisition in the oral microbiome is influenced by the maternal microbiome. Personalization begins with the eruption of primary teeth; however, this is limited to phylogeny; functionally, individuals exhibit few differences, suggesting that microbial assembly may follow a defined schematic that is driven by the functional requirements of the ecosystem. This early microbiome forms the foundation upon which newer communities develop as more colonization niches emerge, and expansion of biodiversity is attributable to both introduction of new species and increase in abundance of predentate organisms.

Clinical duration of eruption of deciduous teeth in Jordanian children: A cross-sectional study

ObjectiveThe aim of this study was to investigate the clinical duration of eruption (CDE) for deciduous teeth in Jordanian children, from the moment of gingival emergence until functional occlusal contact. DesignThis cross-sectional study included 1988 children (885 females, 1103 males) aged 1–45 months examined for deciduous tooth emergence. Through probit regression analysis (SPSS Version 16.0), the median ages of emergence (MAE) and of functional eruption (MAF) were calculated per tooth; time difference between the two events represented CDE in months. Mann Whitney U tests and two-tailed Spearman’s bivariate correlation test were used to investigate sexual dimorphisms in CDE, and find relationships between MAE and CDE, respectively. Significance was set at P ≤ 0.05. ResultsThe average CDE was (4.45 ± 1.96) months; it was less in males (4.33 ± 1.99) than in females (4.57 ± 1.93) with no significant gender differences (P = 0.38). Longest and shortest CDE were for maxillary first molars and mandibular lateral incisors, respectively. None of the teeth showed statistically significant differences in CDEs between genders. In addition, there were insignificant positive moderate correlations between MAE and CDE (r = 0.60, 0.52, P = 0.07, 0.12 for males and females, respectively). ConclusionsThis study has established the first standards for CDE in deciduous teeth for Jordanian children with an average CDE (4.5 ± 2, range 1.6–8 months). Some variations in CDE can be explained by variations in age of emergence however, variations in CDE were not related to gender. The deciduous dentition in Jordanians is in active state of eruption between approximately 8.2–32 months.

Sexual dimorphism of primary dentition in Spanish children

Aim: To analyse differences in the eruption of primary teeth between both sexes.Materials and methods: A cross-sectional study was performed in a sample of 1250 children aged between 3 and 42 months. The clinical emergence of teeth was taken to estimate average ages for primary teeth eruption. The t-test was used to analyse gender and arch differences.Results: Eruption of primary teeth began at the same time in girls as in boys; although the eruptive process was longer in girls. It was observed that almost all deciduous teeth emerged earlier in boys, except for the first molar (upper and lower) and the maxillary central incisors. The differences were statistically significant for almost all the primary teeth except for the central incisors, both upper and lower.Conclusions: By comparing the timing of the eruption of primary teeth in both sexes, it was found that eruption of almost all primary teeth took place earlier in boys than in girls and that the eruption process was shorter for boys than for girls. Most of the deciduous teeth erupted earlier in the right side in both sexes. No differences were found in the sequence of eruption of primary teeth between genders.

Association between secondhand smoke exposure and early eruption of deciduous teeth: A cross-sectional study.

INTRODUCTIONSecondhand smoke (SHS) exposure is a risk factor for early childhood caries. Here we examined the association between SHS exposure and early tooth eruption (ETE) to clarify the additional etiology of an increased chance of contact between the tooth’s surface and acid produced by fermenting oral bacteria.METHODSData of 388 child–mother pairs who attended health checkups at public health centers were assessed for children aged ≥18 months. SHS exposure was reported as maternal smoking during pregnancy and household smoking after birth. Associations between SHS exposure and ETE (≥3 canines in the oral cavity) were tested using multivariable analyses of the dose-response relationship. Subgroup and sensitivity analyses were performed for birth-weight subgroups and SHS exposure variables, respectively.RESULTSETE prevalence was 65.5%, 68.1%, and 76.9% in the no, medium-dose (ceased partway and sometimes), and highest-dose (every day) exposure groups, respectively, during pregnancy, and 61.5%, 75.0%, and 75.5%, respectively, after birth. The association between the highest dose exposure during pregnancy and ETE was not significant (OR=1.42, 95% CI: 0.34–5.96, p=0.631), whereas that between highest dose exposure after birth and ETE was significant (OR=2.13, 95% CI: 1.06–4.31, p=0.034); this association was distinct in the subgroup of children with smaller birth weights (<3000 g) (OR=3.19, 95% CI: 1.08–9.44, p=0.036). The dose-response relationship was consistently significant for exposure after birth (p<0.05). The sensitivity analysis that employed no SHS exposure, as a reference, revealed that exposure after birth but no exposure during pregnancy was significantly associated with ETE (OR=2.29, 95% CI: 1.19–4.40, p=0.013). However, the association between exposure during pregnancy and ETE was consistently non-significant (p>0.05).CONCLUSIONSWhen controlling for variables of birth weight and exposure type, SHS exposure after birth was independently associated with the early eruption of deciduous canines. Further studies are warranted to examine the trajectory of SHS exposure after birth, ETE, and early childhood caries incidence.ABBREVIATIONSETE: Early tooth eruption, SHS: Secondhand smoke

Insufficient evidence about the association between primary tooth eruption and fever

Nemezio MA, De Oliveira KMH, Romualdo PC, et al. Association between fever and primary tooth eruption: a systematic review and meta-analysis. Int J Clin Pediatr Dent. 2017;10(3):293-298. .

A cross-sectional study on eruption timing of primary teeth in children of Mysore, Karnataka.

Eruption of first primary teeth is the most anxiously awaited developmental milestone in a child. However, primary teeth have shown wide variations in their eruption time among different population, ethnic, and racial groups. The present study was conducted with the aim to evaluate the time and sequence of eruption of primary teeth of children of Mysore. A cross-sectional study design included 1392 participants aged 3 months to 36 months recruited by simple random sampling method. The variables such as age, gender, and number of erupted primary teeth were recorded. Clinical examination was done under natural illumination. A tooth was considered erupted when any part of its crown had penetrated the gingiva and was visible in the oral cavity. Probit regression analysis was performed to obtain the mean and median age of eruption of teeth. The significance of difference in the mean age of eruption across gender and arch was determined using paired t-test. The first primary tooth to erupt was mandibular central incisor at 10.24 ± 2.47 months followed by maxillary central incisor at 11.06 ± 2.65 months. The duration of primary teeth eruption was 17.89 and 18.32 months in males, 18.54 months and 18.32 months in females for maxilla and mandible, respectively. Eruption of primary tooth is delayed among children of Mysore as compared to standard eruption chart. The results will provide information to health professional about contemporary tooth eruption time derived from an Indian population.

Prevalence of Protein Energy Malnutrition (PEM) and its Association with Eruption of Primary Teeth

Protein energy malnutrition (PEM) is one of the most common undernutrition conditions leading to high mortality and morbidity rate among children influencing greatly the skeletal and dental development as well. The aim of the study was to find out the prevalence of PEM among preschool children and its association with eruption of primary teeth. The study was conducted among 500 pre-school children attending Anganwadi centres of Kamrup District (Assam), adopting cross-sectional descriptive survey design. The samples were selected by using purposive sampling technique. The height and weight of the samples were measured and values obtained were compared with WHO guidelines. Eruption of primary teeth was evaluated by oral examination. It was revealed that the overall prevalence of PEM was 37 percent, whereas stunted and wasted subjects were of 67.03 percent and 23.78 percent, respectively and 9.19 percent subjects manifested as both wasted and stunted. Among 54.97 percent subjects with PEM, eruption of primary teeth was not completed.

Chronology of the First Deciduous Tooth Eruption in Brazilian Children with Microcephaly Associated with Zika Virus: A Longitudinal Study

Objective: To analyze the chronology of first deciduous tooth eruption in children with microcephaly associated with presumed or confirmed Zika virus. Methods: A longitudinal study was developed with 74 children of both sexes. Data on prematurity, gestational age (in weeks), anthropometric characteristics at birth [length (cm), weight (g) and cephalic perimeter (cm)] and dental eruption (chronological age and corrected age for prematurity in months) were collected and presented through descriptive statistics. Results: The majority of children were female (54.1%) and 14.9% were born premature. The mean gestational age was 38.2 (± 1.9) weeks, while length, weight and cephalic perimeter at birth were 45.6 (± 3.1) cm, 2750 (± 526.6) and 30 (± 2.3) cm, respectively. The eruption of the first tooth occurred on average at 12.3 (± 3.0) months of chronological age and at 11.1 (± 2.3) months of corrected age. The first erupted teeth were the lower deciduous central incisors (82.4%). The mean age for dental eruption in males was 12.5 months (± 3.0) and in females 12.0 months (± 3.1) among full-term children. For premature infants, the mean corrected age of dental eruption was 11.5 months (± 3.4) for boys and 11 months (± 1.7) for girls. Conclusion: In this group of children with microcephaly, the first tooth to erupt was the lower central incisor around the first year of life. Girls had lower average eruption time when compared to boys in both chronological age and age corrected for prematurity.

Impact of birth characteristics, breast feeding and vital statistics on the eruption of primary teeth among healthy infants in Saudi Arabia: an observational study

ObjectivesThis study aimed to explore the impact of gender, birth weight, maternal age, type of delivery, gestational age and feeding practices on the eruption of teeth in children with no...

Say a prayer for the safe cutting of a child's teeth: The folklore of teething.

Say a prayer for the safe cutting of a child's teeth: The folklore of teething.

Evaluation of Factors Related to the First Deciduous Tooth Eruption Time in Infants Born in Hamadan, Iran

Background: Pattern of tooth eruption (TE) may vary in different communities and may be affected by many factors. It also may cause nutritional problems in infants and anxiety in parents. The current study aimed at investigating the relationship between birth weight and other factors contributing to the time of the first TE. Methods: The current study employed the multistage sampling method to select 126 infants admitted to the health centers of Hamadan, Iran. Health records of infants were listed and relevant information was collected using a questionnaire and interviewing the parents. The tooth emergence was considered as TE in the current study. Finally, the recruited infants were examined for the eruption of the first primary tooth. Descriptive, linear, and the curve regression tests were used with SPSS version 16. Results: Despite the significant differences in weight and height between male and female infants, no significant relationship was observed between time of the first primary TE and most of the studied variables. Height, feeding with formula, family income, and mother’s age had inverse effects on TE time. Infants who were fed with synthetic formula milk had earlier TE. Eruption sign and infant height had the most effects on delayed TE. Conclusions: No significant relationship was observed between the eruption time of the first primary tooth and the studied variables. Nevertheless, there was a significant association between the infant’s height and time of the first primary TE.

Journal Digest

Journal Digest

Polymorphism in emergence of deciduous dentition: A cross-sectional study of Indian children.

The aim of the present study was to evaluate the timing and sequence of the eruption of deciduous teeth in Indian children. This cross-sectional study focused on children aged 5-36months. One hospital was randomly selected from four geographic zones of the city. A total of 400 children from each hospital, fulfilling the inclusion criteria, constituted the sample. The examination was carried out by a single, trained examiner. The tooth was recorded as "present" or "absent" on the day of examination. The mean age of emergence was calculated using a probit model. Independent sample t-test was used to assess the statistical significance of differences in the mean age of tooth emergence. The deciduous mandibular central incisor was the first tooth to erupt in the oral cavity (8.15±1.69months). Girls showed delayed eruption compared to boys; however, no interarch variation was observed in the mean age of tooth eruption. There was also no difference in the sequence of eruption of deciduous teeth, as reported in other studies. The present study establishes a chronological table for the eruption of deciduous teeth in Indian children. There was delayed eruption of deciduous teeth when compared to the reference ranges of Western populations.