Mandibular Primary Lateral Incisors Research Articles

Timing of Primary Tooth Eruption in Infants Observed by Their Parents.

The timing of primary teeth eruption is a visible indicator of infant physical growth other than body weight or height. It also reflects neurological integrity and development as well as nutrition, socioeconomic state, or underlying diseases. Therefore, the timing of primary teeth eruption is one of the major concerns for parents in health checkups for infants and children. However, the detailed developmental timing of teeth eruption differs depending on the survey methodology, country, or generation. We hypothesized that the timing of primary teeth eruption differs between the medical checkup by dentists and the daily records by parents. We conducted a questionnaire survey on the date of eruption of primary teeth as an adjunct study among Miyagi Regional Center participants in the Japan Environment and Children's Study (JECS), a large-scale birth cohort study. A total of 1695 responses (3793 participants) were analyzed. The median ages of eruption were 7.1 months (male) and 7.6 months (female) for mandibular primary central incisors, 8.7 months (male) and 9.2 months (female) for maxillary primary central incisors, 10.0 months (male) and 10.3 months (female) for maxillary primary lateral incisors, and 10.4 months (male) and 10.8 months (female) for mandibular primary lateral incisors, which were earlier than the reported timings based on dental check-ups. Comparing the eruption time of preterm and term infants, the eruption time was earlier in preterm infants in the corrected ages. The eruption timing observed and described by the parents is earlier than that examined by dentists at regular check-ups. In addition to examining the primary teeth eruption of full-term birth children, we also examined that of preterm birth children because of the increasing number of premature births. To the best of our knowledge, this is the first report from a large cohort study to clarify the eruption time of primary teeth monitored by parents.

Survey of primary tooth eruption status of down syndrome in Japan: Comparison with the Japanese National Survey of Dental Diseases

IntroductionDown syndrome (DS) can cause irregular dental eruption patterns and hypodontia. However, data on primary tooth eruption with DS in Japan are insufficient. Therefore, this study aimed to conduct a questionnaire survey to predict dental abnormalities in DS based on tooth eruption status. MethodsA questionnaire survey on the age, sex, number of present teeth, and dental formula of patients with DS was conducted at facilities providing dental care for the disabled in Japan, and the results were compared with those of the Survey of Dental Diseases used as for the control survey. ResultsA total of 3656 valid responses were received. This study was analyzed according to the age group of the Survey of Dental Diseases. At 1–14 years old, the mean number of primary teeth per patient was the highest at 4 years old (19.3 teeth). The largest difference from the control survey was at 1 year old, and the difference decreased with age until 4 years. At 3–5 years old, the rate of individual primary tooth eruptions was 14.2% lower for the mandibular primary lateral incisors than that in the control survey. At 15 years old or older, the percentage of people who had persistence of primary teeth was 19.2%. The second primary molars were the most common persistent primary teeth. ConclusionDS is characterized by delayed tooth eruption, high incidence of missing teeth, particularly the mandibular primary lateral incisors, and persistence of primary teeth. These findings indicate the importance of developmental support and oral management.

Delayed Eruption of Permanent Lower Lateral Incisor in Relation to Compound Odontoma: A Case Report

To report a delayed tooth eruption following late surgical removal of a compound odontoma in a 10-year-old child. Odontomas are the most common odontogenic tumors. They are usually asymptomatic and discovered during routine radiographic examinations or during an assessment of delayed tooth eruption. Odontomas are classified into compound or complex based on the microscopic structure of dental tissues. Early diagnosis and surgical removal of odontomas is the keyword for favorable results. This paper describes a case of compound odontomas in a 10-year-old boy that prevented eruption of the permanent mandibular lateral incisor. Extraction of mandibular primary lateral incisors and surgical excision of the compound odontomas was performed. After 3 years of follow-up, at the age of 13 years, the permanent lateral incisor erupted and approached the occlusal plane. Late surgical removal of odontomas resulted in a delayed eruption of the affected teeth. Surgical removal of odontomas and regular follow-up to monitor the eruption of the affected teeth should be considered for the teeth with an open apex before considering orthodontic traction.

Supernumerary teeth in the mandibular incisor region associated with fused primary teeth : two case reports

Odontogenic anomalies can occur as a result of conjoining defects. These include fusion, gemination and concrescence. The presence of fused teeth can lead to various clinical problems, including the aplasia of permanent successor, the supernumerary teeth and delayed eruption of permanent teeth. In general, the supernumerary teeth associated with fusion is mainly found in the maxillary anterior region. This report describes rare cases of supernumerary tooth associated with fused teeth of mandibular primary lateral incisor and canine. In the first case, fused teeth was extracted. The supernumerary teeth was erupted at canine space. The second case is still being observed. Extraction of fused teeth and observation of supernumerary teeth is planned.

Prevalence of maxillary and mandibular physiological space in the primary dentition

Introduction: Physiological space is the space between maxillary and mandibular primary central incisors as well as maxillary and mandibular primary lateral incisors that occur during primary dentition period. The absence of physiological space will lead the crowded of permanent dentition due to discrepancy of the size of tooth and jaw. The objective of this study was to evaluate and analyse the prevalence of physiological space of maxillary and mandibular during primary dentition period. Methods: The type of research was a descriptive survey technique. The study was conducted at the Early Childhood Education (PAUD) in Bandung City throughout January-March 2017. The study population was children aged 3-5 years. Multistage cluster sampling used to choose subjects based on the division of the area from the city area to obtain the desired population. The data used were primary data obtained by examining the existence of a gap with a gap width indicator that is used as a benchmark of at least 0.5 mm with the help of WHO probe tool. Data were collected, processed and analysed using the SPSS (Statistical Package for Social Sciences) version 20. Results: A total of 65 out of 97 subjects had physiological space in their first dentition period. From 97 study subjects (100%) examined, 44 children (45.36%) had maxillary physiological space, and 53 children (54.64%) did not have maxillary physiological space. In 97 research subjects (100%) there were also 48 children (49.48%) having physiological space in the lower jaw, and 49 children (50.52%) did not have physiological space in the lower jaw. Conclusion: Prevalence of the maxillary and mandibular physiological space in the primary dentition period of children in the city of Bandung are 67.01%.

Nondestructive Microcomputed Tomography Evaluation of Mineral Density in Exfoliated Teeth with Hypophosphatasia.

Most cases of hypophosphatasia (HPP) exhibit early loss of primary teeth. Results of microcomputed tomography (micro-CT) analysis of teeth with HPP have rarely been reported. The purpose of the present study was to describe the mineral density distribution and mapping of exfoliated teeth from an HPP patient using micro-CT. Four exfoliated teeth were obtained from a patient with HPP. Enamel and dentin mineral densities of exfoliated teeth were measured on micro-CT. The mean values of enamel and dentin mineral densities in mandibular primary central incisors with HPP were 1.61 and 0.98 g/cm3, respectively. The corresponding values in the mandibular primary lateral incisors were 1.60 and 0.98 g/cm3, respectively. Enamel hypoplasia was seen in the remaining teeth, both maxillary and mandibular primary canines and first and second molars. Micro-CT enables nondestructive, noninvasive evaluation and is useful for studying human hard tissues obtained from patients.

Mandibular Talon Cusp in Primary Lateral Incisor: A Rare Case Report

A talon cusp is a dental anomaly commonly occurring in the permanent dentition compared to the primary dentition. It commonly affects the maxillary anterior teeth. In primary dentition, the most commonly affected tooth is the maxillary central incisors. This is a rare case report of a 5-year-old male patient with a talon cusp affecting the mandibular primary lateral incisor. Recognition and treatment of this anomaly at early stages is important to avoid complications.

Bilateral mandibular fusion in primary dentition—a case report

A rare case of a 5-year-old boy with bilateral fusion between mandibular primary lateral incisor and canine is reported with congenital absence of permanent lateral incisors bilaterally.

Biometrics of the primary dentition in a Nigerian sample

Objective: The purpose of this study was to determine normative values of crown dimensions, arch dimensions, and amount of interdental space in the primary dentition of Nigerian children. Method: Dental casts from alginate impressions obtained from 125 randomly selected nursery school children (65 boys, 60 girls) aged 3 to 5 years, were measured with electronic caliper. Independent tests were used to analyze sample differences between sexes. Result: There were significant gender differences in arch width, depth and length dimensions, with the exception of the left mandibular anterior length. The boys showed significantly larger mesiodistal crown dimensions, except in the maxillary and mandibular primary lateral incisors. Gender differences in buccolingual crown diameters were statistically significant for maxillary second primary molars. There was no significant gender difference in amount of interdental spaces. Conclusion: It can be concluded that males had larger tooth/arch dimensions than females in the primary dentition stage. Key words: Biometric, dental arch, primary dentition, Nigerian

Enamel defects of human primary dentition as virtual memory of early developmental events.

Background and aims The objectives of the present study were to investigate the prevalence and the position of enamel defects of primary teeth and hence to estimate the approximate time of an insult. Materials and methods 121 children aged 3 to 5 years were included in the study. The Modified Developmental De-fects of Enamel Index was used to diagnose and classify the defects. The defects were categorized as hypoplasia, hypocalcification or a combination of them. Each tooth was investigated for occlusal/incisal, middle, cervical, incisomiddle, cervicomiddle and complete crown defects. Results 55.37% of the children were affected by enamel defects, 23.96% being categorized as hypocalcification and 22.31% as hypoplasia. The enamel defects were more abundant in maxillary primary incisors and mandibular primary canines. Minimum involvement was seen in maxillary primary second molars and mandibular primary lateral incisors. The prevalence of cervical defects in maxillary primary incisors was significantly more than the middle or incisal defects (P < 0.05). The prevalence of incisal defects in mandibular primary incisors was significantly more than the middle or cervical defects (P < 0.05). Conclusion The results revealed a considerable number of enamel defects which are multiple, symmetric and chrono-logically accordant with the estimated neonatal line in primary teeth of healthy children.

Bilateral fusion of mandibular primary teeth

The aim of the report was to highlight the rarity of occurrence of bilaterally fused mandibular primary lateral incisors and canines by virtue of the number of such cases reported in literature; to identify congenital absence of successor teeth;and to evaluate their pulpal morphologies to understand the type of fusion. Clinical observation along with an orthopantomograph and periapical radiographs were used to arrive at a diagnosis. The pulpal morphologies varied in each of the fused teeth although both were fusions of the Complete type. There was congenital absence of the permanent mandibular lateral incisors, bilaterally. It was a case of bilateral fusion of mandibular primary lateral incisors and canines of the Complete type with congenitally absent mandibular permanent lateral incisors. Only 13 such cases have been previously reported in literature.

Mandibular talon cusp: report of two rare cases

Two rare cases of talon cusps in the mandibular incisors were observed during a prevalence study on talon cusp. One of them was seen on a mandibular primary lateral incisor. The other one was observed on the mandibular left permanent central incisor, and the right mandibular permanent central incisor was congenitally missing. There were no associated developmental syndromes with either of the cases reported. Of the 4770 children examined, nine cases had talon cusp with only two rare cases of mandibular talon cusp, one in the primary dentition and the other in the permanent dentition.