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  Delayed eruption of baby teeth



Source: http://www.nlm.nih.gov/ medlineplus/ency/imagepages/1138.htm

Both baby teeth (deciduous or milk teeth) and permanent teeth have fairly well-defined times of eruption. The ages listed are the normal ages that a baby tooth emerges. More.... Teething - Teething and Eruption What is teething? What is eruption? What are the signs of teething? How to comfort a teething baby. When do baby teeth start forming? How long does the eruption process last? What influences the final positioning of the erupting teeth? Are spaces between a baby's front teeth a cause for concern? The eruption chart for baby teeth. The calendar of tooth growth and development. More.... Baby Teeth Teething and Eruption What is teething? What is eruption? What are the signs of teething? How to comfort a teething baby. When do baby teeth start forming? How long does the eruption process last? What influences the final positioning of the erupting teeth? Are spaces between a baby's front teeth a cause for concern? The eruption chart for baby teeth. The calendar of tooth growth and development. More.... Extraction of Baby Teeth Why extract a baby tooth? How can extractions aid orthodontic treatment? Will injured baby teeth have to be extracted? What are the signs of injury to baby teeth? Why do decayed baby teeth sometimes need to be extracted? Can the extraction of baby teeth lead to problems? More....


Teething symptoms in babies
teething symptoms in babies

Source:  https://www.facebook.com/dentalsurgeon87

Latest discussions in dental dentistry group -  April 2008

--- hazim wrote: is it normal that no tooth at all has erupted in a child
                 who is 14 months old ?

bimbo giwawrote: Technically speaking, no.

at that age, central and lateral incisors at least should have erupted.
maybe not so the lower lateral incisor cos that may take up to 16 months to erupt.

u might want to investigate:
-that teeth are actually present to erupt
-any existing local abnormality
-any systemic conditions associated

having said that, 6 months either way is generally accepted as limits for waiting.
however, i guess one could wait for up to 9 months/1 year. it might be
beneficial to investigate this child though.

thank u docotor bimbo , but i would like to know what kind of investiagtion
should be done to this child?

to add, a good history is very impt, that might help implicate or exclude
genetic/systemic/nutritioal causes. child's growth also impt cos may have delay in
other developmental milestones.

also birth weight cos a low birth wt implicated in delayed eruption - Bimbo Giwa

in investigating, can take oblique lateral radiographs. that will give u an
overview  of whether teeth present. at the child's age, any radiograph is a
challenge but i reckon u could get away with an extraoral view.

Dear Hazim , You should investigate that is there any thyroid 
or paratyroid gland disfunction or abnormality, and also syndroms 
must be investigated (like cleidocranial dysostosis, Ectodermal 
dysplasia, Rieger and Witkope)

of course there are many causes of delayed eruption that includes
genetic,systemic , local factors or cogenital syndroms as hypothyroidism
orosteogenesis imperfecta

-you should see other growth parameters as if the child dont walk 
 and dont talk  and so on
-you should ask if there is any bone deformity or mal formation
-you should ask if there is malnutrition and so you can give 
 supplimentry food
-if there is systemic disease ,refare to specialist
-you could make investigations as xtra oral or periapical x-ray 
 but it is not  valuable as there is nothing to do at this age 
 even surgery if you find the couse extensive thick mucosa or 
 any intereference if there is partial or complete
 congenital absence of tooth buds ,just follow up and every 
 thing will be fine  good luck - Ola etuf

Videos for kids:

Tooth development 3D video
The Tooth Brushing Rap Yo - Video
Tooth Brushing for Kids - Crawford the Cat - Educational Video
My shiny teeth and me - animation
How to Properly Brush and Floss Your Teeth
Eruption of teeth (mouth open) - animation
Video Eruption of teeth
Tooth decay (dental caries)
Brushing with braces
Weaning Your Baby: Cup Feeding Weaning is the time when your baby learns to take liquids from a cup instead of from a breast or a bottle. The weaning age varies depending on your baby. Most babies are ready to learn to use a cup by 9 or 12 months of age. When you begin to wean your baby from the bottle make sure that the baby is able to sit up well without support. You should start encouraging your child to give up using the bottle when your baby shows any of the following signs: - If your child shortens the nursing time - Gets distracted when held for feeding - Wants to hold the bottle alone How to Begin the Weaning Process At about 9 months of age, most babies are ready to begin weaning. An ideal way to try is to place an empty cup within your baby'’s reach so that your baby can become familiar with the cup. As you begin to drink from your cup, your baby may begin to try and imitate you by bringing the cup to his or her mouth. The easiest way to begin weaning your baby from breast or bottle feeding is to replace one of those feedings with a cup feeding. A great place to begin is the feeding that offers the least amount of resistance from your child. As soon as your child adjusts to the cup feeding, replace a second breast or bottle feeding. Giving your child a bottle before or while in bed is not recommended. If your child takes one to bed eliminate this feeding first. Why Healthy Baby Teeth Are Important It is important to keep your baby’s teeth clean and healthy because baby teeth have so many different purposes while in the baby’s mouth. Baby teeth hold spaces open for permanent teeth to come in. They help form the shape of your baby’s face, help the child to talk more clearly and help the child to eat and chew more easily. Tooth decay can result when baby teeth are not cared for. Tooth decay will cause discomfort for your baby or child. Some cases of tooth decay, depending on the severity, can cause an infection. One sign of an infection is the mouth is in discomfort or swelling around the tooth or gums. The baby will also not eat or drink his or her favorites. Another sign may be a pimple-like mark on the gums above the tooth. If this should happen, consult your dentist as soon as possible. How to Prevent Tooth Decay Tooth decay is caused by bacteria in the plaque that forms on the teeth. When the child eats, drinks, or takes medicine that has sugar in it, the bacteria produce acid. The acid destroys the teeth, or in other words, causes tooth decay. To prevent tooth decay clean your baby’s teeth with a soft cloth after each feeding. As the child grows older, a toothbrush may be used, as long as someone supervises the child’s brushing. It is suggested that toothbrushing be supervised until about the age of 8 or 9. Try not to give your baby or child large amounts of sugary foods on a daily basis. Use the candy as a reward every once in a while. Brushing your child’'s teeth with toothpaste is recommended only if you are using one of the ADA approved toothpastes with some amount of fluoride. Such toothpastes (e.g., Crest®, Colgate®, Aim® and Aquafresh®) can be found in local grocery stores. Almost all brands make a children'’s flavour toothpaste. Baby Bottle Tooth Decay A severe case of tooth decay can occur when the baby is allowed to use the bottle or the breast as a pacifier. When the baby goes to sleep with a bottle of apple juice or milk in his or her mouth, the acid that is formed breaks down the tooth enamel very quickly. Instead of the child swallowing the liquid it sits and covers the teeth all night long; that causes the enamel to break down and cavities to form. To prevent baby bottle tooth decay, try and avoid bedtime and naptime feedings or long frequent feedings. Use the bottle at feeding time only, and not as a pacifier. Do not let your baby run around sucking on the bottle all day long. Wipe your child'’s teeth off after each feeding and before he or she goes to bed. Teething As your child’s teeth start to appear in the mouth, your child may have some discomfort.The baby’s gums may become sore and irritated, and he or she may become cranky or fussy. To help reduce the irritation we suggest rubbing your baby’s gums with a clean finger. Gently massaging the area will help the discomfort of your baby’s mouth. Letting your child chew on something cold (like a chewing ring) will help a lot. The teething process will not make your child ill. It often seems that your child has a cold or mild fever along with the drooling and chewing. If your child is or becomes ill call your physician. How Many Teeth and When The first teeth are already present inside the child’s jaw at the time of birth. Usually by the 6th month, the first tooth will start to appear in the mouth. By the time the child is 2½ to 3 years of age the child will have 20 teeth present in the mouth. Around the age of 6, the child will begin to loose his or her teeth. The upper and lower front teeth are the first to fall out. The primary molars are lost between the ages of 10 and 12 years old. Sealants The sealant is a liquid material that flows through all the grooves on the chewing surface of a tooth and is hardened. They are used mostly in molars of adult teeth. The sealant protects the chewing surface of the teeth from the formation of cavities. They do not protect in between the teeth. The research done on pit and fissure sealants are showing they last 7-15 years, with some research finding they last a lifetime with the proper maintenance. How Fluoride Can Help Using fluoride is one of the best ways to help prevent tooth decay. Fluoride makes the tooth surface stronger and more resistant to tooth decay. Fluoride can be found by prescription from your dentist, in vitamins and in water that you drink. Thumbsucking and the Use of a Pacifier Sucking is a natural need for all babies. Usually no damage will occur from thumbsucking or a pacifier, unless the child continues past the age of 5. At this point in time, the child can begin to cause a change in the growth pattern of the jaws. Watch this habit closely when your child reaches 3 to 4 years old. If thumbsucking or use of the pacifier causes changes in the jaws, the best form of treatment will be orthodontics. If the problem persists call your dentist. Snacking Habits: Good Diet Equals Healthier Teeth Learning early eating habits that are healthy will lead to healthy teeth. A lot of the snacks that children eat these days are terrible for the teeth. Foods such as Jolly Ranchers®, Fun Fruits®, Shark Bites®, Now and Laters® or foods that are caramelized and stick to the teeth, are the worst kinds of snacks for young children. It would be better for a child to eat snacks that crunch or melt in their mouth like cookies or ice cream. If your child has good oral hygiene habits and is not prone to having a lot of cavities, then snacking, in moderation, is acceptable. This includes brushing at least twice daily with a fluoridated toothpaste and visiting your dentist regularly - Dr Joseph Sciarra Deciduous teeth: Five-year-old boy having lost his first deciduous teeth.Deciduous teeth, otherwise known as milk teeth, baby teeth, temporary teeth or primary teeth, are the first set of teeth in the growth development of humans and many other mammals. They develop during the embryonic stage of development and erupt that is, they become visible in the mouth during infancy. They are usually lost and replaced by permanent teeth, but in the absence of permanent replacements, they can remain functional for many years.- More from Wikipedia Healthy Baby Teeth It is common to put a baby to sleep with a bottle. Unfortunately, that seemingly harmless habit puts your baby's new teeth at risk. Your baby's first foods are sugary liquids: formula, fruit juices or sugar water, for example. The oral bacteria in your baby’s mouth feed on those sugars and produce an acid that attacks your baby's developing teeth. When your baby falls asleep with a sugary liquid in its mouth, the liquid pools around those beautiful teeth, constantly bathing them in acid and eventually causing severe cavities. The bacterial infection can result in an abscessed tooth or travel to other parts of baby's body. Help protect your baby's teeth by using a damp cloth or gauze to gently wipe the teeth and gums to remove the bacteria living on the teeth and eliminate any liquid that remains in the mouth after each feeding. Instead of offering a sugary liquid when baby is lain down to sleep or to calm and comfort your baby, give plain water. Use milk and formula, etc. only for nutrition. This also applies to a pacifier that you might dip into sugar or honey. Also, regularly examine baby's mouth and look for spots that remain on the gum line of the front teeth after you brush them. Sensitivity or discomfort when eating cold or sweet foods is another warning sign. It is important that we begin regular hygiene exams when baby's first tooth appears. Together we can protect your baby's adorable ... Read more of this article From: Dr Vohra To: dentalindia@yahoogroups.com Sent: Tuesday, March 13, 2001 6:55 AM Subject: [dentalindia] Urgent Advice sought.......... Dear Group, Hi! I have a query, my brother-in-law's son is 1 year old & does not have even one tooth erupted , what do you suggest should be the next plan of action as I am very concerned with radiation exposure for X-Ray,also full mouth OPG is not possible as the child cannot keep his head stationary for such a long time. Thanking you all in advance, Rahul.
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31 Replies [1 - 10 ] [ 11 - 20 ] [ 21 - 31 ] (Click on the description to view details)

baby's first teeth - article from the web Teeth eruption time table 1 I don't think you really need to panic... Dr Aravind 2 get a few extra oral radiographs done... Dr Mayank Kaurani 3 The child requires a clinical examination.... Dr Ray 4 it is normal even if it is later than usual.. Dr Bill Blatchford 5 Is this a family trend? - Dr Madhu Nair 6 Let nature take its own course -Dr vivekanand rege 7 No need to worry about radiation due to dental X-rays - Dr Kannan 8 try taking a radiograph when he is sleeping - Prof Bharat M Mody 9 would suggest either P.A face, Occulusal view mandible - Prasanna Raman 10 Just gently rub ur finger along (alveolar ridge) jaw bone -Dr.Ashish Dhawan

11 I would suggest you to wait for some more time, no need to panic - Dr teja 12 u can wait for some more time like may be a month - Dr Minati 13 Seen babies with no teeth even at one and half years - Dr amer abulohom 14 If you can't do an OPG, you can do an Extra Oral X-Ray - Dr Pradhan 15 if no malformtion is there, nothing to worry about - Dr.joju Kalan jose 16 u could try and palpate the arches to try and feel any...dr navin chugh 17 but sometimes the tooth erruption may get delayed... Dr Surya 18 Every child is different and just be late - Dr Roopali 19 give a massage with the finger pressure...Dr Bobby Kurien 20 better alternative is use of Radio visio graph - Dr Suresh Menon

21 the kid can be ultrasound scanned - Dr Keluskar 22 Delayed eruption is a well known fact - Dr. Vineet (Pedodontist) 23 check in the mouth for bulges on the ridges - Dr Rajendra Bane 24 see the other growth parameters - Dr Anantpal Singh 25 wait for atleast six months - Dr Gatecha Anupam 26 best managed by doing nothing at this stage - Dr K Shanbagh 27 Relax,certain children teeth very late - Dr.Jasdev Bhalla 28 The normal eruption of primary teeth are... Dr Siny Raju Thomas 29 wait for five months, give some teething toy - Dr Rajiv Das 30 You could use a #2 sized D-speed (or faster) dental film- Dr Dale miles 31 think its better u go for the X- ray - Dr Balaji Krishnan

PDA Offers Tips To Care For Baby Teeth 8/8/2005 Harrisburg, PA - It's never too early to begin preventive care that can protect your child's oral health. To ensure that your child enjoys healthy smiles throughout childhood and beyond, the Pennsylvania Dental Association (PDA) encourages parents to become familiar with proper oral hygiene techniques and implement them as early as possible. Baby teeth will begin to appear typically around six months of age. Some babies may have sore or tender gums when teeth begin to erupt. Gently rubbing your child's gum with a clean finger, a small, cool spoon or a wet gauze pad can be soothing. Your PDA member dentist or a pediatrician may recommend a clean pacifier, teething ring or a special "numbing" salve for the gums. After the teeth begin to erupt, parents should brush them with a very soft-bristled toothbrush and a little bit of water to prevent tooth decay. Toothpaste is not recommended until a child reaches two years of age. At that time, supervise brushing to ensure that your child does not swallow the toothpaste. From the time these first teeth erupt a child is susceptible to tooth decay. This condition is often called early childhood caries (cavities) or baby bottle tooth decay. It is caused by prolonged exposure of infant's teeth to liquids that contain sugar, such as milk (including breast milk), formula, fruit juice and other sweetened drinks. Remember, it is not just what children drink, but how often and for how long their teeth are exposed to decay- producing acids. It is important to only put water in your child's naptime or bedtime bottle so harmful sugary liquids will not harm the teeth during sleep. It also helps to wipe your baby's gums and teeth with a clean gauze pad or washcloth after each feeding. Children should be encouraged to drink from a cup rather than a bottle as they approach their first birthday. The American Dental Association recommends parents take their children to the dentist by the child's first birthday. The dentist will demonstrate how to properly care for your child's teeth, evaluate any adverse habits and identify your child's fluoride needs.

Sent: Thursday, March 15, 2001 03 00 Subject: Re: [dentalindia] Urgent Advice sought.......... i dont think you really need to panic.. relax..wait..its always possible that erruption might be delayed. If you can feel a buldge in the "gums" usually the tooth is on its way out. if at all an X-ray wouuld be needed, i dont think the exposure to one or 2 IOPA is any cause of radiation concern. bye aravind
Sent: Thursday, March 15, 2001 01 34 Subject: Re: [dentalindia] Urgent Advice sought.......... get a few extra oral radiographs done ..... probably the best bet would be an AP view. dont worry about the radiation exposure...... one radiograph doesnt have any adverse effects on the bodies of kids. believe me the other thing would be to get a xeroradiograph done. but its gonna be mighty expensive. my guess is he may be a patient of partial anodontia...... but remember one thing COMMON DISEASES OCCUR COMMONLY. dont exclude delayed eruption due to excesively thick mucosa. all the best, DR. MAYANK KAURANI, Jaipur
Sent: Wednesday, March 14, 2001 23 52 Subject: Re: [dentalindia] Urgent Advice sought.......... I am Dr. Ray and have a suggestion.The child requires a clinical examination. if possible..i would like to see the child....
Sent: Thursday, March 15, 2001 05 14 Subject: Re: [dentalindia] Urgent Advice sought.......... Thankyou for the email. I am not a pedodontist but I probably would not get to worried. Check the pedo dept at your school. I would probably reassure your brother in law that it is normal even if it is later than usual. My guess is that in a few more months they will start erupting. If there are no teeth, what could you do anyway? Hold off for a while. Bill Blatchford
Sent: Wednesday, March 14, 2001 23 41 Is this a family trend? You would definitely want to check that out.... Other clinical signs or symptoms suggestive of any other condition? How about an occlusal radiograph for each arch? Would it affect treatment planning? Perhaps not. In which case, a wait and watch approach is not a bad idea. But exposing a survey occlusal projection with an F-speed film and rectangular collimation may be considred eventually, somewhere down the road.....
From: vivekanand rege Sent: Wednesday, March 14, 2001 18 24 Subject: Re: [dentalindia] Urgent Advice sought.......... My sincere advice in this case is WAIT.Let nature take its own course. So far as his daily nutrition is adequate there should not be any cause to worry - Dr.V.S.Rege
From: kannan Sent: Thursday, March 15, 2001 08 41 Subject: Re: [dentalindia] Urgent Advice sought..........Hello, Well delayed eruption is something commonplace. Your nephew may have some delayed eruption. I hope that clinically there is some sign of teeth presence. That can be seen by a bulge in the gums. I am surprised that you are worried by radiation exposure. Well let me tell you. The amount of radiation that a patient is exposed to when an X ray is made in dentistry is about 0.0013 Roentgen. If you fly in an aircraft then the amount of cosmic radiation that you would be exposed to would be much larger than that. The only point that you have to worry about with respect to making a radiograph for the child would be the film size. Use a small film size and make a radiograph and that would confirm things for you. Kannan
From: BHARAT MODY Sent: Thursday, March 15, 2001 09 13 Subject: Re: [dentalindia] Urgent Advice sought.......... try taking a radiograph when he is sleeping as at present you need radiographs only for the anteriors. alternatively you can sedate him and take his radiographs. for best results use topographic occlusal radiographs.--prof. bharat m. mody
From: prasanna Raman Sent: Thursday, March 15, 2001 03 36 Subject: reply to radiograph... I would suggest to take either of : 1. P.A face 2. Occulusal view mandible. 3. If available xero-radiography ( if you are very much concerned with Radiation
From: Dr.Ashish Dhawan Sent: Thursday, March 15, 2001 10 45 Subject: Re: [dentalindia] Urgent Advice sought.......... It seems that the development pattern of the kid is a bit slow. The best thing for you to do will be get the kid examined from a pedodontist nearest to your place, if no pedodontist is available then you can just gently rub your finger along the jaw bone (alveolar ridge) inside the mouth & try to feel any hard nodules. Or on visual inspection under good light you might be able to see some white spots on the ridge, if both the findings are +ve then no need to worry as the baby teeth are erupting, best will be to wait for about 3 months,for the teeth to appear/erupt. regards, Pinak dental Speciality treatment center. Dr. Ashish Dhawan.
From: Dr Teja Sent: Thursday, March 15, 2001 16 53 Subject: Re: [dentalindia] Urgent Advice sought.......... I don't think you should panic it happens in few cases that there is delay in the eruption of teeth I would suggest you to wait for some more time dr teja
From: minati choudhury Sent: Thursday, March 15, 2001 13 08 Subject: Re: [dentalindia] Urgent Advice sought.......... I read ur message about ur relative`s son.but i think it will be good to take a IOPA x-ray.it does not have that much radiation effect when taken properly.u can wait for some more time like may be a month then go a x-ray.good luck dr.minati
From: ab amer Sent: Thursday, March 15, 2001 13 16 Subject: Re: [dentalindia] 1 year old and does not have even one tooth erupted..... Hi Dr . Well I think that there are some children who is having delay in euraption of teeth , personally i have seen babies with no teeth at the age of one and half year but later they erupt. these vary from one to another BUT ofcourse we have to know the cause and solve it , after doing further investigation , but do it this time is better. Dr. amer abulohom
From: Dr.Pradhan Sent: Thursday, March 15, 2001 06 41 Subject: Re: [dentalindia] Urgent Advice sought Don't worry ! If you can't do an OPG, you can do an Extra Oral X-Ray like a PA Waters View which will show us if tooth buds are present. One year is not too old to have unerupted teeth. Please keep me informed. -Dr.Pradhan.
From: joju kalan Sent: Thursday, March 15, 2001 14 06 Subject: Re: [dentalindia] Urgent Advice sought The problem you had stated is something all worried upon.If the child do not have any bone deformities or any other malformtion, there is nothing to worry about.Nature will take care of all these delayed problems.It is common for the child to to have his natural teeth erupted late.If you can gently lift his lip and run your fingers over the gums you will find swellings of the teeth inside.If it is there you can relax. If not you can go for X-rays.a small periapical x-ray will do.The radiation exposure resulting is very negligible.It is as little as a normal sun tan which you receive during a normal sunny day beach outing.Even the x-ray is just a diagnostic tool and not a treatment, and nothing can be or need to be done at this stage.so relax dear. Dr.joju Kalan jose
From: navin chugh Sent: Thursday, March 15, 2001 15 36 Subject: Re: [dentalindia] Urgent Advice sought.......... u could try and palpate the arches to try and feel any bulges anywhere which would feel like a tooth. other than this i can think of only and iopa done very quickly with u holding the xray film. also computer assisted radiography done intraorally is also quick and fast.also if he is exactly 1 year old u could wait for 1-2 months as eruption can be delayed some times. how is the general health of the baby check for any syndrome associated with non eruption of deciduous dentition - dr navin chugh
From: surya raju Sent: Thursday, March 15, 2001 16 24 Subject: Re: [dentalindia] Urgent Advice sought.......... i am Dr surya normally the tooth thats decidious starts errupting by around six months of age but sometimes the tooth erruption may get delayed ue to various causes just go to a dentist wait for two to three months and then later go see with your bear hand itself over the gums if you cant touch and feel just go to a denist dont worry about this - dr surya
From: Roopali Sharma Sent: Thursday, March 15, 2001 16 24 Subject: Re: [dentalindia] Urgent Advice sought.......... I am a dentist, hence replying to your question. Every child is different,so, your BIL'S son might just be late.Most probably there is no reason for concern. Also you can take peri apical x-rays for front upper and lower teeth which are v. low in radiation and one of the parents can help hold them. - Roopali
From: bobby kurien Sent: Thursday, March 15, 2001 18 03 hi there this is doc bob , first let me ask u if i know u , if not no problem. now lets see, u said that the child s thheth has not come out ,so what u can do now is give a massage with the finger pressure or use soft tooth brush and massagethe area, but the tooth has been delayed for eruption , so i do advice for x ray it will not cause any harm to the child , only constant exposure of the child to radiation will cause harm to the child , so don't worry once the xray is obtained then pls let me know if u need further advice i hope i was of some hepl to u - bye - all the best -Dr bob
From: suresh menon Sent: Thursday, March 15, 2001 22 10 If you are worried about the exposure to radiation, a better alternative is use of Radio visio graphy wherein the radiation is approx 1/10th of a IO PA radiograph.As suggested by others a radiograph should remove all doubts that are persisting in your mind. Suresh Menon
From: kanhoba keluskar Sent: Thursday, March 15, 2001 17 58 Subject: Re: [[dentalindia] Urgent Advice sought the kid can be ultrasound scanned for the checking presence or absence of teeth - keluskar
From: VINEET DHAR Sent: Thursday, March 15, 2001 23 13 Subject: Re: [dentalindia] Urgent Advice sought.......... Delayed eruption is a well known fact. Though milk teeth start erupting around 6 months of age, a variation of few months is acceptable. The baby otherwise seems to be healthy( you have not mentioned anything). Kindly show the baby to a pediatric dentist. Dr. Vineet ( Pedodontist)
From: rajendra bane Sent: Thursday, March 15, 2001 23 47 Subject: Re: [dentalindia] Urgent Advice sought.......... Firstly dont worry,secondly check in the mouth for bulges on the ridges , indicative of developed but unerupted teeth. Anodontia is rare, SO BEST WAIT & WATCH , EVERYTHING WILL WORK OUT FINE
From: Anantpal Singh Sent: Friday, March 16, 2001 14 31 It's an interesting case . i would suggest u see the other growth parameters . is the child growing normally . I shall also suggest X- Ray of some kind may be a lateral view or OPG which u say is not possible . but most important is the other growth parameters . check those . He may be suffering from some systemic disease in which there is retarded development of teeth. Do let me know the results . - Anantpal Singh
From: gatecha anupam Sent: Friday, March 16, 2001 22 31 Subject: Re: [dentalindia] Urgent Advice sought.......... as far as i think u dont get worried about that please wait for atleast six month if still u dont find any teeth in oral cavity then we will do something else byebye
From: Dr K Shangbhag Sent: Friday, March 16, 2001 21 16 Subject: Re: [dentalindia] Urgent Advice ,,,leave it alone there is no benefit of finding out a. if there are any teeth b. if there are any impediments b,cos you are not goint to (please dont) explore or expose the 1 year old gums. delayed eruption is common and best managed by doing nothing at this stage keep an eye on fibrous gums due excessive forces i.e. biting or chewing on toys etc let nature takes its own course kishore
From: Dr.Jasdev Bhalla Sent: Saturday, March 17, 2001 09 59 Subject: Re: [dentalindia] Urgent Advice sought.......... Relax,certain children teeth very late and is not unsual.there are very good chances that the teeth may eventually erupt,anyway at this age any of form of intervention to make them "erupt"wont be of much help+i do not know of any procedure(s) which can make them erupt,and if there are I am interested. - Jasdev, Toronto
From: siny raju thomas Sent: Thursday, March 15, 2001 06 22 Subject: Re: [dentalindia] Urgent Advice sought.......... It is of concern that the childs teeth has not erupted. The normal eruption of primary teeth are as follows. At 6 months usually the lower front teeth ( 2 ) and by 7 - 8 months upper front teeth ( 2 ) erupts. between 7- 9 months the upper(2) and lower(2) lateral incisors erupt At 12 months usually the primary first molar should start erupting. by this time he should had a total of 10 decidous teeth. There are cases where there can be complete or partial absence of tooth buds Lets come back to your case, take him to your family dentist or a pedodontist let the dentist evaluate the gums.If the teeth are formed inside his jaw bones and are not erupting it MAY OR MAY NOT show a slight bulging on gums on the eruption sites. So we can confirm clinically to some extend the presence or absence of teeth. Taking an OPG at this age is not advisible due to inability to co ordinate. but lateral view could be taken easily since it can finished in a much faster exposure time with the help of parents to hold the baby still.Again i would advise this to be taken using digital radiology which uses only 1/10 of normal radiation. My best suggestion would be to wait for another 1- 2 years for 2 reasons. 1. Even if you find out his teeth are locked inside the jaw bone there is nothing u can do at this age even for a surgery. 2. worst of all even if he lacks all toothbuds there is nothing we can do at this age since he is too young. So i would say wait and observe his diet since he may not be able to chew properly. so supplement his diet with soft foods/ rich in protiens etc in later years when he grows up.
Sent: Friday, March 16, 2001 15 04 Subject: Re: [dentalindia] Urgent Advice sought.......... wait for five months, give some teething toy. - Dr Rajiv Das
Sent: Monday, March 19, 2001 17 45 Subject: Re: [dentalindia] Urgent Advice sought.......... You could use a #2 sized D-speed (or faster) dental film in the occlusal position....angle at about 60 degrees downward for the maxilla...come in through the mentum with the infants head angled backward at 45 degrees... mother can be covered with a lead apron and hold the child.... use the lowest exposure setting for a child anterior view... you need not worry about the exposure...it is very minimal...Dale Miles
Sent: Sunday, March 18, 2001 11 56 Subject: Re: [dentalindia] Urgent Advice sought.......... Sorry for the late reply. I think its better u go for the X- ray.Since by now atleast one teeth should be out. Its better to take the kid to a Dentist and then check him up. Probably his teeth would be just coming out which u can't make out.About radiation exposure. The amount of time the radiation exposure is done is less than half a second.which will not harm anything . The hazards are more to the doctor rather than u, 'cos the number of times the doctor is exposed is greater than the patient who will possibly get an x-ray once in a year or even later than that. So go ahead and meet a dentist and then do according to what he says. - Dr Balaji Krishnan
3028 Systemic Fluoride: Delayed Tooth Eruption and DMFT vs Age Profiles H. LIMEBACK, University of Toronto, Canada Recent concerns about the risks vs benefits of water fluoridation have lead to renewed examination of its effectiveness as a public health measure. Furthermore, chronic ingestion of fluoride may have long-term systemic side effects. Several researchers have reported a delay in tooth eruption in children growing up in fluoridated areas. This delay has been reported to be anywhere from 0.7 years (Virtanen et al, 1994) to 2 years (Campagna et al, 1995). In the recent meta-analysis by McDonagh et al, it was noted that ‘no (fluoridation) study used an analysis that would control for the number of erupted teeth. Objectives: An attempt was made to determine how much influence various delays in tooth eruption would have on the DMFT vs Age profiles in fluoridated (F) vs non-fluoridated (non-F) areas. Methods: Modern (1980's) data from the NIDR study (Brunelle and Carlos, 1990), from the UK (Diesendorf, 1986) and older (1950's) data from the original Grand Rapids trial (Arnold et al, 1962) was used for this analysis. The data from the F areas was adjusted by 1 - 2 years. The adjusted DMFT vs Age data was then re-plotted and the profiles compared. Results: In all cases, a delay in tooth eruption reduced the difference between F and non-F communities. The profiles were indistinguishable when a 1-year delay was used for the modern data and a 2-year delay was used for the older data. CONCLUSION: The small benefit that remains today from water fluoridation can, in part, be explained by fluoride ingestion retarding tooth eruption, resulting in a delay in dental caries. The effect of the delay in tooth eruption from systemic fluoride is likely less evident in more recent fluoridation studies because of increasing ingestion of other sources of fluoride such as fluoridated dentifrices. E-mail - hardy.limeback@utoronto.ca
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