| 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 |
Delayed eruption of teeth
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 Dhawan11 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
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
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