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Development and eruption
      of teeth


     INDIAN DENTAL ACADEMY
   Leader in Continuing Dental Education
     www.indiandentalacademy.com

     www.indiandentalacademy.com
Applications of development &
eruption of teeth
 Clinical practice
 forensics
 odontology
 Anthropology




              www.indiandentalacademy.com
 During infancy dental age is estimated by
1. No. of teeth present in the oral cavity
2. Stages of eruption of teeth
3. Formation of crowns & roots of the teeth at each
    chronological age
 During the period of mixed dentition , it is
     assessed on the basis of
1. Erupted teeth present
2. The amount of resorption of the roots of
    the primary teeth
3.The amount of development & presence of
  permanent teeth

               www.indiandentalacademy.com
Eruption : it is a process by which tooth moves within
the jaw bones, comes out into the oral cavity & comes
up to the occlusal contact & maintains its clinical position
                           or
 continuous tooth movement from the dental bud to
 occlusal contact

Clinical considerations
• Diagnosis & management of most disorders
  involving the size,shape, number, arrangement of teeth
• Malformations : enamel hypoplasia


                www.indiandentalacademy.com
Development of primary teeth
 Enamel organs do not all develop at the same
  rate resulting in different times of eruption
 for different groups of teeth
 Not all the primary teeth are lost at the same time
 Primary dentition is completely formed about the
  age of 3
 Calcification of the primary teeth begins in utero - 13
   -16 weeks postfertilization
 Primary tooth crown formation – 2-3 years from initial
  calcification to root completion.
 Crown formation of primary teeth continues after birth
   3 months – CI, 4 months – LI, 7 months – 1 M
 8.5 months – C, 10.5 months – 2M
                 www.indiandentalacademy.com
www.indiandentalacademy.com
Chronology of primary dentition
 Tooth     First         Crown    Eruption    Root
 (Upper)   evidence of Completed ( Mean       completed
           calcificatio ( months) age)        ( Years)
           n( Weeks               ( months)
           in utero)
 i1        14         1½          10          1½
 i2        16         2½          11          2
 c         17         9           19          3¼
 m1        15         6           16          2½
 m2        19         11          29          3

            www.indiandentalacademy.com
Tooth     First         Crown    Eruption    Root
(lower)   evidence of Completed ( Mean       completed
          calcificatio ( months) age)        ( Years)
          n( Weeks               ( months)
          in utero)
i1        14         2½          8           1½
i2        16         3           13          1½
c         17         9           20          3¼
m1        15½        5½          16          2¼
m2        18         10          27          3


               www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Sequence of emergence of
primary teeth
Central incisor (A)
Lateral incisor ( B)
First molar (D)
Canine (C)
Second molar (E)

A,B, D, C, E – upper & lower




                 www.indiandentalacademy.com
 Primary dentition is completed – 30 months or second
 primary molars in occlusion
 No changes from about 30 months – 6yrs of age
 Decidiuous teeth are most important during first years of
   greatest physical & mental development
 Important factors in the intiation & development of
  abnormal occlusion
1. Insufficient space
2. Early loss of decidiuous teeth
3. Overretention of decidiuous teeth
4. Congenital absence of teeth
5. Dental anamolies


              www.indiandentalacademy.com
Transitional ( Mixed)dention
 period
• First transition dentition begins with eruption of
   mandibular first permanent molars
• Transition ends with loss of lost of last primary teeth at about
  the age of 12 yrs
• Transition period lasts – 6 - 7yrs
• Eruptive movements of permanent teeth begin after crown
  completion.
• During eruption, permanent mandibular first molars is guided
  by the distal surface of second primary molar



                 www.indiandentalacademy.com
www.indiandentalacademy.com
Permanent dentition

 Initiation of the formation of permanent dentition takes place
 in 3 steps
1. CI, LI, C, M1 – 1st yr
2. premolars & second molars – 2-4 yr
3. Third molars – 5-7 yrs
 First molars are the first teeth of permanent dentition to
    emerge through the gingiva
 First molars often called – „ 6 years molars‟
 They emerge distal to the decidiuous second molar
 Second permanent tooth to emerge – CI
 Permanent mandibular CI erupts before the maxillary CI
                www.indiandentalacademy.com
www.indiandentalacademy.com
Ligual to the roots of decidiuous inscisors are the follicles
 of the developing incisors & canines
Developing premolars are within the bifurcation of primary
 molar roots
 Permanent incisors, Canines& Premolars are called
  Succedaneous teeth.
 After mandibular CI, LI erupts soon followed by maxillary
    CI
 Maxillary LI erupts after about a year
 Premolars follow the maxillary laterals in sequence at the
  age of 10 - 11 yrs
Mandibular canines appear at the same time
After 1yr second premolar erupt & the maxilary canine follow


                www.indiandentalacademy.com
Second molars erupt at the age of about 12 yrs
Second molars are called as “ 12 year molars”
Third molar erupt at the age of 17 –25 yrs

Sequence of eruption of permanent dentition
Maxillary teeth
First molars – M1
Central incisor - CI
Lateral incisor - LI
First premolar – P1
Second premolar – P2
Canine - C
Second molar – M2
Third molar – M3
             www.indiandentalacademy.com
Mandibular teeth

First molars – M1
Central incisor - CI
Lateral incisor - LI
Canine - C
First premolar – P1
Second premolar – P2
Second molar – M2
Third molar – M3



            www.indiandentalacademy.com
Chronolgy of permanent dentition
Tooth   First           Crown        Eruption      Root
(Upper) evidence of     Completed(   ( Mean age)   completed
        calcification   months)      ( months)     ( Years)


i1       3 –4mo        4-5yr           7 – 8 yrs   10
i2       10 – 12 mo 4 –5yr              8 – 9 yr   11
c        4 – 5 mo 6 –7yr               11- 12yr    13 - 15
P1       1½ - 1¾yr 5 –6yr              10 –11yr    12 -13
P2       2 - 2¼yr      6 – 7yr         10 –12yr    12 -14
M1       At birth      2 ½ - 3 yr 6 – 7 yr          9 -10
M2       2 ½ -3yr      7 – 8 yr        12 –13yr    14 - 16
M3       7 – 9yr www.indiandentalacademy.com
                       12 –16 yr 17 –21yr          18 -25
Tooth   First            Crown          Eruption      Root
(Lower) evidence of      Completed(     ( Mean age)   completed
        calcification    months)        ( months)     ( Years)


i1       3 –4mo          4 - 5yr        6 – 7 yrs     9
i2       3 – 4 mo        4 –5yr          7-8 yr       10
c        4 – 5 mo        6 –7yr         9 - 10yr      12 - 14
P1       1¾- 2yr         5 –6yr         10 –12yr      12 -13
P2       2 - 2¼yr        6 – 7yr        11 –12yr      13 -14
M1       At birth        2 ½ - 3 yr     6 – 7 yr      9 -10
M2       2 ½ -3yr        7 – 8 yr       11 –13yr      14 - 15
M3       8 – 10yr        12 –16 yr      17 –21yr      18 -25
                  www.indiandentalacademy.com
 Variation of 12 –24 months ( early or late ) of the expected
  eruption is considered normal
 Deciduous teeth – 4 –8 months is considered normal




                 www.indiandentalacademy.com
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Thank you for watching
www.indiandentalacademy.com



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Development and eruption of dentition /certified fixed orthodontic courses by Indian dental academy

  • 1. Development and eruption of teeth INDIAN DENTAL ACADEMY Leader in Continuing Dental Education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. Applications of development & eruption of teeth  Clinical practice  forensics  odontology  Anthropology www.indiandentalacademy.com
  • 3.  During infancy dental age is estimated by 1. No. of teeth present in the oral cavity 2. Stages of eruption of teeth 3. Formation of crowns & roots of the teeth at each chronological age  During the period of mixed dentition , it is assessed on the basis of 1. Erupted teeth present 2. The amount of resorption of the roots of the primary teeth 3.The amount of development & presence of permanent teeth www.indiandentalacademy.com
  • 4. Eruption : it is a process by which tooth moves within the jaw bones, comes out into the oral cavity & comes up to the occlusal contact & maintains its clinical position or continuous tooth movement from the dental bud to occlusal contact Clinical considerations • Diagnosis & management of most disorders involving the size,shape, number, arrangement of teeth • Malformations : enamel hypoplasia www.indiandentalacademy.com
  • 5. Development of primary teeth  Enamel organs do not all develop at the same rate resulting in different times of eruption for different groups of teeth  Not all the primary teeth are lost at the same time  Primary dentition is completely formed about the age of 3  Calcification of the primary teeth begins in utero - 13 -16 weeks postfertilization  Primary tooth crown formation – 2-3 years from initial calcification to root completion.  Crown formation of primary teeth continues after birth 3 months – CI, 4 months – LI, 7 months – 1 M 8.5 months – C, 10.5 months – 2M www.indiandentalacademy.com
  • 7. Chronology of primary dentition Tooth First Crown Eruption Root (Upper) evidence of Completed ( Mean completed calcificatio ( months) age) ( Years) n( Weeks ( months) in utero) i1 14 1½ 10 1½ i2 16 2½ 11 2 c 17 9 19 3¼ m1 15 6 16 2½ m2 19 11 29 3 www.indiandentalacademy.com
  • 8. Tooth First Crown Eruption Root (lower) evidence of Completed ( Mean completed calcificatio ( months) age) ( Years) n( Weeks ( months) in utero) i1 14 2½ 8 1½ i2 16 3 13 1½ c 17 9 20 3¼ m1 15½ 5½ 16 2¼ m2 18 10 27 3 www.indiandentalacademy.com
  • 11. Sequence of emergence of primary teeth Central incisor (A) Lateral incisor ( B) First molar (D) Canine (C) Second molar (E) A,B, D, C, E – upper & lower www.indiandentalacademy.com
  • 12.  Primary dentition is completed – 30 months or second primary molars in occlusion  No changes from about 30 months – 6yrs of age  Decidiuous teeth are most important during first years of greatest physical & mental development  Important factors in the intiation & development of abnormal occlusion 1. Insufficient space 2. Early loss of decidiuous teeth 3. Overretention of decidiuous teeth 4. Congenital absence of teeth 5. Dental anamolies www.indiandentalacademy.com
  • 13. Transitional ( Mixed)dention period • First transition dentition begins with eruption of mandibular first permanent molars • Transition ends with loss of lost of last primary teeth at about the age of 12 yrs • Transition period lasts – 6 - 7yrs • Eruptive movements of permanent teeth begin after crown completion. • During eruption, permanent mandibular first molars is guided by the distal surface of second primary molar www.indiandentalacademy.com
  • 15. Permanent dentition  Initiation of the formation of permanent dentition takes place in 3 steps 1. CI, LI, C, M1 – 1st yr 2. premolars & second molars – 2-4 yr 3. Third molars – 5-7 yrs  First molars are the first teeth of permanent dentition to emerge through the gingiva  First molars often called – „ 6 years molars‟  They emerge distal to the decidiuous second molar  Second permanent tooth to emerge – CI  Permanent mandibular CI erupts before the maxillary CI www.indiandentalacademy.com
  • 17. Ligual to the roots of decidiuous inscisors are the follicles of the developing incisors & canines Developing premolars are within the bifurcation of primary molar roots  Permanent incisors, Canines& Premolars are called Succedaneous teeth.  After mandibular CI, LI erupts soon followed by maxillary CI  Maxillary LI erupts after about a year  Premolars follow the maxillary laterals in sequence at the age of 10 - 11 yrs Mandibular canines appear at the same time After 1yr second premolar erupt & the maxilary canine follow www.indiandentalacademy.com
  • 18. Second molars erupt at the age of about 12 yrs Second molars are called as “ 12 year molars” Third molar erupt at the age of 17 –25 yrs Sequence of eruption of permanent dentition Maxillary teeth First molars – M1 Central incisor - CI Lateral incisor - LI First premolar – P1 Second premolar – P2 Canine - C Second molar – M2 Third molar – M3 www.indiandentalacademy.com
  • 19. Mandibular teeth First molars – M1 Central incisor - CI Lateral incisor - LI Canine - C First premolar – P1 Second premolar – P2 Second molar – M2 Third molar – M3 www.indiandentalacademy.com
  • 20. Chronolgy of permanent dentition Tooth First Crown Eruption Root (Upper) evidence of Completed( ( Mean age) completed calcification months) ( months) ( Years) i1 3 –4mo 4-5yr 7 – 8 yrs 10 i2 10 – 12 mo 4 –5yr 8 – 9 yr 11 c 4 – 5 mo 6 –7yr 11- 12yr 13 - 15 P1 1½ - 1¾yr 5 –6yr 10 –11yr 12 -13 P2 2 - 2¼yr 6 – 7yr 10 –12yr 12 -14 M1 At birth 2 ½ - 3 yr 6 – 7 yr 9 -10 M2 2 ½ -3yr 7 – 8 yr 12 –13yr 14 - 16 M3 7 – 9yr www.indiandentalacademy.com 12 –16 yr 17 –21yr 18 -25
  • 21. Tooth First Crown Eruption Root (Lower) evidence of Completed( ( Mean age) completed calcification months) ( months) ( Years) i1 3 –4mo 4 - 5yr 6 – 7 yrs 9 i2 3 – 4 mo 4 –5yr 7-8 yr 10 c 4 – 5 mo 6 –7yr 9 - 10yr 12 - 14 P1 1¾- 2yr 5 –6yr 10 –12yr 12 -13 P2 2 - 2¼yr 6 – 7yr 11 –12yr 13 -14 M1 At birth 2 ½ - 3 yr 6 – 7 yr 9 -10 M2 2 ½ -3yr 7 – 8 yr 11 –13yr 14 - 15 M3 8 – 10yr 12 –16 yr 17 –21yr 18 -25 www.indiandentalacademy.com
  • 22.  Variation of 12 –24 months ( early or late ) of the expected eruption is considered normal  Deciduous teeth – 4 –8 months is considered normal www.indiandentalacademy.com
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