Eruption of Permanent Teeth in Bulgarian Children Aged 5–12 Years

Authors

DOI:

https://doi.org/10.18778/1898-6773.88.2.04

Keywords:

children, tooth eruption, sequence, sex differences, age differences

Abstract

The time of eruption and the number of permanent teeth together with the time of sexual maturation and ossification of the skeleton are important indicators of the biological maturity and health of children. The aim is to evaluate the eruption of permanent teeth in Bulgarian children aged 5–12 years and to assess its relationship with age and sex. The present cross-sectional study included 709 individuals from 5 to 12 years. The oral and dental status was checked and included the number of erupted teeth (NET). Statistical analyses were performed to compare the sexes and ages. Statistically significant differences between sexes are observed only in teeth 17, 27, 33 and 43. The sequence of tooth eruption was examined, and it is almost identical in male and female subadults. Mandibular teeth erupt earlier than maxillary teeth, excluding first premolars for both sexes and canines in males. Females have earlier tooth eruption and more permanent teeth compared to males. A significant association between age and NET is established. Sex does not have a significant effect on tooth eruption. The time of eruption of permanent teeth is influenced significantly by age, but not by sex in our sample. Differences between males and females are found in the sequence of eruption only of canines and premolars. Females tend to have earlier tooth eruption and more erupted teeth. Lower teeth erupt earlier than upper teeth, excluding first premolars in both sexes and canines in males.

Downloads

Download data is not yet available.

References

Almonaitiene R, Balciuniene I, Tutkuviene J. 2010. Factors Influencing Permanent Teeth Eruption. Part one – general factors. Stomatologija, Baltic Dent Maxill J 12(3):67–72.
View in Google Scholar

Amidu N, Owiredu W, Saaka M, Quaye L, Wanwan M, Kumibea P, Mogre V. 2013. Determinants of Childhood Obesity Among Basic School Children Aged 6 – 12 Years in Tamale Metropolis. J Medd Biomed Sci 2(3):26–34. https://doi.org/10.4314/jmbs.v2i3.5
View in Google Scholar DOI: https://doi.org/10.4314/jmbs.v2i3.5

Arid J, Vitiello MC, da Silva RAB, da Silva LB, Mussolino de Queiroz A, Küchler E, Nelson-Filho P. 2017. Nutritional Status is Associated with Permanent Tooth Eruption Chronology. Braz J Oral Sci 16:1–7. https://doi.org/10.20396/bjos.v16i0.8650503
View in Google Scholar DOI: https://doi.org/10.20396/bjos.v16i0.8650503

Aris C. 2022. Enamel growth rate variation of inner, mid, and outer enamel regions between select permanent tooth types across five temporally distinct British samples. Arch Oral Biol 137, 105394. https://doi.org/10.1016/j.archoralbio.2022.105394
View in Google Scholar DOI: https://doi.org/10.1016/j.archoralbio.2022.105394

Aris C, Mahoney P, Deter C. 2020. Enamel growth rates of anterior teeth in males and females from modern and ancient British populations. Am J Phys Anthropol 173:236–249. https://doi.org/10.1002/ajpa.24068
View in Google Scholar DOI: https://doi.org/10.1002/ajpa.24068

Bayrak S, Sen Tunc E, Tuloglu N, Acikgoz A. 2012. Timing of permanent teeth eruption in Turkish children. J Clin Pediatr Dent 37(2):207–11. https://doi.org/10.17796/jcpd.37.2.8v072017534j0191
View in Google Scholar DOI: https://doi.org/10.17796/jcpd.37.2.8v072017534j0191

Eskeli R, Lösönen M, Ikävalko T, Myllykangas R, Lakka T, Laine-Alava MT. 2016. Secular trends affect timing of emergence of permanent teeth. Angle Orthod 86(1):53–8. https://doi.org/10.2319/121014-894.1
View in Google Scholar DOI: https://doi.org/10.2319/121014-894.1

Garn SM, Lewis AB, Kerewsky RS. 1965. Genetic, Nutritional and Maturational Correlates of Dental Development. J Dent Res 44(SUPPL):228–42. https://doi.org/10.1177/00220345650440011901
View in Google Scholar DOI: https://doi.org/10.1177/00220345650440011901

Hassan S, Shahid H. 2018. Assessment of Eruption of Permanent Teeth According to Age and Its Relation with Body Mass Index in Local Population. J of Pak Dent Assoc 27(03):127–132. https://doi.org/10.25301/JPDA.273.127
View in Google Scholar DOI: https://doi.org/10.25301/JPDA.273.127

Jayakrishnan JM, Reddy J, Vinod Kumar RB. 2021. Role of forensic odontology and anthropology in the identification of human remains. J Oral Maxill Pathol 25(3):543–547. https://doi.org/10.4103/jomfp.jomfp_ 81_21
View in Google Scholar DOI: https://doi.org/10.4103/jomfp.jomfp_81_21

Kapusi-Papp Z, Máth J, Nemes JÁ. 2023. Timing and sequence of permanent tooth emergence in Hungarian children. Research Square Platform LLC. https://doi.org/10.21203/rs.3.rs-3215333/v1
View in Google Scholar DOI: https://doi.org/10.21203/rs.3.rs-3215333/v1

Kurosaka H, Itoh S, Morita C, Tsujimoto T, Murata Y, Inubushi T, Yamashiro T. 2022. Development of Dentition: From Initiation to Occlusion and Related Diseases. J Oral Biosci 64(2):159–164. https://doi.org/10.1016/j.job.2022.02.005
View in Google Scholar DOI: https://doi.org/10.1016/j.job.2022.02.005

Kutesa A, Nkamba EM, Muwazi L, Buwembo W, Rwenyonyi CH. 2013. Weight, Height and Eruption Times of Permanent Teeth of Children Aged 4–15 Years in Kampala, Uganda. BMC Oral Health 13. https://doi.org/10.1186/1472-6831-13-15
View in Google Scholar DOI: https://doi.org/10.1186/1472-6831-13-15

Leroy R, Bogaerts K, Lesaffre E, Declerck D. 2003. The Emergence of Permanent Teeth in Flemish Children. Community Dent Oral Epidemiol 31(1):30–39. https://doi.org/10.1034/j.1600-0528.2003.00023.x
View in Google Scholar DOI: https://doi.org/10.1034/j.1600-0528.2003.00023.x

Mladenova S. 2003. Anthropological Characterization of Growth and Evolution of Children and Teenagers in Contemporary Age at the Smolyan Region. Summary of PhD thesis, Plovdiv University (in Bulgarian)
View in Google Scholar

Nassif N, Sfeir E. 2020. Age and Sequence of Permanent Teeth Eruption in Lebanese Children. Sci World J 9238679. https://doi.org/10.1155/2020/9238679
View in Google Scholar DOI: https://doi.org/10.1155/2020/9238679

Nikolova M, Mladenova S, Tineshev Sl. 2023. Sexual Maturity and Teeth Growth at Children and Teenagers. Population Research Plovdiv: Plovdiv University Press (in Bulgarian).
View in Google Scholar

Olze A, van Niekerk P, Ishikawa T, Zhu BL, Schulz R, Maeda H, Schmeling A. 2007. Comparative study on the effect of ethnicity on wisdom tooth eruption. Int J Legal Med 121:445–448. https://doi.org/10.1007/s00414-007-0171-9
View in Google Scholar DOI: https://doi.org/10.1007/s00414-007-0171-9

Öznurhan F, Sungurtekin E, Özalp Ş, Deveci C., Delilbaşi AE, Bani M, Öztaş N. 2016. Time and Sequence of Eruption of Permanent Teeth in Ankara, Turkey. Pediatr Dent J 26(1):1–7. https://doi.org/10.1016/j.pdj.2015.09.002
View in Google Scholar DOI: https://doi.org/10.1016/j.pdj.2015.09.002

Paz-Cortés MM, Muñoz-Cano L, Diéguez- Pérez M. 2022. Evaluation of the Relationship between the BMI and the Sequence and Chronology of Eruption in Permanent Dentition in Spanish Population. Healthcare (Basel) 10(6):1046. https://doi.org/10.3390/healthcare10061046
View in Google Scholar DOI: https://doi.org/10.3390/healthcare10061046

Peneva MD. 1978. Eruption of Permanent Teeth PhD thesis. Sofia. Medical university of Sofia (in Bulgarian).
View in Google Scholar

Peneva M, Kabaktchieva R, Rashkova M, Tsolova E. 2009. Oral Embryology, Histology and Biology 3rd edition. Sofia: Iztok-zapad (in Bulgarian).
View in Google Scholar

Ramirez Rozzi F. 2016. Diversity in tooth eruption and life history in humans: illustration from a Pygmy population. Sci Rep 6,27405. https://doi.org/10.1038/srep27405
View in Google Scholar DOI: https://doi.org/10.1038/srep27405

Rehmawati AD, Rahayu S, Medawati A, Alphianti LT, Nurushifa N, Ranasti W. 2022. Permanent Teeth Eruption Status in Growing-Age Children with Normal Nutritional Status Based on Gender. In: I Permana, E Rochmawati, editors. Proceedings of the International Conference on Sustainable Innovation on Health Sciences and Nursing (ICOSI-HSN 2022), AHSR 55: 285–293 Atlantis Press. https://doi.org/10.2991/978-94-6463-070-1_34
View in Google Scholar DOI: https://doi.org/10.2991/978-94-6463-070-1_34

Reis CLB, Barbosa MCF, Henklein S, Madalena IR, de Lima D, Oliveira M, Küchler E, de Oliveira D. 2021. Nutritional status is associated with permanent tooth eruption in a group of Brazilian school children. Glob Pediatric Health. 8:1–6. https://doi.org/10.1177/2333794X211034088
View in Google Scholar DOI: https://doi.org/10.1177/2333794X211034088

Sheetal A, Hiremath VK, Patil AG, Sajjansetty S, Kumar SR. 2013. Malnutrition and its oral outcome – a review. J Clin Diagn Res 7(1):178–80. https://doi.org/10.7860/JCDR/2012/5104.2702
View in Google Scholar DOI: https://doi.org/10.7860/JCDR/2012/5104.2702

Šindelářová R, Soukup P, Broukal Z. 2018. The relationship of obesity to the timing of permanent tooth emergence in czech children. Acta Odontol Scand 76(3):220–225. https://doi.org/10.1080/00016357.2017.1403649
View in Google Scholar DOI: https://doi.org/10.1080/00016357.2017.1403649

Suri L, Gagari E, Vastardis H. 2004. Delayed tooth eruption: pathogenesis, diagnosis, and treatment: a literature review. Am J Orthod Dentofacial Orthop 126(4):432–45. https://doi.org/10.1016/S088954060400530X
View in Google Scholar DOI: https://doi.org/10.1016/j.ajodo.2003.10.031

Tineshev Sl. 2009. Anthropological Characterization of Children and Teenagers. Summary of PhD thesis. Plovdiv. Plovdiv University (in Bulgarian)
View in Google Scholar

Wedl JS, Danias S, Schmelzle R, Friedrich RE. 2004. Eruption Times of Permanent Teeth in Children and Young Adolescents in Athens (Greece). Clin Oral Investig 9(2):131–4. https://doi.org/10.1007/s00784-004-0295-y
View in Google Scholar DOI: https://doi.org/10.1007/s00784-004-0295-y

World Medical Association. 2008. Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. WMJ 54(4):122–25.
View in Google Scholar

Wright JT. 2010. Anatomy and Development of the Teeth. UpToDate. Available through: www.uptodate.com [Accessed 18 May 2025].
View in Google Scholar

Downloads

Published

2025-06-04

How to Cite

Kirilov, B. V., Ivanova-Pandourska, I. Y., & Zhecheva , Y. V. (2025). Eruption of Permanent Teeth in Bulgarian Children Aged 5–12 Years. Anthropological Review, 88(2), 45–53. https://doi.org/10.18778/1898-6773.88.2.04

Issue

Section

Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.