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Clinical Oral Investigations
Published in: Clinical Oral Investigations 8/2016

01-11-2016 | Original Article

Influence of metabolic-linked early life factors on the eruption timing of the first primary tooth

Authors: Carolina Un Lam, Chin-Ying Stephen Hsu, Robert Yee, David Koh, Yung Seng Lee, Mary Foong-Fong Chong, Meijin Cai, Kenneth Kwek, Seang Mei Saw, Keith Godfrey, Peter Gluckman, Yap Seng Chong

Published in: Clinical Oral Investigations | Issue 8/2016

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Abstract

Aim

Early eruption of permanent teeth has been associated with childhood obesity and diabetes mellitus, suggesting links between tooth eruption and metabolic conditions. This longitudinal study aimed to identify pre-, peri- and postnatal factors with metabolic consequences during infancy that may affect the eruption timing of the first primary tooth (ETFT) in children from an ethnically heterogeneous population residing within the same community.

Material and methods

Participants were recruited (n = 1033) through the GUSTO (Growing Up in Singapore Towards healthy Outcomes) birth cohort (n = 1237). Oral examinations were performed at 3-month intervals from 6 to 18 months of age. Crude and adjusted analyses, with generalized linear modelling, were conducted to link ETFT to potential determinants occurring during pregnancy, delivery/birth and early infancy.

Results

Overall mean eruption age of the first primary tooth was 8.5 (SD 2.6) months. Earlier tooth eruption was significantly associated with infant’s rate of weight gain during the first 3 months of life and increased maternal childbearing age. Compared to their Chinese counterparts, Malay and Indian children experienced significantly delayed tooth eruption by 1.2 and 1.7 months, respectively.

Conclusions

Infant weight gain from birth to 3 months, ethnicity and maternal childbearing age were significant determinants of first tooth eruption timing. Early life influences can affect primary tooth development, possibly via metabolic pathways.

Clinical relevance

Timing of tooth eruption is linked to general growth and metabolic function. Therefore, it has potential in forecasting oral and systemic conditions such as caries and obesity.
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Metadata
Title
Influence of metabolic-linked early life factors on the eruption timing of the first primary tooth
Authors
Carolina Un Lam
Chin-Ying Stephen Hsu
Robert Yee
David Koh
Yung Seng Lee
Mary Foong-Fong Chong
Meijin Cai
Kenneth Kwek
Seang Mei Saw
Keith Godfrey
Peter Gluckman
Yap Seng Chong
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 8/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-015-1670-6

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