Pediatric Dentistry · patient case question

A 5-year-old already has erupted permanent mandibular incisors. Which statement about the chronological age is correct?

Patient case: Evidence, vital signs and dental age

Scenario: Three items in research methods, medicine and growth.

  1. The chronological age is behind the dental age
  2. Dental age cannot be assessed from eruption
  3. The chronological age is ahead of the dental age
  4. Chronological and dental age match
Show answer and explanation

Correct answer: A. The chronological age is behind the dental age

  • A. Correct. Permanent mandibular incisors normally erupt around 6-7 years. Eruption at 5 means development has run ahead of the calendar, so dental age exceeds chronological age — the child's chronological age lags behind.
  • B. Eruption timing is one of the standard methods of estimating dental age, alongside calcification staging, which is actually the more reliable of the two.
  • C. This reverses the relationship. If the calendar were ahead of development, the teeth would be late, not early.
  • D. They do not match here; that is the whole point of the item.

Note: ⚑ Read this stem carefully — the wording asks about the chronological age relative to the dental age, which inverts the intuitive answer. Several group members reported keying it the other way.

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