Pediatric Dentistry · single question

A 5-year-old patient's radiographs show all first permanent molars fully erupted (maxillary and mandibular). How is this patient's development relative to chronological age?

  1. Normal but with some teeth misaligned
  2. Delayed (behind chronological age)
  3. Advanced (ahead of chronological age)
  4. Normal for age
Show answer and explanation

Correct answer: C. Advanced (ahead of chronological age)

First permanent molars (6-year molars) typically erupt at 6–7 years of age. If a 5-year-old already has all four first permanent molars fully erupted, their dental development is ADVANCED relative to chronological age. The dental age exceeds the chronological age — this is accelerated dental development.
  • A. CORRECT. First permanent molars normally erupt at 6-7 years. Having them all erupted at age 5 = advanced dental development.
  • B. Incorrect. Delayed would mean the first molars have NOT erupted by the expected age — the opposite situation.
  • C. Incorrect. This is early for a 5-year-old — the norm is 6-7 years for first molar eruption.
  • D. Incorrect. Misalignment is a separate issue — the question is specifically about developmental timing.

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