When does the frontal fontanelle (frontal fontanel) close?

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From the Research

The frontal fontanel typically closes between 9 to 18 months of age, with an average closure time of around 12 to 14 months. This soft spot is the largest of the fontanels and is located at the junction where the two frontal and two parietal bones meet at the top of the infant's head. The closure occurs gradually as the bones of the skull grow and fuse together.

Key Points to Consider

  • It's essential for parents and healthcare providers to monitor fontanel closure as part of normal development.
  • Premature closure (craniosynostosis) or significantly delayed closure may indicate underlying medical conditions, such as rickets, which can be caused by nutritional deficiencies or genetic defects 1, 2.
  • The fontanels serve crucial purposes during birth, allowing the skull bones to overlap and pass through the birth canal, and during early infancy, permitting rapid brain growth.
  • No specific interventions are needed for normal fontanel closure, as it's a natural developmental process.
  • However, in cases of delayed closure, it's crucial to investigate the underlying cause, which may involve biochemical tests, radiography, and genetic tests to rule out conditions like rickets 1, 2.
  • The diagnosis and management of rickets, including nutritional and hereditary types, are critical to prevent long-term complications and ensure proper growth and development 1, 2.

References

Research

Rickets guidance: part I-diagnostic workup.

Pediatric nephrology (Berlin, Germany), 2022

Research

Rickets.

Nature reviews. Disease primers, 2017

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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