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德米尔坚方法在土耳其南部儿童牙齿评估中的适用性。

Applicability of the Demirjian method for dental assessment of southern Turkish children.

作者信息

Celik Salih, Zeren Cem, Celikel Adnan, Yengil Erhan, Altan Ahmet

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Akdeniz University, Turkey.

Department of Forensic Medicine, Faculty of Medicine, Mustafa Kemal University, Turkey.

出版信息

J Forensic Leg Med. 2014 Jul;25:1-5. doi: 10.1016/j.jflm.2014.04.006. Epub 2014 Apr 26.

Abstract

Age-related legal problems are especially common in underdeveloped parts of Turkey. In terms of civil and criminal law, the ages from 13 years to 18 years are critical in our country. Estimation of age is a very significant in aspect of accordance with laws. The aims of this study were to evaluate the applicability and accuracy of the Demirjian technique for assessing southern Turkish children; to analyze the sexual dimorphism of dental age in the studied groups; and to define the relationship between the dental age and the degree of mineralization in mandibular permanent tooth in southern Turkish children. This study was performed using panoramic radiographs from 932 healthy southern Turkish children, 444 girls and 488 boys aged between 4 and 18 years. Statistical evaluations were performed using SPSS (Statistical Package for Social Sciences) for Windows 13.0 software. The mean difference between dental and chronological age was calculated for each age and sex group. The paired t-test was used to compare all data. The chi-square test was used for between-group comparisons of categorical variables. Continuous variables were tested for normality using the Kolmogorov-Smirnov test. Relationships between continuous variables were examined using Pearson's correlation coefficient. The same observer re-examined 700 teeth three months after the first examination. The results were evaluated with the intraclass correlation test and both measurements were statistically significantly similar with each other(R = 0.982, p = 0.0001). .Dental age (DA) and chronological age (CA) were consistent for boys in the 16-16.9 age group and for girls in the 9-9.9 and 15-15.9 age groups. From this study, we can conclude that dental age varies across ethnic populations. Additionally, dental maturation varies across different regions of the same country. Because Demirjian's standards are not suitable for all age groups of southern Turkish children, a new table is necessary for evaluating this population. Future studies using multi-ethnic population data are needed to establish the international applicability of Demirjian's method.

摘要

与年龄相关的法律问题在土耳其的欠发达地区尤为常见。在民法和刑法方面,13岁至18岁这个年龄段在我国至关重要。年龄的估算是依法行事的一个非常重要的方面。本研究的目的是评估德米尔坚技术在评估土耳其南部儿童方面的适用性和准确性;分析研究组中牙龄的性别差异;并确定土耳其南部儿童下颌恒牙的牙龄与矿化程度之间的关系。本研究使用了932名4至18岁健康土耳其南部儿童(444名女孩和488名男孩)的全景X线片。使用适用于Windows 13.0软件的SPSS(社会科学统计软件包)进行统计评估。计算每个年龄和性别组的牙龄与实际年龄之间的平均差异。配对t检验用于比较所有数据。卡方检验用于分类变量的组间比较。连续变量使用柯尔莫哥洛夫-斯米尔诺夫检验进行正态性检验。连续变量之间的关系使用皮尔逊相关系数进行检验。同一名观察者在首次检查三个月后对700颗牙齿进行了重新检查。结果用组内相关检验进行评估,两次测量在统计学上彼此显著相似(R = 0.982,p = 0.0001)。牙龄(DA)与实际年龄(CA)在16 - 16.9岁年龄组的男孩以及9 - 9.9岁和15 - 15.9岁年龄组的女孩中是一致的。从这项研究中,我们可以得出结论,牙龄在不同种族人群中有所不同。此外,牙齿成熟度在同一个国家的不同地区也有所不同。由于德米尔坚的标准不适用于土耳其南部儿童的所有年龄组,因此需要一个新的表格来评估这一人群。未来需要使用多民族人口数据的研究来确定德米尔坚方法的国际适用性。

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