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全景X线片上的牙齿年龄评估:两代芬兰年轻受试者的比较

Dental age assessment on panoramic radiographs: Comparison between two generations of young Finnish subjects.

作者信息

Birchler Flavia A, Kiliaridis Stavros, Combescure Christophe, Julku Johanna, Pirttiniemi Pertti M, Vazquez Lydia

机构信息

1 Department of Orthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.

2 Division of Clinical Epidemiology, Geneva University Hospital, Geneva, Switzerland.

出版信息

J Int Med Res. 2019 Jan;47(1):311-324. doi: 10.1177/0300060518801437. Epub 2018 Oct 8.

Abstract

OBJECTIVE

To analyse the accuracy of a meta-analysis-based dental age assessment (DAA) method in Finnish paediatric patients and to compare the dental development between two generations of Finnish children.

METHODS

Panoramic radiographs of Finnish Caucasian healthy children from two generations (early: born 1981-1984; subsequent: born 1996-2008) were analysed. All developing teeth on the left maxilla and mandible as well as the third permanent molars were analysed following Demirjian's classification. For each patient, dental age was calculated and compared with chronological age. Dental maturation patterns between the two groups were compared.

RESULTS

The study included 200 Finnish Caucasian healthy children from two generations (early: aged 7-13 years; subsequent: aged 6-15 years). In the early generation, DAA underestimated the chronological age by a mean of 3.15 years. The underestimation was only 0.11 years in patients < 10 years, but 3.86 years in patients ≥ 10 years. In the subsequent generation, the dental age was overestimated by a mean of 0.34 years; by 0.40 years in patients < 10 years and by 0.08 years in patients ≥ 10 years.

CONCLUSIONS

The present DAA method is applicable to current Finnish children. Differences in dental development between two generations of Finnish children were detected.

摘要

目的

分析基于荟萃分析的牙科年龄评估(DAA)方法在芬兰儿科患者中的准确性,并比较两代芬兰儿童的牙齿发育情况。

方法

分析了两代芬兰白人健康儿童(早期:1981 - 1984年出生;后期:1996 - 2008年出生)的全景X线片。按照德米尔坚分类法对左上颌和下颌所有正在发育的牙齿以及第三恒磨牙进行分析。计算每位患者的牙科年龄并与实际年龄进行比较。比较两组之间的牙齿成熟模式。

结果

该研究纳入了两代共200名芬兰白人健康儿童(早期:7 - 13岁;后期:6 - 15岁)。在早期一代中,DAA平均低估实际年龄3.15岁。年龄小于10岁的患者低估仅0.11岁,但年龄大于或等于10岁的患者低估3.86岁。在后期一代中,牙科年龄平均高估0.34岁;年龄小于10岁的患者高估0.40岁,年龄大于或等于10岁的患者高估0.08岁。

结论

目前的DAA方法适用于当前的芬兰儿童。两代芬兰儿童的牙齿发育存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e12a/6384494/fc545b82f263/10.1177_0300060518801437-fig1.jpg

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