Mollabashi Vahid, Yousefi Faezeh, Gharebabaei Leila, Amini Payam
Hamadan University of Medical Science, Dental school, Orthodontics Department, Hamadan, Iran.
Hamadan University of Medical Science, Dental school, Oral and Maxillofacial Radiology Department, Hamadan, Iran.
Int Orthod. 2019 Dec;17(4):710-718. doi: 10.1016/j.ortho.2019.08.009. Epub 2019 Sep 4.
This study aimed to assess the relation between the dental age of seven left mandibular teeth determined by the Demirjian's method and skeletal age determined by the Baccetti's method.
This cross-sectional study evaluated 600 patients aged between 8-16 years, who were selected from those presenting to Orthodontics Department of Hamadan dental school and private orthodontic offices. The patients had good-quality panoramic radiographs and lateral cephalograms taken within 2 months of each other. Skeletal age was determined according to the cervical vertebral maturation (CVM) on lateral cephalograms. The dental age of seven left mandibular teeth was determined using the Demirjian's method. Data were analysed by the Spearman's and Pearson's correlation coefficients via SPSS 16.
CVM had significant correlations with dental age (0.780) and chronological age (0.792). Accordingly, the strongest correlation was noted between CVM and the developmental stage of second molars in both males and females. In males, the highest correlation between dental age and chronological age was in CS5 stage (0.724) while, in females, the highest correlation between dental age and chronological age was in CS4 stage (0.651).
Considering the correlation between skeletal age and dental calcification, dental age, especially the developmental stage of mandibular second molars, based on panoramic radiographs, can be served as a primary diagnostic tool for determining the skeletal maturity stage of patients.
本研究旨在评估采用德米尔坚法确定的七颗左侧下颌牙齿的牙龄与采用巴切蒂法确定的骨骼年龄之间的关系。
这项横断面研究评估了600名年龄在8至16岁之间的患者,这些患者选自哈马丹牙科学院正畸科和私人正畸诊所的就诊者。患者在两个月内分别拍摄了高质量的全景X线片和头颅侧位片。根据头颅侧位片上的颈椎成熟度(CVM)确定骨骼年龄。采用德米尔坚法确定七颗左侧下颌牙齿的牙龄。通过SPSS 16软件,利用斯皮尔曼和皮尔逊相关系数对数据进行分析。
CVM与牙龄(0.780)和实足年龄(0.792)均具有显著相关性。因此,在男性和女性中,CVM与第二磨牙发育阶段之间的相关性最强。在男性中,牙龄与实足年龄之间的最高相关性出现在CS5期(0.724),而在女性中,牙龄与实足年龄之间的最高相关性出现在CS4期(0.651)。
考虑到骨骼年龄与牙齿钙化、牙龄之间的相关性,基于全景X线片的牙龄,尤其是下颌第二磨牙的发育阶段,可作为确定患者骨骼成熟阶段的主要诊断工具。