Fei Yue, Yang Lianyi, Sheng Kai, Lai Guangyun, Wang Jun
Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
National Clinical Research Center for Oral Diseases, Shanghai, China.
Ann Hum Biol. 2021 Aug;48(5):393-399. doi: 10.1080/03014460.2021.1988705. Epub 2021 Nov 8.
Dental calcification information is relevant for clinical, archaeological, and forensic applications. However, dental maturity measurements in current cohorts of Chinese children are insufficient.
This study aimed to establish the mandibular dental maturity table and determine the accuracy of dental age estimation using the Demirjian method in a Chinese sample.
Permanent mandibular teeth, excluding the third molar, in 2091 panoramic radiographs of 1008 males and 1083 females aged 3-15 were graded, and dental age was estimated according to Demirjian's criteria. Age-of-attainment was calculated with probit regression for each stage by sex, and sex differences were analysed using the Mann-Whitney test. Dental age was compared with chronological age using paired -tests.
Although females showed earlier age-of-attainment than males, significant sex differences were only found in stages D-G ( < 0.05). The Demirjian method overestimated the dental age in both males (0.68 ± 1.05 years) and females (0.59 ± 0.97 years).
The relationship between mineralisation stage and chronological age in this study can be applied as a reference for mandibular dental maturity of Chinese children and adolescents. The Demirjian method overestimated the chronological ages of this sample.
牙齿钙化信息在临床、考古和法医应用中具有重要意义。然而,目前中国儿童队列中的牙齿成熟度测量数据不足。
本研究旨在建立下颌牙齿成熟度表,并确定在中国样本中使用德米尔坚方法估计牙齿年龄的准确性。
对1008名男性和1083名年龄在3至15岁的女性的2091张全景X线片中的恒牙下颌牙(不包括第三磨牙)进行分级,并根据德米尔坚标准估计牙齿年龄。按性别对每个阶段用概率回归计算达到年龄,并使用曼-惠特尼检验分析性别差异。使用配对t检验将牙齿年龄与实际年龄进行比较。
虽然女性的达到年龄比男性早,但仅在D - G阶段发现显著的性别差异(<0.05)。德米尔坚方法在男性(0.68±1.05岁)和女性(0.59±0.97岁)中均高估了牙齿年龄。
本研究中矿化阶段与实际年龄之间的关系可作为中国儿童和青少年下颌牙齿成熟度的参考。德米尔坚方法高估了该样本的实际年龄。