Ferrillo Martina, Migliario Mario, Curci Claudio, Renò Filippo, Giudice Amerigo, De Sire Alessandro
Department of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
Acta Odontol Scand. 2024 May 3;83:230-237. doi: 10.2340/aos.v83.40485.
This systematic review aimed at evaluating the reliability of dental maturation (DM) according to Demirjian method compared to hand and wrist maturation (HWM) to assess skeletal maturity (SM) in growing subjects, to identify the teeth and the corresponding mineralisation stages related to the pubertal growth spurt (PGS).
PubMed, Scopus, and Web of Science were systematically searched until January 5th, 2024, to identify observational cross-sectional studies that assessed the reliability of Demirjian method compared to the HWM methods (i.e., Grave and Brown and Fishman) in growing subjects. The quality assessment was evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist.
Out of 136 papers suitable for title/abstract screening, 19 included studies. Of them, 17 papers showed the reliability of Demirjian DM method compared to HWM Fishman and Grave and Brown methods to assess SM in growing subjects. According to JBI Critical Appraisal Checklist, 12 papers were high-quality studies and 7 papers were medium-quality studies. Conclusions: The mandibular second molar might be considered as the best indicator compared to other teeth and that the peak of growth occurs no earlier than stage F in females and stage G in males according to Demirjian method. Also, the mandibular canine might be analysed as indicator of SM in males, and results suggest that the peak of growth occurs no earlier than maturation stage F according to Demirjian method, only in male subjects. Further studies are needed to confirm these findings.
本系统评价旨在评估与手部和腕部成熟度（HWM）相比，根据德米尔坚方法评估生长中受试者骨骼成熟度（SM）时牙齿成熟度（DM）的可靠性，以确定与青春期生长突增（PGS）相关的牙齿及其相应矿化阶段。
系统检索了PubMed、Scopus和Web of Science直至2024年1月5日，以确定观察性横断面研究，这些研究评估了在生长中受试者中德米尔坚方法与HWM方法（即格雷夫和布朗方法以及菲什曼方法）相比的可靠性。使用乔安娜·布里格斯研究所（JBI）批判性评价清单进行质量评估。
在136篇适合标题/摘要筛选的论文中，有19项纳入研究。其中，17篇论文显示了与HWM菲什曼方法以及格雷夫和布朗方法相比，德米尔坚DM方法在评估生长中受试者SM方面的可靠性。根据JBI批判性评价清单，12篇论文为高质量研究，7篇论文为中等质量研究。结论：与其他牙齿相比，下颌第二磨牙可能被视为最佳指标，并且根据德米尔坚方法，女性生长高峰不早于F期，男性不早于G期。此外，下颌尖牙可能被分析为男性SM的指标，结果表明仅在男性受试者中，根据德米尔坚方法，生长高峰不早于成熟F期。需要进一步研究来证实这些发现。
