The timing of permanent tooth development in a Black Southern African population using the Demirjian method.


Journal

International journal of legal medicine
ISSN: 1437-1596
Titre abrégé: Int J Legal Med
Pays: Germany
ID NLM: 9101456

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 21 12 2017
accepted: 08 11 2018
pubmed: 28 11 2018
medline: 4 4 2019
entrez: 28 11 2018
Statut: ppublish

Résumé

Many aspects of growth have been documented for Black Southern African children, yet their dental development has not been comprehensively investigated. The present study was designed to provide information on age of attainment of dental development stages in Southern African children and to compare the findings with other populations. This was a community-based cross-sectional study of 642 children (270 males and 372 females). Panoramic radiographs of children aged 5 to 20 years were assessed using Demirjian's eight stages of permanent tooth formation and age was estimated using Demirjian's method. Resulting dental ages were compared to the chronological ages. Probit regression analysis was employed to calculate the mean age of attainment of the developmental stages for the seven left mandibular teeth. Maturity scores and age of attainment were compared by sex and with published data on other populations. Females show significantly advanced dental maturity and dental ages, as well as earlier attainment of all stages of mineralization, compared to males (p < 0.05). The Demirjian method overestimated dental age in both males (0.8 ± 1.02 years) and females (1.0 ± 0.98 years). Cross-population comparisons illustrate that Black Southern African children are generally advanced in dental maturity compared to children of European and Asian ancestry. The Demirjian method significantly overestimated the chronological ages of Black Southern African males and females. Southern Africans attain dental maturity earlier than South Korean, Canadian, and Belgian children. These differences in dental maturity clearly illustrate the need for population-specific, rather than global, dental maturity standards.

Sections du résumé

BACKGROUND BACKGROUND
Many aspects of growth have been documented for Black Southern African children, yet their dental development has not been comprehensively investigated.
AIM OBJECTIVE
The present study was designed to provide information on age of attainment of dental development stages in Southern African children and to compare the findings with other populations.
METHOD METHODS
This was a community-based cross-sectional study of 642 children (270 males and 372 females). Panoramic radiographs of children aged 5 to 20 years were assessed using Demirjian's eight stages of permanent tooth formation and age was estimated using Demirjian's method. Resulting dental ages were compared to the chronological ages. Probit regression analysis was employed to calculate the mean age of attainment of the developmental stages for the seven left mandibular teeth. Maturity scores and age of attainment were compared by sex and with published data on other populations.
RESULTS RESULTS
Females show significantly advanced dental maturity and dental ages, as well as earlier attainment of all stages of mineralization, compared to males (p < 0.05). The Demirjian method overestimated dental age in both males (0.8 ± 1.02 years) and females (1.0 ± 0.98 years). Cross-population comparisons illustrate that Black Southern African children are generally advanced in dental maturity compared to children of European and Asian ancestry.
CONCLUSION CONCLUSIONS
The Demirjian method significantly overestimated the chronological ages of Black Southern African males and females. Southern Africans attain dental maturity earlier than South Korean, Canadian, and Belgian children. These differences in dental maturity clearly illustrate the need for population-specific, rather than global, dental maturity standards.

Identifiants

pubmed: 30478536
doi: 10.1007/s00414-018-1968-4
pii: 10.1007/s00414-018-1968-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

257-268

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Auteurs

Temitope A Esan (TA)

Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria.
Visiting Researcher, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Human Variation and Identification Unit, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Lynne A Schepartz (LA)

Human Variation and Identification Unit, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Schepartz@wits.ac.za.

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Classifications MeSH