Individual dental and skeletal age assessment according to Demirjian and Baccetti: Updated norm values for Central-European patients.
Individuelle dentale und skelettale Altersbestimmung nach Demirjian und Baccetti: aktualisierte Normwerte für mitteleuropäische Patienten.
Cervical vertebral maturation stages
Individualized diagnostics
Lateral cephalograms
Orthopantomograms
Tooth mineralisation stages
Journal
Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie
ISSN: 1615-6714
Titre abrégé: J Orofac Orthop
Pays: Germany
ID NLM: 9713484
Informations de publication
Date de publication:
14 Oct 2022
14 Oct 2022
Historique:
received:
24
02
2022
accepted:
16
08
2022
entrez:
14
10
2022
pubmed:
15
10
2022
medline:
15
10
2022
Statut:
aheadofprint
Résumé
Chronological age often differs from dental and skeletal age. With orthopantomograms and lateral cephalograms, dental and skeletal development can be determined according to the methods published by Demirjian et al. and Baccetti et al. However, gender and skeletal class as possible confounders were frequently not considered and available norm values are not up-to-date. This retrospective cross-sectional study thus aimed to evaluate effects of skeletal class and gender on dental and skeletal age of growing patients and to generate updated norm values for contemporary Central-European patients. A total of 551 patients were included in the dental and 733 in the skeletal age assessment, respectively. Dental analysis was based on tooth mineralisation stages in orthopantomograms (Demirjian) and skeletal age was defined by cervical vertebrae maturation stages (CVMS) in lateral cephalograms (Baccetti). Skeletal class was determined by the individualised ANB angle of Panagiotidis/Witt. With nonlinear regression analysis a formula for determining dental age was established. Effects of gender and skeletal class were evaluated and updated norm values generated. Inter- and intrarater reliability tests revealed at least substantial measurement concordance for tooth mineralisation and CVMS. Demirjian stages and CVMS significantly depended on gender with girls developing earlier. Skeletal class significantly affected skeletal age only, but without clinical relevance. Updated norm values for dental age differed significantly from the original values of Demirjian and the values for skeletal age differed from those published by Baccetti. Optimised norms, separated by gender, increase precision in determining individual dental and skeletal age during orthodontic treatment planning. Further studies analysing the effect of skeletal class on dental and skeletal development are needed. ZWECK: Das chronologische Alter weicht oft vom dentalen und skelettalen Alter ab. Mit Orthopantomogrammen und Fernröntgenseitenbildern kann die dentale und skelettale Entwicklung nach den von Demirjian et al. und Baccetti et al. publizierten Methoden bestimmt werden. Allerdings wurden Geschlecht und skelettale Klasse als mögliche Kovariablen häufig nicht berücksichtigt, und verfügbare Normwerte sind nicht aktuell. Ziel dieser retrospektiven Querschnittsstudie war es daher, die Auswirkungen der skelettalen Klasse und des Geschlechts auf das dentale und skelettale Alter heranwachsender Patienten zu evaluieren und aktualisierte Normwerte für zeitgenössische mitteleuropäische Patienten zu generieren. Insgesamt 551 Patienten wurden in die Beurteilung des dentalen Alters, 733 Patienten in die des skelettalen Alters eingeschlossen. Die dentale Analyse basierte auf Zahnmineralisierungsstadien in Orthopantomogrammen (Demirjian), und das skelettale Alter wurde durch Reifestadien der Halswirbel (CVMS) in Fernröntgenseitenbildern (Baccetti) definiert. Die skelettale Klasse wurde durch den individualisierten ANB-Winkel von Panagiotidis/Witt bestimmt. Mittels nichtlinearer Regressionsanalyse wurde eine Formel zur Bestimmung des dentalen Alters generiert. Effekte von Geschlecht und skelettaler Klasse wurden ausgewertet und aktualisierte Normwerte generiert. Überprüfungen von Inter- und Intrarater-Reliabilität ergaben zumindest eine gute Übereinstimmung der Messungen für die Mineralisierungsstadien und CVMS. Demirjian-Stadien und CVMS hingen signifikant vom Geschlecht ab, Mädchen entwickelten sich früher. Die skelettale Klasse beeinflusste nur das skelettale Alter signifikant, jedoch ohne klinische Relevanz. Die aktualisierten Normwerte für das dentale Alter wichen deutlich ab von den ursprünglichen Werten von Demirjian, die Werte für das skelettale Alter unterschieden sich von den von Baccetti veröffentlichten Werten. Optimierte Normen, getrennt nach Geschlecht, erhöhen die Präzision bei der Bestimmung des individuellen dentalen und skelettalen Alters bei der kieferorthopädischen Behandlungsplanung. Weitere Studien zur Analyse der Auswirkungen der skelettalen Klasse auf die dentale und skelettale Entwicklung sind erforderlich.
Autres résumés
Type: Publisher
(ger)
ZWECK: Das chronologische Alter weicht oft vom dentalen und skelettalen Alter ab. Mit Orthopantomogrammen und Fernröntgenseitenbildern kann die dentale und skelettale Entwicklung nach den von Demirjian et al. und Baccetti et al. publizierten Methoden bestimmt werden. Allerdings wurden Geschlecht und skelettale Klasse als mögliche Kovariablen häufig nicht berücksichtigt, und verfügbare Normwerte sind nicht aktuell. Ziel dieser retrospektiven Querschnittsstudie war es daher, die Auswirkungen der skelettalen Klasse und des Geschlechts auf das dentale und skelettale Alter heranwachsender Patienten zu evaluieren und aktualisierte Normwerte für zeitgenössische mitteleuropäische Patienten zu generieren.
Identifiants
pubmed: 36239773
doi: 10.1007/s00056-022-00431-5
pii: 10.1007/s00056-022-00431-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2022. The Author(s).
Références
Acharya AB (2011) Age estimation in Indians using Demirjian’s 8‑teeth method. J Forensic Sci 56(1):124–127. https://doi.org/10.1111/j.1556-4029.2010.01566.x
doi: 10.1111/j.1556-4029.2010.01566.x
pubmed: 20854361
Altunsoy M, Nur BG, Akkemik O et al (2015) Applicability of the Demirjian method for dental age estimation in western Turkish children. Acta Odontol Scand 73(2):121–125. https://doi.org/10.3109/00016357.2014.956333
doi: 10.3109/00016357.2014.956333
pubmed: 25314122
Baccetti T, Franchi L, Cameron CG et al (2001) Treatment timing for rapid maxillary expansion. Angle Orthod 71(5):343–350. https://doi.org/10.1043/0003-3219(2001)071〈0343:TTFRME〉2.0.CO;2
pubmed: 11605867
Baccetti T, Franchi L, McNamara JA (2002) An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod 72(4):316–323. https://doi.org/10.22334/jbhost.v6i2.217.s47
doi: 10.22334/jbhost.v6i2.217.s47
pubmed: 12169031
Badrov J, Lauc T, Nakaš E et al (2017) Dental age and tooth development in orthodontic patients with agenesis of permanent teeth. Biomed Res Int 2017:8683970. https://doi.org/10.1155/2017/8683970
doi: 10.1155/2017/8683970
pubmed: 28331854
pmcid: 5346386
Ball G, Woodside D, Tompson B et al (2011) Relationship between cervical vertebral maturation and mandibular growth. Am J Orthod Dentofacial Orthop 139(5):e455–61. https://doi.org/10.1016/j.ajodo.2010.01.035
doi: 10.1016/j.ajodo.2010.01.035
pubmed: 21536187
Başaran G, Ozer T, Hamamci N (2007) Cervical vertebral and dental maturity in Turkish subjects. Am J Orthod Dentofacial Orthop 131(4):447.e13–447.e20. https://doi.org/10.1016/j.ajodo.2006.08.016
doi: 10.1016/j.ajodo.2006.08.016
Blenkin MRB, Evans W (2010) Age estimation from the teeth using a modified Demirjian system. J Forensic Sci 55(6):1504–1508. https://doi.org/10.1111/j.1556-4029.2010.01491.x
doi: 10.1111/j.1556-4029.2010.01491.x
pubmed: 20629905
Celikoglu M, Erdem A, Dane A et al (2011) Dental age assessment in orthodontic patients with and without skeletal malocclusions. Orthod Craniofac Res 14(2):58–62. https://doi.org/10.1111/j.1601-6343.2011.01508.x
doi: 10.1111/j.1601-6343.2011.01508.x
pubmed: 21457454
Chertkow S (1980) Tooth mineralization as an indicator of the pubertal grwoth spurt. Am J Orthod 77(1):79–91. https://doi.org/10.1016/0002-9416(80)90226-2
doi: 10.1016/0002-9416(80)90226-2
pubmed: 6928087
Damian MF, Cechinato F, Molina RD et al (2007) Relationship between cranial and mandibular growth and the stages of maturation of the cervical vertebrae. J Appl Oral Sci 15(2):115–119. https://doi.org/10.1590/s1678-77572007000200008
doi: 10.1590/s1678-77572007000200008
pubmed: 19089113
pmcid: 4327241
Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45(2):211–227
pubmed: 4714564
Fanning EA (1962) Effect of extraction of decidous molars on the formation and eruption of their successors. Angle Orthod 32(1):44–53. https://doi.org/10.1043/0003-3219(1962)032〈0044:EOEODM〉2.0.CO;2
Franchi L, Baccetti T, McNamara JA (2000) Mandibular growth as related to cervical vertebral maturation and body height. Am J Orthod Dentofacial Orthop 118(3):335–340. https://doi.org/10.1067/mod.2000.107009
doi: 10.1067/mod.2000.107009
pubmed: 10982936
Franchi L, Baccetti T, McNamara JA (2004) Postpubertal assessment of treatment timing for maxillary expansion and protraction therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 126(5):555–568. https://doi.org/10.1016/j.ajodo.2003.10.036
doi: 10.1016/j.ajodo.2003.10.036
pubmed: 15520688
Frucht S, Schnegelsberg C, Schulte-Mönting J et al (2000) Dental age in southwest Germany. A radiographic study. J Orofac Orthop 61(5):318–329. https://doi.org/10.1007/pl00001902
doi: 10.1007/pl00001902
pubmed: 11037684
Gabriel DB, Southard KA, Qian F et al (2009) Cervical vertebrae maturation method: poor reproducibility. Am J Orthod Dentofacial Orthop 136(4):478.e1–478.e7. https://doi.org/10.1016/j.ajodo.2007.08.028 (discussion 478–80)
doi: 10.1016/j.ajodo.2007.08.028
Gandini P, Mancini M, Andreani F (2006) A comparison of hand-wrist bone and cervical vertebral analyses in measuring skeletal maturation. Angle Orthod 76(6):984–989. https://doi.org/10.2319/070605-217
doi: 10.2319/070605-217
pubmed: 17090154
Gelbrich B, Carl C, Gelbrich G (2020) Comparison of three methods to estimate dental age in children. Clin Oral Investig 24(7):2469–2475. https://doi.org/10.1007/s00784-019-03109-2
doi: 10.1007/s00784-019-03109-2
pubmed: 31728732
Hassel B, Farman AG (1995) Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 107(1):58–66. https://doi.org/10.1016/S0889-5406(95)70157-5
doi: 10.1016/S0889-5406(95)70157-5
pubmed: 7817962
Heinrich-Weltzien R, Zorn C, Monse B et al (2013) Relationship between malnutrition and the number of permanent teeth in Filipino 10- to 13-year-olds. Biomed Res Int 2013:205950. https://doi.org/10.1155/2013/205950
doi: 10.1155/2013/205950
pubmed: 24069590
pmcid: 3773387
Hellsing E (1991) Cervical vertebral dimensions in 8‑, 11-, and 15-year-old children. Acta Odontol Scand 49(4):207–213. https://doi.org/10.3109/00016359109005909
doi: 10.3109/00016359109005909
pubmed: 1927284
Jamroz GMB, Kuijpers-Jagtman AM, van’t Hof MA et al (2006) Dental maturation in short and long facial types. Is there a difference? Angle Orthod 76(5):766–770. https://doi.org/10.2319/070705-221
doi: 10.2319/070705-221
Janson GR, Martins DR, Tavano O et al (1998) Dental maturation in subjects with extreme vertical facial types. Eur J Orthod 20(1):73–78. https://doi.org/10.1093/ejo/20.1.73
doi: 10.1093/ejo/20.1.73
pubmed: 9558767
Jeelani W, Fida M, Shaikh A (2016) The duration of pubertal growth peak among three skeletal classes. Dental Press J Orthod 21(5):67–74. https://doi.org/10.1590/2177-6709.21.5.067-074.oar
doi: 10.1590/2177-6709.21.5.067-074.oar
pubmed: 27901231
pmcid: 5125173
Kahl B, Schwarze CW (1988) Aktualisierung der Dentitionstabelle von I. Schour und M. Massler von 1941 (Updating of the dentition tables of I. Schour and M. Massler of 1941). Fortschr Kieferorthop 49(5):432–443. https://doi.org/10.1007/BF02341233
doi: 10.1007/BF02341233
pubmed: 3181838
Kermani M, Tabatabaei Yazdi F, Abed Haghighi M (2019) Evaluation of the accuracy of Demirjian’s method for estimating chronological age from dental age in Shiraz, Iran: using geometric morphometrics method. Clin Exp Dent Res 5(3):191–198. https://doi.org/10.1002/cre2.169
doi: 10.1002/cre2.169
pubmed: 31249698
pmcid: 6585586
Khdairi N, Halilah T, Khandakji MN et al (2019) The adaptation of Demirjian’s dental age estimation method on North German children. Forensic Sci Int 303:109927. https://doi.org/10.1016/j.forsciint.2019.109927
doi: 10.1016/j.forsciint.2019.109927
pubmed: 31491623
Kirschneck C, Proff P (2018) Age assessment in orthodontics and general dentistry. Quintessence Int 49(4):313–323. https://doi.org/10.3290/j.qi.a39960
doi: 10.3290/j.qi.a39960
pubmed: 29532818
Kuc-Michalska M, Baccetti T (2010) Duration of the pubertal peak in skeletal class I and class III subjects. Angle Orthod 80(1):54–57. https://doi.org/10.2319/020309-69.1
doi: 10.2319/020309-69.1
pubmed: 19852640
pmcid: 8978745
Lamparski DG (1972) Skeletal age assessment utilizing cervical vertebrae. University of Pittsburgh
Lauc T, Nakaš E, Latić-Dautović M et al (2017) Dental age in orthodontic patients with different skeletal patterns. Biomed Res Int 2017:8976284. https://doi.org/10.1155/2017/8976284
doi: 10.1155/2017/8976284
pubmed: 28401164
pmcid: 5376414
Liversidge HM, Smith BH, Maber M (2010) Bias and accuracy of age estimation using developing teeth in 946 children. Am J Phys Anthropol 143(4):545–554. https://doi.org/10.1002/ajpa.21349
doi: 10.1002/ajpa.21349
pubmed: 20623675
Liversidge HM, Speechly T, Hector MP (1999) Dental maturation in British children: are Demirjian’s standards applicable? Int J Paediatr Dent 9(4):263–269. https://doi.org/10.1111/j.1365-263x.1999.00144.x
doi: 10.1111/j.1365-263x.1999.00144.x
pubmed: 10815584
Mahdian A, Safi Y, Dalaie K et al (2020) Correlation assessment of cervical vertebrae maturation stage and mid-palatal suture maturation in an Iranian population. J World Fed Orthod 9(3):112–116. https://doi.org/10.1016/j.ejwf.2020.05.004
doi: 10.1016/j.ejwf.2020.05.004
pubmed: 32800572
McKenna CJ, James H, Taylor JA et al (2002) Tooth development standards for South Australia. Aust Dent J 47(3):223–227. https://doi.org/10.1111/j.1834-7819.2002.tb00333.x
doi: 10.1111/j.1834-7819.2002.tb00333.x
pubmed: 12405462
Mito T, Sato K, Mitani H (2002) Cervical vertebral bone age in girls. Am J Orthod Dentofacial Orthop 122(4):380–385. https://doi.org/10.1067/mod.2002.126896
doi: 10.1067/mod.2002.126896
pubmed: 12411883
Mito T, Sato K, Mitani H (2003) Predicting mandibular growth potential with cervical vertebral bone age. Am J Orthod Dentofacial Orthop 124(2):173–177. https://doi.org/10.1016/S0889-5406(03)00401-3
doi: 10.1016/S0889-5406(03)00401-3
pubmed: 12923513
Mollabashi V, Yousefi F, Gharebabaei L et al (2019) The relation between dental age and cervical vertebral maturation in orthodontic patients aged 8 to 16 years: a cross-sectional study. Int Orthod 17(4):710–718. https://doi.org/10.1016/j.ortho.2019.08.009
doi: 10.1016/j.ortho.2019.08.009
pubmed: 31494086
Moorrees CFA, Fanning EA, Hunt EH (1963) Age variation of formation stages for ten permanent teeth. J Dent Res 42(6):1490–1502. https://doi.org/10.1177/00220345630420062701
doi: 10.1177/00220345630420062701
pubmed: 14081973
Mourelle R, Barberia E, Gallardo N et al (2008) Correlation between dental maturation and bone growth markers in paediatric patients. Eur J Paediatr Dent 9(1):23–29
pubmed: 18380527
Must A, Phillips SM, Tybor DJ et al (2012) The association between childhood obesity and tooth eruption. Obesity (Silver Spring) 20(10):2070–2074. https://doi.org/10.1038/oby.2012.23
doi: 10.1038/oby.2012.23
Nötzel F, Schultz C (2008) Leitfaden der kieferorthopädischen Diagnostik. Analysen und Tabellen für die Praxis, 2nd edn. Deutscher Ärzteverlag, Köln
doi: 10.47420/9783769137194
O’Reilly MT, Yanniello GJ (1988) Mandibular growth changes and maturation of cervical vertebrae. a longitudinal cephalometric study. Angle Orthod 58(2):179–184. https://doi.org/10.1043/0003-3219(1988)058〈0179:MGCAMO〉2.0.CO;2
pubmed: 3164596
Panagiotidis G, Witt E (1977) Der individualisierte ANB-Winkel. Wesentliche Teile dieser Arbeit sind der med. Diss. von G. Panagiotidis, Würzburg 1976, entnommen. Fortschr Kieferorthop 38:408–416. https://doi.org/10.1007/BF02163219
doi: 10.1007/BF02163219
Pancherz H, Szyska M (2000) Analyse der Halswirbelkörper statt der Handknochen zur Bestimmung der skelettalen und somatischen Reife. Eine Reliabilitäts- und Validitätsuntersuchung. IOK 32(2):151–161. https://doi.org/10.1055/s-2000-4447
doi: 10.1055/s-2000-4447
Psoter W, Gebrian B, Prophete S et al (2008) Effect of early childhood malnutrition on tooth eruption in Haitian adolescents. Community Dent Oral Epidemiol 36(2):179–189. https://doi.org/10.1111/j.1600-0528.2007.00386.x
doi: 10.1111/j.1600-0528.2007.00386.x
pubmed: 18333882
Qureshi T, Duggal R, Chaudhari PK (2021) Correlation between chronological age and skeletal maturity in different malocclusions: a retrospective study. Int Orthod 19(3):453–461. https://doi.org/10.1016/j.ortho.2021.06.007
doi: 10.1016/j.ortho.2021.06.007
pubmed: 34301509
Rózyło-Kalinowska I, Kiworkowa-Raczkowska E, Kalinowski P (2008) Dental age in central Poland. Forensic Sci Int 174(2):207–216. https://doi.org/10.1016/j.forsciint.2007.04.219
doi: 10.1016/j.forsciint.2007.04.219
pubmed: 17540524
Różyło-Kalinowska I, Kolasa—Rączka A, Kalinowski P (2011) Relationship between dental age according to Demirjian and cervical vertebrae maturity in Polish children. Eur J Orthod 33(1):75–83. https://doi.org/10.1093/ejo/cjq031
doi: 10.1093/ejo/cjq031
pubmed: 20558591
Schopf P (1984) Die Bedeutung des skelettalen und dentalen alters fur die auswald des kieferorthopadischen behandlungssystems. Am J Orthod 45(1):24–32. https://doi.org/10.1016/S0002-9416(84)90049-6
doi: 10.1016/S0002-9416(84)90049-6
Schopf PM (1970) Wurzelmineralisation und Zahndurchbruch im Wechselgebiss. Eine Studie an Panorama-Röntgenbildern (Root calcification and tooth eruption in the mixed dentition. A study in panoramic x‑rays). Fortschr Kieferorthop 31(1):39–56. https://doi.org/10.1007/BF02024849
doi: 10.1007/BF02024849
pubmed: 5273918
Schour I, Massler M (1940) Studies in tooth development: the growth pattern of human teeth part II. J Am Dent Assoc 27(12):1918–1931. https://doi.org/10.14219/jada.archive.1940.0367
doi: 10.14219/jada.archive.1940.0367
Schour I, Massler M (1941) The development of the human dentition. J Am Dent Assoc 28:1153–1160
Segner D (1989) Floating norms as a means to describe individual skeletal patterns. Eur J Orthod 11:214–220. https://doi.org/10.1093/oxfordjournals.ejo.a035988
doi: 10.1093/oxfordjournals.ejo.a035988
pubmed: 2676569
Urzel V, Bruzek J (2013) Dental age assessment in children: a comparison of four methods in a recent French population. J Forensic Sci 58(5):1341–1347. https://doi.org/10.1111/1556-4029.12221
doi: 10.1111/1556-4029.12221
pubmed: 23822870
Vucic S, Dhamo B, Jaddoe VWV et al (2019) Dental development and craniofacial morphology in school-age children. Am J Orthod Dentofacial Orthop 156(2):229–237.e4. https://doi.org/10.1016/j.ajodo.2018.09.014
doi: 10.1016/j.ajodo.2018.09.014
pubmed: 31375233
Watanabe M, Yamaguchi T, Maki K (2010) Cervical vertebra morphology in different skeletal classes. A three-dimensional computed tomography evaluation. Angle Orthod 80(4):531–536. https://doi.org/10.2319/100609-557.1
doi: 10.2319/100609-557.1
pubmed: 20482359
Wong RWK, Alkhal HA, Rabie ABM (2009) Use of cervical vertebral maturation to determine skeletal age. Am J Orthod Dentofacial Orthop 136(4):484.e1–484.e6. https://doi.org/10.1016/j.ajodo.2007.08.033 (discussion 484–5)
doi: 10.1016/j.ajodo.2007.08.033