Age estimation in Indian children and adolescents in the NCR region of Haryana: A comparative study

Authors

  • Swati Gupta Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana
  • Monica Mehendiratta Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana
  • Shweta Rehani Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana
  • Madhumani Kumra Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana
  • Ruchi Nagpal Department of Public Health Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana
  • Ramakant Gupta Department of Oral and Maxillofacial Surgery, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana

DOI:

https://doi.org/10.4103/0975-1475.172453

Keywords:

Cervical Vertebrae Maturation Index, Demirjian’s method, dental age, Willems method

Abstract

Introduction: Age estimation is a preliminary step in the identification of an individual. It is a crucial and often most critical step for forensic experts. The assessment has been standardized utilizing common dental diagnostic x-rays, but most such age-estimating systems are European population-based and their applicability has not been determined in the context of the Indian population. Aims and Objectives: To assess the applicability and to compare the methods of dental age estimation by Demirjian′s method and the same method as modified by Willems (i.e. the Willems method) in Indian children of the National Capital Region (NCR). Also, to find a correlation among skeletal maturity using the Cervical vertebrae maturation index (CVMI), dental maturity, and chronological age in the same population. Materials and Methods: This cross-sectional study was conducted using dental radiographs of 70 orthodontic patients (37 males, 33 females) in the age range 9-16 years selected by simple random sampling. pantomogram were used to estimate dental age by Demirjian′s method and the Willems method using their scoring tables. Lateral cephalograms were used to estimate skeletal maturity using CVMI. The latter was compared with Demirjian′s stage for mandibular left second molar. Results: Overestimation of age among males by 0.856 years and 0.496 years was found by Demirjian′s and the Willems methods, respectively. Among females, both the methods underestimated the age by 0.31 years and 0.45 years, respectively. Demirjian′s stage G corresponded to CVMI stage 3 in males and stage 2 in females. Conclusion: In our study, the Willems method has proved to be more accurate for age estimation among Indian males, and Demirjian′s method for Indian females. A statistically significant association appeared between Demirjian′s stages and CVMI among both males and females. Our study recommends the derivation of a regression formula by studying a larger section of the Indian population instead of applying the European system of age estimation directly to the Indian scenario.

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References

Bean RB. Eruption of teeth as physiological standard for testing development. Pedagog Sem. 1914;21:620.

Beik AK. Physiological Age School Entrance.Vol 20.California: Pedagogical Seminary; 1913. p. 277‑321.

Kamalanathan GS, Hauck HM. Dental development of children in a Siamese Village, Bang Chan, 1953.J Dent Res 1960;39:455‑61.

Logan WH, Kronfeld R. Development of the human jaws and surrounding structures from birth to the age of fifteen years. J Am Dent Assoc. 1933;20:379‑427.

Schour I, Massler M. Studies in tooth development: The growth pattern of human teeth, part II. J Am Dent Assoc. 1940;27:1918‑31.

Hurme VO. Ranges of normalcy in the eruption of permanent teeth. J Dent Child. 1949;16:11‑5.

Climents EM, Davies‑Thomas E, Pickett KG. Time of erruption of permanent teeth in British children at independent, rural, and urban schools. Br Med J. 1957;1:1511‑3.

Nanda RS. Eruption of human teeth. Am J Orthod. 1960;46:363‑78.

Steggerda M, Hill TJ. Eruption time of teeth among whites Negroes, and Indians. Am J Orthod. 1942;28:361‑70.

Stones HH, Lawton FE, Brancy ER, Hartley HO. Time of eruption of permanent teeth and time of shedding of deciduous teeth. Br Dent J 1951;90:1‑7.

Brauer JC, Bahador MA. Variations in calcification and erruption of the deciduous and permanent teeth. J Am Dent Assoc 1942;29:1373‑87.

Gran SM, Lewis AB. Relationship between the sequence of calcification and the sequence of erruption of mandibular molar and premolar teeth. J Dent Res 1957;36:992‑5.

Gleiser I, Hunt EE Jr. The permanent mandibular first molar: Its calcification, erruption and decay. Am J Phys Anthrop 1957;13:253‑82.

Gron AM. Prediction of tooth emergence. J Dent Res 1962;41:573‑85.

Haavikko K. The formation and the alveolar and clinical erruption of the permanent teeth. An orthopantomographic study. Suom Hammaslaak Toim 1970;66:103‑70.

Shumaker DB, Hadry MS. Roentgenographic study of erruption. J Am Dent Assoc 1960;61:535‑41.

Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol 1973;45:211‑27.

Willems G, Van Olmen A, Spiessens B, Carels C. Dental age estimation in Belgian children: Demirjian technique revisited. J Forensic Sci 2001;46:893‑5.

Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 1995;107:58‑66.

Hagg U, Matsson L. Dental maturity as an indicator of chronological age: The accuracy and precision of three methods. Eur J Orthod 1985;7:25‑34.

Liversidge HM, Speechly T, Hector MP. Dental maturation in British children: Are Demirjians standards applicable? Int J Paediatr Dent 1999;9:263‑9.

Eid RM, Simi R, Friggi MN, Fisberg M. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian’s method. Int J Paediatr Dent 2002;12:423‑8.

Leurs IH, Wattel E, Aartman IH, Etty E, Prahl‑ Andersen B. Dental age in Dutch children. Eur J Orthod 2005;27:309‑14.

Mani SA, Naing L, John J, Samsudin AR. Comparison of two methods of dental age estimation in 7‑15 year old Malays. Int J Paediatr 2008;18:380‑8.

Maber M, Liversidge HM, Hector MP. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int 2006;159 (Suppl 1):S68‑73.

Krailassiri S, Anuwongnukron N, Dechkunakorn S. Relationship between dental calcification stages and skeletal maturity indicators in Thai individuals. Angle Orthod 2012;72:155‑66.

Uysal T, San Z, Ramoglu St, Basciftci FA. Relationships between dental and skeletal maturity in Turkish subjects. Angle Orthod 2004;74:657‑64.

Mappes MS, Harris EF, Behrents RG. An example of regional variation in the tempos of tooth mineralization and hand‑wrist ossification. Am J Orthop Dentofacial Orthop1992;101:145‑51.

Chertkow S. Tooth mineralization as an indication of the pubertal growth spurt. Am J Orthod 1980;77:79‑91.

Lewis AB. Garn SM. The relationship between tooth formation and other maturational factors. Angle Orthod 1960;30:70‑7.

Garn SM, Lewis AB, Bonne B. Third molar formation and its development course. Angle Orthod 1962;32:270‑9.

Cho SM, Hwang CJ. Skeletal maturation evaluation using mandibular third molar development in adolescents. Korean J Orthod 2009;39:120‑9.

Kumar S, Singla A, Sharma R, Virdi MS, Anupam A, Mittal B. Skeletal maturation evaluation using mandibular second molar calcification stages. Angle Orthod 2012;82:501‑6.

Mittal S, Singla A, Virdi M, Sharma R, Mittal B. Co‑relation between determination of skeletal maturation using cervical vertebrae and dental calcification stages. Internet J Forensic Sci 2009;4 (2) Available from: https://www.ispub.com/IJFS/4/2/5855. [Last accessed on 2015 Sep 11].

Rai B. Relationship of dental and skeletal radiograph: Maturity indicator. Internet J Biol Anthropol 2007;2 (1) Available from: https://www.ispub.com/IJBA/2/1/9842. [Last accessed on 2015 Sep 11].

Rai B, Anand S. Relationship of hand wrist and panoramic radiographs. Internet J Forensic Sci 2007;3:(1) Available from: https:// www.ispub.com/IJFS/3/1/6562.[Last accessed on 2015 Sep 11].

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Published

2015-12-01

How to Cite

Swati Gupta, Monica Mehendiratta, Shweta Rehani, Madhumani Kumra, Ruchi Nagpal, & Ramakant Gupta. (2015). Age estimation in Indian children and adolescents in the NCR region of Haryana: A comparative study. Journal of Forensic Dental Sciences, 7(3), 253–258. https://doi.org/10.4103/0975-1475.172453