Dental age assessment among Tunisian children using the Demirjian method

##plugins.themes.academic_pro.article.main##

Abir Aissaoui
Nidhal Salem
Meryam Mougou
Fethi Maatouk
Ali Chadly

Abstract

Context: Since Demirjian system of estimating dental maturity was first described, many researchers from different countries have tested its accuracy among diverse populations. Some of these studies have pointed out a need to determine population-specific standards. Aim: The aim of this study is to evaluate the suitability of the Demirjian's method for dental age assessment in Tunisian children. Materials and Methods: This is a prospective study previously approved by the Research Ethics Local Committee of the University Hospital Fattouma Bourguiba of Monastir (Tunisia). Panoramic radiographs of 280 healthy Tunisian children of age 2.8–16.5 years were examined with Demirjian method and scored by three trained observers. Statistical Analysis Used: Dental age was compared to chronological age by using the analysis of variance (ANOVA) test. Cohen's Kappa test was performed to calculate the intra- and inter-examiner agreements. Results: Underestimation was seen in children aged between 9 and 16 years and the range of accuracy varied from −0.02 to 3 years. The advancement in dental age as determined by Demirjian system when compared to chronological age ranged from 0.3 to 1.32 year for young males and from 0.26 to 1.37 year for young females (age ranged from 3 to 8 years). Conclusions: The standards provided by Demirjian for French-Canadian children may not be suitable for Tunisian children. Each population of children may need their own specific standard for an accurate estimation of chronological age.

##plugins.themes.academic_pro.article.details##

How to Cite
Abir Aissaoui, Nidhal Salem, Meryam Mougou, Fethi Maatouk, & Ali Chadly. (2016). Dental age assessment among Tunisian children using the Demirjian method. Journal of Forensic Dental Sciences, 8(1), 47–51. https://doi.org/10.4103/0975-1475.176956

References

  1. Lee SS, Kim D, Lee S, Lee UY, Seo JS, Ahn YW, et al. Validity of Demirjian’s and modified Demirjian’s methods in age estimation for Korean juveniles and adolescents. Forensic Sci Int 2011;211:41-6.
  2. Tunc ES, Koyuturk AE. Dental age assessment using Demirjian’s method on northern Turkish children. Forensic Sci Int 2008;175:23-6.
  3. Maber M, Liversidge HM, Hector MP. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int 2006;159: S68-73.
  4. Lewis AB, Garn SM. The relationship between tooth formation and other maturational factors. Angle Orthod 1960;30:70-7.
  5. Demirjian A, Buschang PH, Tanguay R, Patterson DP. Interrelationships among measures of somatic, skeletal, dental and sexual maturity. Am J Orthod 1985;88:433-8.
  6. Chen JW, Guo J, Zhou J, Liu RK, Chen TT, Zou SJ. Assessment of dental maturity of western Chinese children using Demirjian’s method. Forensic Sci Int 2010;197:1-4.
  7. Liversidg HM. Interpreting group differences using Demirjian’s dental maturity method. Forensic Sci Int 2010;201:95-101.
  8. Germano Maia MC, Almeida Martins MG, Germano FA, Branda Neto J, Bruno da Silva CA. Demirjian’s system for estimating the dental age of northeastern Brazilian children. Forensic Sci Int 2010;200:1-4.
  9. Nik-Hussein N, Kee KM, Gan P. Validity of Demirjian and Willems methods for dental age estimation for Malaysian children aged 5–15 years old. Forensic Sci. Int 2011;204:1-6.
  10. Acharaya AB. Age estimation in Indian Using Demirjian’s 8-teeth Method. J Forensic Sci 2011;56:124-7.
  11. Bagherpour A, Imanimoghaddam M, Bagherpour MR, EinolghozatiM. Dental age assessment among Iranian children aged 6–13 years using the Demirjian method. Forensic Sci Int 2010;197:121-4.
  12. Koshy S, Tandon S. Dental age assessment: The applicability of Demirjian’s method in South Indian children. Forensic Sci Int 1998;94:73-85.
  13. Bhat VJ, Kamath GP. Age estimation from root development of mandibular third molars in comparison with skeletal age of wrist joint. Am J Forensic Med Pathol 2007;28:238-41.
  14. Liversidge HM, Speechly T, Hector MP. Dental maturation in British children: Are Demirjian’s standards applicable? Int J Paediatric Dent 1999;9:263-9.
  15. Willems G, Van Olmen A, Spiessens B, Carels C. Dental age estimation in Belgian children: Demirjian’s technique revisited. J Forensic Sci 2001;46:893-5.
  16. Chaillet N, Nystrom M, Demirjian A. Comparison of dental maturity in children of different ethnic origins: International maturity curves for clinicians. J. Forensic Sci 2005;50:1164-74.
  17. Leurs IH, Wattel E, Aartman IH, Etty E, Prahl-Andersen B. Dental age in Dutch children.Eur J Orthod 2005;27:309-14.
  18. Kalinowska IR, Raczkowska EK, Kalinowski P. Dental age in Central Poland. Forensic Sci Int 2008;174:207-16.
  19. Al-Emran S. Dental age assessment of 8.5 to 17 year-old Saudi children using Demirjian’s method. J Contemp Dent Pract 2008;9:64-71.
  20. Hagg U, Matson L. Dental maturity as an indicator of chronological age: the accuracy and precision of three methods. Eur J Orthodont 1985;7:25-34.
  21. Hilgers KK, Akridge M, Scheetz JP, Kinane DE. Childhood obesity and dental development, Pediatr Dent 2001;28:18-22.

Similar Articles

You may also start an advanced similarity search for this article.