›› 2013, Vol. 4 ›› Issue (2): 83-86.

• 论著 • 上一篇    下一篇

Demirjian法在推断南京地区儿童自然年龄中的应用

李虎1,朱玲1,孙超2,袁佳璐1,李玲1,芮丹3   

  1. 1. 南京医科大学附属口腔医院
    2. 南京医科大学口腔医学研究所
    3. 南通市口腔医院
  • 收稿日期:2013-03-12 修回日期:2013-05-21 出版日期:2013-06-25 发布日期:2013-06-26
  • 通讯作者: 朱玲 E-mail:lingzhu32@hotmail.com
  • 基金资助:
    江苏高校优势学科建设工程资助项目

Application of Demirjian method in the inference of children’s natural age in Nanjing area

  • Received:2013-03-12 Revised:2013-05-21 Online:2013-06-25 Published:2013-06-26

摘要: 目的:研究Demirjian法(下文简称“D法”)推断南京地区儿童自然年龄的适用性。方法:收集南京医科大学附属口腔医院符合纳入标准的年龄在3~16岁患者的全口曲面断层片共644例,其中男性378例,女性266例。按照D法进行牙龄推断,所得牙龄与自然年龄进行配对t检验,通过建立单因素数学模型探索两者之间的对应关系。结果:直接运用D法对南京地区儿童进行牙龄推断,所得出的结果与实际年龄相比,差异有统计学意义(P<0.01)。建立南京地区儿童牙齿成熟度与自然年龄间的数学模型,得到自然年龄与牙总成熟度的拟合曲线方程:男子组为Y=43.37SIN(0.02579X-1.138)+30.6SIN(0.04275X+0.9984)+3.019SIN(0.08706X+1.649),女子组为Y=55.93SIN(0.04001X-1.642)+90.97SIN(0.05389X+0.7095)+44.25SIN(0.06254X+3.384)。将其推断的年龄与实际自然年龄比较,两者间的差异无统计学意义(P>0.05)。结论:本研究通过建立儿童牙齿成熟度与自然年龄间的数学模型,可以利用牙齿发育程度较为准确推断南京地区3~16岁儿童的自然年龄。

Abstract: Objective:To study the applicability of Demirjian’s method for age estimation in children of Nanjing.Methods: 644 panoramic radiographs(378 boys and 266 girls) which were collected from the stomatological Hospital of Jiangsu Province were involved in this study with chronological age from 3 to 16 years. Paired t-test was performed between the chronological age and the age determined by Demirjian’s method. Single-factor model was used to explore the relationships of the two kinds of age. Results:For the marked difference between the chronological age and determined age(P<0.01),Demirjian’s method was not suitable to the children in Nanjing. We set up the mathematical model between tooth maturity and natural age of children in Nanjing, then got the curve-fitting equation. For boys: Y=43.37*Sin(0.02579X-1.138)+30.6*SIN(0.04275X+0.9984)+3.019*SIN(0.08706X+1.649), and for girls: Y=55.93*SIN(0.04001X-1.642)+90.97*SIN(0.05389X+0.7095)+44.25*SIN(0.06254X+3.384).The Results of paired t-test between chronological age and predicted age from quadratic equation showed that there was no significant difference in boys and girls(P>0.05). Conclusions:Through the establishment of mathematical model between tooth maturity and natural age in this study, we can determine the natural age from 3 to 16 in Nanjing children more accurately by utilizing tooth maturity.