›› 2016, Vol. 7 ›› Issue (1): 34-37.

• 论著 • 上一篇    下一篇

三种方法在南京地区儿童牙龄评估中的准确性

孟姗1,孙超2,李玲1,朱玲1   

  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
  • 收稿日期:2015-09-08 修回日期:2016-03-08 出版日期:2016-03-25 发布日期:2016-04-06
  • 通讯作者: 朱玲 E-mail:lingzhu32@hotmail.com

Accuracy of Three Dental Age Estimation Methods in Ningjing Children

  • Received:2015-09-08 Revised:2016-03-08 Online:2016-03-25 Published:2016-04-06

摘要: 目的:研究Demirjian、Willems、Haavikko三种方法评估南京地区儿童自然年龄的适用性和准确性。方法:本研究共纳入符合要求的南京市儿童全口曲面断层片450张(男性263张,女性187张),按照三种牙龄分期方法对左下颌7颗恒牙进行判读,查表得出牙龄,将所得牙龄与自然年龄进行配对t检验。结果:在评估南京地区儿童牙龄时Demirjian法平均高估0.50岁(男0.48岁、女0.53岁);Willems法平均高估0.02岁(男0.09岁、女-0.07岁);Haavikko法平均低估0.85岁(男0.87岁、女0.82岁);Haavikko第一磨牙法平均低估0.42岁(男性0.45岁、女性0.36岁);Haavikko中切牙法平均低估0.65岁(男0.66岁,女0.61岁)。结论:Willems法在评估南京地区儿童年龄时最为准确,其次为Demirjian法,Haavikko法准确性较差;应用Haavikko法单个牙齿进行牙龄评估时,第一磨牙、中切牙最为准确,并且其准确性高于原始Haavikko法。

Abstract: Objective: To assess the applicability and accuracy of Demirjian, Willems, Haavikko methods in estimating the dental age of Nanjing children. Methods: A total of 450 panoramic radiographs (263 males and 187 females) of Nanjing children were collected for the study on the basis of predetermined inclusion and exclusion criteria. Dental age was calculated using Demirjian, Willems, and Haavikko methods and the difference between estimated dental age and chronological age were compared with paired t-test. Results: Demirjian method overestimated age 0.50 years(boys 0.48 and girls 0.53); Willems method overestimated 0.02 years(boys 0.09 and girls 0.07); Haavikko method underestimated 0.85 years(boys 0.87 and girls 0.82). For individual tooth using Haavikko’s method, the first molar method underestimated 0.42 years(boys 0.45 and girls 0.36);the center incisor underestimated 0.65 years(boys 0.66 and girls 0.61). Conclusions: Willems’s method was more accurate in estimating dental age compared to other methods. It is followed by Demirjian and Haavikko method; for individual tooth using Haavikko’s method, first molar and central incisor were more accurate than the mean value of all developing teeth.

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