Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Comparison of Chronological Age and Estimated Age Obtained by Using Hand-Wrist and Panoramic Radiographic Data with Different Age Estimation Methods: A Cross-Sectional Study
El-Bilek ve Panoramik Radyografik Verilerle Farklı Yaş Tayini Metotları Kullanılarak Elde Edilen Tahmini Yaşın Kronolojik Yaşla Karşılaştırılması: Kesitsel Çalışma
Tuğçe Nur ŞAHİNa , İzzet YAVUZb
aDepartment of Pediatric Dentistry, Karamanoğlu Mehmetbey University Ahmet Keleşoğlu Faculty of Dentistry, Karaman, Türkiye
bDepartment of Pediatric Dentistry, Harran University Faculty of Dentistry, Şanlıurfa, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(1):74-82
doi: 10.5336/dentalsci.2023-99153
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study is to compare the alignment of estimated ages (EA) obtained using the Cameriere open apices method (COAM), Demirjian method (DM), Greulich & Pyle Atlas method (GPAM), and Cameriere hand-wrist method (CHWM) with the chronological ages (CA) of cases and determine which method provides the closest result to CA in the most practical way. Material and Methods: Orthopantomography and wrist X-rays of 287 cases aged 9- 14 years were used. The difference between CA and EA obtained by COAM, CHWM, DM and GPAM methods and dental age (DA), bone age (BA) were evaluated. We employed Shapiro-Wilk's, KolmogorovSmirnov, Mann-Whitney U, Kruskal-Wallis H, and Wilcoxon tests, along with the Kappa coefficient, considering p<0.05 as significant. Results: In males, the CA-EA difference was found to be underestimated by 0.74 and 0.01 years for COAM and GPAM, and overestimated by 0.65 and 0.32 years for DM and CHWM, respectively. In females, this difference was underestimated by 0.61 years for COAM and overestimated by 0.64, 0.85, and 0.43 years for DM, CHWM, and GPAM, respectively (p<0.005). Conclusion: GPAM was found to be the closest to CA and the most practical method. When determining age, it's crucial to consider both DA and BA together. Using the evaluated methods for age estimation after necessary modifications are made seems appropriate.

Keywords: Age determination by teeth; age determination by skeleton; tooth; bone development
ÖZET
 Amaç: Çalışmanın amacı, Cameriere açık apeks yöntemi [Cameriere open apices method (COAM)], Demirjian yöntemi [Demirjian method (DM)], Greulich & Pyle Atlas yöntemi [Greulich & Pyle Atlas method (GPAM)] ve Cameriere el-bilek yöntemi [Cameriere handwrist method (CHWM)] kullanılarak elde edilen tahmini yaşların [estimated ages (EA)] vakaların kronolojik yaşları [chronological ages (CA)] ile karşılaştırılmasıyla hangi yöntemin CA'ya en yakın sonucu en pratik şekilde sağladığını tespit etmektir. Gereç ve Yöntemler: Çalışmada yaşları 9-14 arasında değişen 287 olgunun ortopantomografisi ve el-bilek röntgeni kullanıldı. CA ile COAM, CHWM, DM ve GPAM kullanılarak elde edilen EA ve CA ile diş yaşı [dental age (DA)] ve kemik yaşı [bone age (BA)] farkları değerlendirildi. p<0,05'i anlamlı kabul ederek Shapiro-Wilk, Kolmogorov-Smirnov, Mann-Whitney U, Kruskal-Wallis H ve Wilcoxon testleri ve Kappa katsayısı istatistiksel değerlendirme amacıyla kullanıldı. Bulgular: Erkeklerde CA-EA farkının COAM ve GPAM için 0,74 ve 0,01 yıl eksik tahmin edildiği, DM ve CHWM için ise sırasıyla 0,65 ve 0,32 yıl fazla tahmin edildiği görüldü. Kadınlarda bu fark COAM için 0,61 yıl eksik, DM, CHWM ve GPAM için ise sırasıyla 0,64, 0,85 ve 0,43 yıl fazla tahmin edilmiştir (p<0,005). Sonuç: GPAM'nin CA'ya en yakın sonucu veren, en pratik yöntem olduğu görüldü. Yaşı belirlerken hem DA hem de BA'yı birlikte düşünmek oldukça önemlidir. Çalışmada incelenmiş olan yöntemlerin gerekli modifikasyonlar yapıldıktan sonra yaş tahmini için kullanılmasının daha uygun olacağı düşünülmektedir.

Anahtar Kelimeler: Dişlerden yaş tayini; iskeletten yaş tayini; diş; kemik gelişimi
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