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INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY

Yıl 2021, Cilt: 31 Sayı: 2, 196 - 201, 15.04.2021
https://doi.org/10.17567/ataunidfd.895870

Öz

Objective: The aim of this study was to assess dental and skeletal development in obese and normal-weight pediatric patients.
Materials and Methods: A sample of 65 patients (33 boys, 32 girls aged between 9 and 15) was selected. Dental panoramic radiographies were used for determining the dental age. Dental age was evaluated using the Demirjian Method scoring system. Skeletal age was measured by hand wrist radiographies using Greulich and Pyle method. The data were analyzed by Mann-Whitney U and Independent t-tests.
Results: There was no statistically significant difference between the obese and normal-weight groups in terms of dental age (P> 0.05). Skeletal age was significantly increased in obese boys (P <0.05); however, there was no significant difference in girls(P> 0.05).
Conclusions: Paediatric dentists should consider body mass index percentile when assessing growing children because it can affect dental and skeletal development.
Keywords: Dental Age, Skeletal Age, Obesity, Panoramic Radiography

Obez ve Normal Kilolu Çocuklarda Diş Yaşı ve İskelet Yaşının Araştırılması: Bir Arşiv çalışması
Amaç: Bu çalışmanın amacı,obez ve normal kilolu çocuk hastalarda, diş ve iskelet gelişimini değerlendirmektir.
Gereç ve Yöntem: 65 hastadan (9 -15 yaşları arasında, 33 oğlan, 32 kız) oluşan bir örneklem seçildi. Diş yaşını belirlemek için panoramic radyografiler kullanıldı. Diş yaşı Demirjian yöntemi puanlama sistemi kullanılarak değerlendirildi. İskelet yaşı Greulich ve Pyle yöntemi kullanılarak el bileği radyografisi ile ölçüldü. Veriler Mann- Whitney U ve Independent t-testleri tarafından analiz edildi.
Bulgular: Diş yaşı açısından obez ve normal kilolu gruplar arasında istatistiksel olarak anlamlı farklılık yoktur. (p> 0.05)
Sonuç: Çocuk diş hekimleri, diş ve iskelet sisteminin gelişimi etkilenebileceğinden, çocukların büyümesini değerlendirirken vücut kitle indeksi yüzdeliğini göz önünde bulundurmalıdır.

Kaynakça

  • 1. Eid RM, Simi R, Friggi MN, and Fisberg M. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian's method. Int J Paediatr Dent 2020; 12:423-428.
  • 2. Lee SS, Kim D, Lee S, Lee UY, Seo JS, Ahn YW, and Han SH. Validity of Demirjian's and modified Demirjian's methods in age estimation for Korean juveniles and adolescents. Forensic science international 2011; 211: 41-46.
  • 3. Liversidge H. Interpreting group differences using Demirjian's dental maturity method. Forensic science international 2010; 201: 95-101.
  • 4. Nolla CM. The development of permanent teeth. University of Michigan; 1952.
  • 5. Demirjian A, Goldstein H, and Tanner J. A new system of dental age assessment, Human biology 1972: 211-227.
  • 6. Fanning, EA. Effect of extraction of deciduous molars on the formation and eruption of their successors. The Angle Orthodontist 1962; 32: 44-53.
  • 7. Greulich WW, Pyle SI, and Todd TW. Radiographic atlas of skeletal development of the hand and wrist. Stanford university press Stanford 1952; Vol. 2.
  • 8. Flegal KM. Epidemiologic aspects of overweight and obesity in the United States. Physiology & behavior 2005:86; 599-602.
  • 9. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman, RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, and Pivarnik, JM. Evidence based physical activity for school-age youth. The Journal of pediatrics 146; 732-737.
  • 10. KILIÇ MÇ, GÜRBÜZ T, and ÇAYIR A. Çocuk diş hekimliğinde obezite. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2015; 26:109-114.
  • 11. Öhrm K, Al-Kahlili B, Huggare, J., Forsberg, C.-M., Marcus, C., and Dahllöf, G. Craniofacial morphology in obese adolescents, Acta Odontologica Scandinavica 2002: 60; 193-197.
  • 12. Kuczmarski, RJ. 2000 CDC growth charts for the United States; methods and development 2002.
  • 13. Fishman LS. Radiographic evaluation of skeletal maturation: a clinically oriented method based on hand-wrist films. The Angle Orthodontist 1982; 52:88-112.
  • 14. Guo S, Huang C, Maynard L, Demerath E, Towne B, Chumlea WC, and Siervogel R. Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. International journal of obesity 2000; 24:1628.
  • 15. Kopelman PG. Obesity as a medical problem. Nature 2000; 404: 635.
  • 16. Akridge M, Hilgers KK, Silveira AM, Scarfe W, Scheetz JP, and Kinane DF. Childhood obesity and skeletal maturation assessed with Fishman’s hand-wrist analysis. American Journal of Orthodontics and Dentofacial Orthopedics 2007; 132: 185-190.
  • 17. Ogden CL, Carroll MD, Curtin LR, Lamb MM, and Flegal KM. Prevalence of high body mass index in US children and adolescents 2007-2008. Jama 2010;303: 242-249.
  • 18. Gaur R, Boparai G, and Saini K. Effect of under-nutrition on permanent tooth emergence among Rajputs of Himachal Pradesh, India. Annals of human biology 2011; 38: 84-92.
  • 19. Villareal DT, Apovian CM, Kushner RF, and Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity research 2005; 13: 1849-1863.
  • 20. De Laet C, Kanis J, Odén A, Johanson H, Johnell O, Delmas P, Eisman J, Kroger H, Fujiwara S, and Garnero P. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporosis international 2005;16: 1330-1338.
  • 21. Kemp JP, Sayers A, Smith GD, Tobias JH, and Evans DM. Using Mendelian randomization to investigate a possible causal relationship between adiposity and increased bone mineral density at different skeletal sites in children. International journal of epidemiology 2016; 45, 1560-1572.
  • 22. Nava-González EJ, Cerda-Flores RM, García-Hernández PA, Jasso-de la Peña GA, Bastarrachea RA, and Gallegos-Cabriales EC. (2015) Densidad mineral ósea y su asociación con la composición corporal y biomarcadores metabólicos del eje insulino-glucosa, hueso y tejido adiposo en mujeres, Gaceta Médica de México 151, 731-740.
  • 23. Longhi S, Pasquino B, Calcagno A, Bertelli E, Olivieri I, Di Iorgi N, and Radetti G. Small metacarpal bones of low quality in obese children. Clinical endocrinology 2013; 78: 79-85.
  • 24. Shapses SA, and Sukumar D. Bone metabolism in obesity and weight loss. Annual review of nutrition 2012; 32: 287-309.
  • 25. Leonard MB, Shults J, Wilson BA, Tershakovec AM, and Zemel BS. Obesity during childhood and adolescence augments bone mass and bone dimensions. The American journal of clinical nutrition 2004; 80:514-523.
  • 26. Tomás LF, Mónico LS, Tomás I, Varela-Patiño P, and Martin-Biedma B. The accuracy of estimating chronological age from Demirjian and Nolla methods in a Portuguese and Spanish sample. BMC oral health 2014;14: 160.
  • 27. Krailassiri S, Anuwongnukroh N, and Dechkunakorn S. Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals. The Angle Orthodontist 2002: 72; 155-166.
  • 28. Nik-Hussein NN, Kee KM, and Gan P. Validity of Demirjian and Willems methods for dental age estimation for Malaysian children aged 5–15 years old. Forensic science international 2011; 204: 208. e201-208. e206.
  • 29. Uysal T, Sari Z, Ramoglu SI, and Basciftci FA. Relationships between dental and skeletal maturity in Turkish subjects, The Angle Orthodontist 2004: 74; 657-664.
  • 30. Antunovic, M., Galic, I., Zelic, K., Nedeljkovic, N., Lazic, E., Djuric, M., and Cameriere, R. The third molars for indicating legal adult age in Montenegro. Legal Medicine 2018:33; 55-61.
  • 31. Cericato GO, Bittencourt M, and Paranhos L. Validity of the assessment method of skeletal maturation by cervical vertebrae: a systematic review and meta-analysis. Dentomaxillofacial Radiology 2015:44; 20140270.
  • 32. Predko-Engel A, Kaminek M, Langova K, Kowalski P, and Fudalej P. Reliability of the cervical vertebrae maturation (CVM) method. Bratislavské lekárske listy 2015: 116; 222-226.
  • 33. Gulsahi A, Çehreli SB, Galić I, Ferrante L, and Cameriere R. Age estimation in Turkish children and young adolescents using fourth cervical vertebra. International journal of legal medicine 2020: 1-7.
  • 34. Flores-Mir C, Nebbe B, and Major PW. Use of skeletal maturation based on hand-wrist radiographic analysis as a predictor of facial growth: a systematic review. The Angle Orthodontist 2004:74; 118-124.

INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY

Yıl 2021, Cilt: 31 Sayı: 2, 196 - 201, 15.04.2021
https://doi.org/10.17567/ataunidfd.895870

Öz

Aim: The aim of this study was to assess dental and skeletal development in obese and normal-weight pediatric patients.
Materials and Methods: A sample of 65 patients (33 boys, 32 girls aged between 9 and 15) was selected. Dental panoramic radiographies were used for determining the dental age. Dental age was evaluated using the Demirjian Method scoring system. Skeletal age was measured by hand wrist radiographies using Greulich and Pyle method. The data were analyzed by Mann-Whitney U and Independent t-tests.
Results: There was no statistically significant difference between the obese and normal-weight groups in terms of dental age (P> 0.05). Skeletal age was significantly increased in obese boys (P <0.05); however, there was no significant difference in girls(P> 0.05).
Conclusions: Paediatric dentists should consider body mass index percentile when assessing growing children because it can affect dental and skeletal development.
Keywords: Dental Age, Skeletal Age, Obesity, Panoramic Radiography

Obez ve Normal Kilolu Çocuklarda Diş Yaşı ve İskelet Yaşının Araştırılması: Bir Arşiv çalışması
Amaç: Bu çalışmanın amacı,obez ve normal kilolu çocuk hastalarda, diş ve iskelet gelişimini değerlendirmektir.
Gereç ve Yöntem: 65 hastadan (9 -15 yaşları arasında, 33 oğlan, 32 kız) oluşan bir örneklem seçildi. Diş yaşını belirlemek için panoramic radyografiler kullanıldı. Diş yaşı Demirjian yöntemi puanlama sistemi kullanılarak değerlendirildi. İskelet yaşı Greulich ve Pyle yöntemi kullanılarak el bileği radyografisi ile ölçüldü. Veriler Mann- Whitney U ve Independent t-testleri tarafından analiz edildi.
Bulgular: Diş yaşı açısından obez ve normal kilolu gruplar arasında istatistiksel olarak anlamlı farklılık yoktur. (p> 0.05)
Sonuç: Çocuk diş hekimleri, diş ve iskelet sisteminin gelişimi etkilenebileceğinden, çocukların büyümesini değerlendirirken vücut kitle indeksi yüzdeliğini göz önünde bulundurmalıdır.

Kaynakça

  • 1. Eid RM, Simi R, Friggi MN, and Fisberg M. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian's method. Int J Paediatr Dent 2020; 12:423-428.
  • 2. Lee SS, Kim D, Lee S, Lee UY, Seo JS, Ahn YW, and Han SH. Validity of Demirjian's and modified Demirjian's methods in age estimation for Korean juveniles and adolescents. Forensic science international 2011; 211: 41-46.
  • 3. Liversidge H. Interpreting group differences using Demirjian's dental maturity method. Forensic science international 2010; 201: 95-101.
  • 4. Nolla CM. The development of permanent teeth. University of Michigan; 1952.
  • 5. Demirjian A, Goldstein H, and Tanner J. A new system of dental age assessment, Human biology 1972: 211-227.
  • 6. Fanning, EA. Effect of extraction of deciduous molars on the formation and eruption of their successors. The Angle Orthodontist 1962; 32: 44-53.
  • 7. Greulich WW, Pyle SI, and Todd TW. Radiographic atlas of skeletal development of the hand and wrist. Stanford university press Stanford 1952; Vol. 2.
  • 8. Flegal KM. Epidemiologic aspects of overweight and obesity in the United States. Physiology & behavior 2005:86; 599-602.
  • 9. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman, RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, and Pivarnik, JM. Evidence based physical activity for school-age youth. The Journal of pediatrics 146; 732-737.
  • 10. KILIÇ MÇ, GÜRBÜZ T, and ÇAYIR A. Çocuk diş hekimliğinde obezite. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2015; 26:109-114.
  • 11. Öhrm K, Al-Kahlili B, Huggare, J., Forsberg, C.-M., Marcus, C., and Dahllöf, G. Craniofacial morphology in obese adolescents, Acta Odontologica Scandinavica 2002: 60; 193-197.
  • 12. Kuczmarski, RJ. 2000 CDC growth charts for the United States; methods and development 2002.
  • 13. Fishman LS. Radiographic evaluation of skeletal maturation: a clinically oriented method based on hand-wrist films. The Angle Orthodontist 1982; 52:88-112.
  • 14. Guo S, Huang C, Maynard L, Demerath E, Towne B, Chumlea WC, and Siervogel R. Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. International journal of obesity 2000; 24:1628.
  • 15. Kopelman PG. Obesity as a medical problem. Nature 2000; 404: 635.
  • 16. Akridge M, Hilgers KK, Silveira AM, Scarfe W, Scheetz JP, and Kinane DF. Childhood obesity and skeletal maturation assessed with Fishman’s hand-wrist analysis. American Journal of Orthodontics and Dentofacial Orthopedics 2007; 132: 185-190.
  • 17. Ogden CL, Carroll MD, Curtin LR, Lamb MM, and Flegal KM. Prevalence of high body mass index in US children and adolescents 2007-2008. Jama 2010;303: 242-249.
  • 18. Gaur R, Boparai G, and Saini K. Effect of under-nutrition on permanent tooth emergence among Rajputs of Himachal Pradesh, India. Annals of human biology 2011; 38: 84-92.
  • 19. Villareal DT, Apovian CM, Kushner RF, and Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity research 2005; 13: 1849-1863.
  • 20. De Laet C, Kanis J, Odén A, Johanson H, Johnell O, Delmas P, Eisman J, Kroger H, Fujiwara S, and Garnero P. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporosis international 2005;16: 1330-1338.
  • 21. Kemp JP, Sayers A, Smith GD, Tobias JH, and Evans DM. Using Mendelian randomization to investigate a possible causal relationship between adiposity and increased bone mineral density at different skeletal sites in children. International journal of epidemiology 2016; 45, 1560-1572.
  • 22. Nava-González EJ, Cerda-Flores RM, García-Hernández PA, Jasso-de la Peña GA, Bastarrachea RA, and Gallegos-Cabriales EC. (2015) Densidad mineral ósea y su asociación con la composición corporal y biomarcadores metabólicos del eje insulino-glucosa, hueso y tejido adiposo en mujeres, Gaceta Médica de México 151, 731-740.
  • 23. Longhi S, Pasquino B, Calcagno A, Bertelli E, Olivieri I, Di Iorgi N, and Radetti G. Small metacarpal bones of low quality in obese children. Clinical endocrinology 2013; 78: 79-85.
  • 24. Shapses SA, and Sukumar D. Bone metabolism in obesity and weight loss. Annual review of nutrition 2012; 32: 287-309.
  • 25. Leonard MB, Shults J, Wilson BA, Tershakovec AM, and Zemel BS. Obesity during childhood and adolescence augments bone mass and bone dimensions. The American journal of clinical nutrition 2004; 80:514-523.
  • 26. Tomás LF, Mónico LS, Tomás I, Varela-Patiño P, and Martin-Biedma B. The accuracy of estimating chronological age from Demirjian and Nolla methods in a Portuguese and Spanish sample. BMC oral health 2014;14: 160.
  • 27. Krailassiri S, Anuwongnukroh N, and Dechkunakorn S. Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals. The Angle Orthodontist 2002: 72; 155-166.
  • 28. Nik-Hussein NN, Kee KM, and Gan P. Validity of Demirjian and Willems methods for dental age estimation for Malaysian children aged 5–15 years old. Forensic science international 2011; 204: 208. e201-208. e206.
  • 29. Uysal T, Sari Z, Ramoglu SI, and Basciftci FA. Relationships between dental and skeletal maturity in Turkish subjects, The Angle Orthodontist 2004: 74; 657-664.
  • 30. Antunovic, M., Galic, I., Zelic, K., Nedeljkovic, N., Lazic, E., Djuric, M., and Cameriere, R. The third molars for indicating legal adult age in Montenegro. Legal Medicine 2018:33; 55-61.
  • 31. Cericato GO, Bittencourt M, and Paranhos L. Validity of the assessment method of skeletal maturation by cervical vertebrae: a systematic review and meta-analysis. Dentomaxillofacial Radiology 2015:44; 20140270.
  • 32. Predko-Engel A, Kaminek M, Langova K, Kowalski P, and Fudalej P. Reliability of the cervical vertebrae maturation (CVM) method. Bratislavské lekárske listy 2015: 116; 222-226.
  • 33. Gulsahi A, Çehreli SB, Galić I, Ferrante L, and Cameriere R. Age estimation in Turkish children and young adolescents using fourth cervical vertebra. International journal of legal medicine 2020: 1-7.
  • 34. Flores-Mir C, Nebbe B, and Major PW. Use of skeletal maturation based on hand-wrist radiographic analysis as a predictor of facial growth: a systematic review. The Angle Orthodontist 2004:74; 118-124.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği
Bölüm Araştırma Makalesi
Yazarlar

Münevver Kılıç Bu kişi benim 0000-0002-3470-0430

Huseyin Sımsek Bu kişi benim 0000-0002-9868-8266

Suleyman Kutalmış Buyuk Bu kişi benim 0000-0002-7885-9582

Murside Seda Koseoglu Bu kişi benim 0000-0002-4405-7127

Taşkın Gürbüz Bu kişi benim 0000-0002-8911-6530

Yayımlanma Tarihi 15 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 31 Sayı: 2

Kaynak Göster

APA Kılıç, M., Sımsek, H., Buyuk, S. K., Koseoglu, M. S., vd. (2021). INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 31(2), 196-201. https://doi.org/10.17567/ataunidfd.895870
AMA Kılıç M, Sımsek H, Buyuk SK, Koseoglu MS, Gürbüz T. INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY. Ata Diş Hek Fak Derg. Nisan 2021;31(2):196-201. doi:10.17567/ataunidfd.895870
Chicago Kılıç, Münevver, Huseyin Sımsek, Suleyman Kutalmış Buyuk, Murside Seda Koseoglu, ve Taşkın Gürbüz. “INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31, sy. 2 (Nisan 2021): 196-201. https://doi.org/10.17567/ataunidfd.895870.
EndNote Kılıç M, Sımsek H, Buyuk SK, Koseoglu MS, Gürbüz T (01 Nisan 2021) INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 2 196–201.
IEEE M. Kılıç, H. Sımsek, S. K. Buyuk, M. S. Koseoglu, ve T. Gürbüz, “INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY”, Ata Diş Hek Fak Derg, c. 31, sy. 2, ss. 196–201, 2021, doi: 10.17567/ataunidfd.895870.
ISNAD Kılıç, Münevver vd. “INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31/2 (Nisan 2021), 196-201. https://doi.org/10.17567/ataunidfd.895870.
JAMA Kılıç M, Sımsek H, Buyuk SK, Koseoglu MS, Gürbüz T. INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY. Ata Diş Hek Fak Derg. 2021;31:196–201.
MLA Kılıç, Münevver vd. “INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 31, sy. 2, 2021, ss. 196-01, doi:10.17567/ataunidfd.895870.
Vancouver Kılıç M, Sımsek H, Buyuk SK, Koseoglu MS, Gürbüz T. INVESTIGATION OF DENTAL AGE AND SKELETAL AGE IN OBESE AND NORMAL-WEIGHT CHILDREN: AN ARCHIVE STUDY. Ata Diş Hek Fak Derg. 2021;31(2):196-201.

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