Türk Toplumunda 5-15 Yaş Grubu Çocuklarında Üçüncü Molar Dişlerin Gelişimlerinin Radyografik Olarak Değerlendirilmesi

Yıl 2022, , 316 - 324, 31.08.2022

Kamile Nur Tozar , Aylin Akbay Oba , Volkan Arıkan

https://doi.org/10.24938/kutfd.1075066

Öz

Amaç: Bu çalışmada, Türkiye’deki 5-15 yaşları arasındaki çocuklarda üçüncü büyük azı dişlerinin kron kalsifikasyonunun başlama yaşının belirlenmesi ve bu dişlerin gelişim durumlarının yaşa göre değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Çalışmamızda, 5-15 yaş aralığındaki ilk 1024 hastanın panoramik radyografileri değerlendirilmiştir. Üçüncü molar dişlerinin gelişimi Demirjian metoduna göre sınıflandırılmıştır.

Bulgular: Maksiller ve mandibular üçüncü molarların gelişim evrelerinin başlangıç yaşları karşılaştırıldığında istatistiksel olarak anlamlı bir fark bulunamamıştır (p≥0.05). Ayrıca üçüncü büyük azı dişleri, kalsifikasyon başlangıç yaşı açısından değerlendirildiğinde cinsiyetler arasında istatistiksel olarak anlamlı bir fark bulunmamasına rağmen 28 ve 48 numaralı dişlerin erkeklerde kızlardan yaklaşık bir yıl önce geliştiği görülmüştür (p≥0.05). Maksiller ve mandibular üçüncü molar dişlerin gelişim evrelerinin başlangıç yaşları karşılaştırıldığında istatistiksel olarak anlamlı bir fark bulunmamıştır (p≥0.05). Üçüncü moların furkasyon kalsifikasyon derecesinin gösteren stage 5 evresi, maksiller ve mandibular molar dişlerde kızlarda erkeklerden daha erken yaşlarda görülmüştür.

Sonuç: Sağ taraftaki maksiller üçüncü molarların mandibular üçüncü molarlara göre daha erken geliştiği görülmüştür. 

Anahtar Kelimeler

Üçüncü molar, çocuk., panoramik radyografi

RADIOGRAPHIC EVALUATION OF THE DEVELOPMENT OF THIRD MOLARS IN CHILDREN AGED 5-15 IN TURKEY

Öz

Objective: In this study, it was aimed to determine the age of the onset of crown calcification of third molars in children aged 5-15 years in Turkey, and to evaluate the development status of third molars by age.

Material and Methods: Panoramic radiographs of the first 1024 patients between the ages of 5 and 15 years were evaluated. The development (calcification) of third molars was classified according to the Demirjian method.

Results: When the onset age of the stages for maxillary and mandibular third molars were compared, no statistically significant difference was found (p≥0.05). In addition, although no statistically significant difference was found between genders regarding the age of calcification onset of third molars, it was observed that teeth #28 and #48 developed in boys approximately one year before girls (p≥0.05). When the onset age of the stages for maxillary and mandibular third molars were compared, no statistically significant difference was found (p≥0.05). Concerning stage 5, in which the furcation zone of third molars begins to calcify, although not statistically significant, all the maxillary and mandibular third molars were seen earlier in girls than boys.

Conclusion: It was found that the maxillary third molars on the right side developed earlier than mandibular third molars.

Anahtar Kelimeler

Third molar, panoramic radiographic, child

Kaynakça

• 1. Karataş OH, Öztürk F, Dedeoğlu N, Çolak C, Altun O. Radiographic evaluation of third molar development in relation to the chronological age of Turkish children in the southwest Eastern Anatolia region. Forensic Sci Int. 2013;10(1):232-8.
• 2. Duangto P, Iamaroon A, Prasitwattanaseree S, Janhom A. New models for age estimation and assessment of their accuracy using developing mandibular third molar teeth in a Thai population. Int J Legal Med. 2017;131(2):559-68.
• 3. Ong DC, Bleakley JE. Compromised first permanent molars: an orthodontic perspective. Aust Dent J. 2010;55(1):2-14.
• 4. Andlaw RJ, Rock WP. A Manual of Paediatric Dentistry. 4th ed. Churchill Livingstone. Elsevier Health Sciences, 1996.
• 5. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211-27.
• 6. Hedge S, Patodia A, Dixit U. Staging of third molar development in relation to chronological age 5-16 years old Indian children. Forensic Sci Int. 2016;269(1):63-9.
• 7. Orhan K, Ozer L, Orhan AI, Dogan S, Paksoy CS. Radiographic evaluation of third molar development in relation to chronological age among Turkish children and youth. Forensic Sci Int. 2007;165(1):46-51.
• 8. John J, Nambiara P, Manib SA, Mohameda NH, Ahmad NF, Murad NA. Third molar agenesis among children and youths from three major races of Malaysians. J of Dent Sci. 2012;7(3):211-7.
• 9. Paz Cortés MM, Rojo R, Alía García E, Mourelle Martínez MR. Accuracy assessment of dental age estimation with the Willems, Demirjian and Nolla methods in Spanish children: Comparative cross-sectional study. BMC Pediatr. 2020;20(1):361-10.
• 10. Sujon MK, Alam MK, Abdul Rahman S. Prevalence of third molar agenesis: associated dental anomalies in non-syndromic 5923 patients. Plos One. 2016;11(8):e0162070.
• 11. Celikoglu M, Kamak H. Patterns of third-molar agenesis in an orthodontic patient population with different skeletal malocclusions. Angle Orthod. 2012;82(1):165-9.
• 12. Gleiser I, Hunt EE. The permanent Mandibular First Molar: Its Calcification, Eruption and Decay. Am J Phys Anthropol. 1995;13(2):253-83.
• 13. Nolla CM. The development of the permanent teeth. J Dent Child. 1960;27(1):254-66.
• 14. Garn SM, Lewis AB, Blizzard RM. Endocrine factors in dental development. J Dent Res. 1965;44(2):243-58.
• 15. Lee SL, Lee S, Lee J, Park H, Kim Y. Age estimation of Korean children based on dental maturity. Forensic Sci Int. 2008;178(2-3):125-31.
• 16. De Donno A, Angrisani C, Mele F, Introna F, Santoro V. Dental age estimation: Demirjian's versus the other methods in different populations. A literature review. Med Sci Law. 2021;61(1):125-9.
• 17. Mihai AM, Lulache IR, Grigore R, Sanabil AS, Boiangiu S, Ionescu E. Positional changes of the third molar in orthodontically treated patients. J Med Life. 2013;6(2):171-5.
• 18. Uzamis M, Kansu O, Taner TU, Alpar R. Radiographic evaluation of third-molar development in a group of Turkish children. ASDC J Dent Child. 2000;67(2):136–41.
• 19. Olze A, Van Niekerk P, Schmidt S, Wernecke KD, Rösing F, Geserick G. Studies on the progress of third-molar mineralization in a Black African population. J Comp Hum Biol. 2006;57(3):209-17.