Comparing the accuracy of Demirjian and Nolla methods and establishing a new method for dental age estimation in northeastern Chinese children

Abstract

Dental age estimation plays an important role in the field of clinic medicine and forensic medicine. The Demirjian and Nolla methods are common scoring methods for dental age estimation but there was no research about the comparison of accuracy of these two methods in northeastern Chinese children. Hence, in this study, we compared the accuracy of these two methods to explore more suitable method for our studied population. We collected 535 orthopantomograms from northern Chinese children aged from 6 to 15 years and divided them into training dataset and testing dataset according to the ratio of 7:3. The dental age of training dataset were estimated using Demirjian and Nolla methods, respectively. The results suggested that the mean differences of these two methods were 0.24 and −0.40 years, and mean absolute difference were 0.65 and 0.59 years. Then to further improve the accuracy of dental age assessment, the new improved formulas and dental age conversion tables were established after analyzing the relationship between the sum scores based on Nolla method and chronology age in training dataset. According to the new method used in testing dataset, the minimum value of mean difference (0.00) and mean absolute difference (0.49) were obtained, which are largely smaller than that of Demirjian and Nolla methods. The new developed method and dental age conversion scales may be more suitable dental age estimation method for northeastern Chinese children.