Abstract

ABSTRACTAim: This study was an attempt, to determine chronological age, dental age and skeletal age, and to establish interrelationship, amongst the dental, skeletal and chronological ages and their differences if any between rural and urban female children. The study included 80 girls aged 8 to 14 years from rural and urban areas.Material and methods: The subjects were divided into 4 Groups: Group I, II, III, and IV. Group I and II comprising of rural female subjects, wherein Group I comprised of 8 to 11 years and Group II comprised of 11 to 14 years old females. Group III and IV comprising of urban females wherein Group III included 8 to 11 years and Group IV comprised of 11 to 14 years old females. Orthopantomograms and hand and wrist radiographs were taken. The calcification status of permanent teeth was evaluated from orthopantomograms, and dental age was calculated according to Demirjian’s method. The stages of ossification of various carpal bones were evaluated from the hand-wrist radiograph using radiographic atlas of Greulich and Pyle and skeletal age was calculated. The chronological age was recorded from the actual date of birth.Results: Data collected was statistically analyzed.Conclusion: Highly significant correlation was observed between dental and skeletal age (r=0.752, p-value < 0.01) in total sample. Strong correlation of chronological age with dental and skeletal age was also observed (r=0.650, r = 0.620, respectively). Out of all three correlations, dental age and skeletal age had the maximum correlation in total sample. While comparing rural and urban sample as regard to ages or correlations no significant difference was found (p-value < 0.01).

Highlights

  • Age determination plays a great role in forensic science, pediatric endocrinology and is of particular interest in orthodontic and pedodontic treatment planning.[1]The usefulness of the somatic and sexual, maturity indicators has limited value for the immediate clinical judgment of a patient’s maturity stage because these indicators can be applied only after the serial recording of height or the inception of puberty.The technique for assessing skeletal maturity consists of visual inspection of the developing bones, their initial appearance and their subsequent ossification-related changes in shape and size

  • Out of all three correlations, dental age and skeletal age had the maximum correlation in total sample

  • The interrelationship among dental, skeletal, and chronological ages in total sample was significant at 0.01 levels

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Summary

Introduction

Age determination plays a great role in forensic science, pediatric endocrinology and is of particular interest in orthodontic and pedodontic treatment planning.[1]The usefulness of the somatic and sexual, maturity indicators has limited value for the immediate clinical judgment of a patient’s maturity stage because these indicators can be applied only after the serial recording of height or the inception of puberty.The technique for assessing skeletal maturity consists of visual inspection of the developing bones, their initial appearance and their subsequent ossification-related changes in shape and size. Age determination plays a great role in forensic science, pediatric endocrinology and is of particular interest in orthodontic and pedodontic treatment planning.[1]. The usefulness of the somatic and sexual, maturity indicators has limited value for the immediate clinical judgment of a patient’s maturity stage because these indicators can be applied only after the serial recording of height or the inception of puberty. The technique for assessing skeletal maturity consists of visual inspection of the developing bones, their initial appearance and their subsequent ossification-related changes in shape and size. Various areas of the skeleton have been used: the foot, the ankle, the hip, the elbow, the hand-wrist, and the cervical vertebrae.[2] The hand-wrist radiograph is commonly used for skeletal developmental assessment. One of the most frequently applied method to estimate skeletal age is the atlas of Greulich and Pyle.[3]

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