Willems Method Research Articles

Dental age estimation using Willems method: A cross-sectional study on children in a North Indian city

Background:Numerous methods of age estimation have been proposed. The Demirjian method which was first applied in a French-Canadian population in 1972 is the most frequently used dental age estimation method. However, a constant over estimation using this method has been reported by numerous researchers. The Willems method is a modification of the above and was first applied in a Belgian Caucasian population in 2002. Several studies in the recent years found Willems method to be more accurate than the original Demirjians method.Objectives:The objective of this study was to evaluate the applicability of Willems method for dental age estimation in 6 -15-year-old North Indian children.Methods:The sample for this cross sectional study consisted of 390 OPGs of (215 boys and 175 girls) randomly selected from the patient records of a post graduate training dental college in North India. Exact chronological age of the subjects (in years and months) was calculated. The OPGs were used to score the seven mandibular teeth and dental age was estimated using the tables proposed in Willems method.Results:Significant correlation between the chronological age and dental age estimated using Willems method was observed in both males (r = 0.90) and females (r = 0.87). The mean difference between estimated DA and CA for males was 0.004 ± 1.08 years (P = 0.94). While for females, it was 0.031 ± 1.18 years (P = 0.72). The results showed no statistically significant difference between chronological age and dental age estimated using Willems method in the study population.Conclusion:Willems dental age estimation method without any modification can predict the chronological age of 6-15 year old North Indian children with good accuracy.

Changes in the Sequence of Eruption of Permanent Teeth; Correlation between Chronological and Dental Age and Effects of Body Mass Index of 5-15-year-old Schoolchildren.

AimTo determine the changes in the sequence and age of eruption of permanent teeth in 5–15-year-old schoolchildren, correlating their dental and chronological age.Materials and methodsA total of 1,477 schoolchildren aged between 5 years and 15 years were examined for the eruption timing, body mass index (BMI), and other oral findings. Dental age was calculated for 10% of the total sample using the Willem's method from their ortho-pento graphs (OPGs) and correlated with their chronological age.ResultsThe maxillary teeth erupted earlier than mandibular teeth. Males were found to mature earlier than females. The sequence of eruption observed was: males (maxilla) 1-6-2-4-3-5-7 and (mandible) 1-6-2-3-4-5-7; females (maxilla) 6-1-2-4-3-5-7 and (mandible) 1-6-2-3-4-5-7. The chronological age and the dental age were found to be different in the age range of 9–10 years female; 10–11 years male; and in 13–14 years both male and female. Also when the dental age was correlated with the BMI, the dental age of obese children in 5–6 years and underweight children in 10–11 years were found to be far ahead of their actual chronological age.ConclusionThis study opens an expected door for a large sample size to be tested in various local populations with different ethnicity and race as there can be changing trend in the eruption pattern.Clinical significanceChanging trends in the sequence and age of eruption of the permanent teeth definitely need to be looked into. As this change, if firmly established in future, can help pedodontist in better planning of space management, interceptive as well as full-mouth orthodontic treatment which largely depends on this sequence being true in most of the cases.How to cite this articleKhan AS, Nagar P, Singh P, et al. Changes in the Sequence of Eruption of Permanent Teeth; Correlation between Chronological and Dental Age and Effects of Body Mass Index of 5–15-year-old Schoolchildren. Int J Clin Pediatr Dent 2020;13(4):368–380.

Assessment of validity of Demirjian and Willems methods for dental age estimation a group of children in the Eastern Black Sea region

Assessment of validity of Demirjian and Willems methods for dental age estimation a group of children in the Eastern Black Sea region

A Comparative Evaluation of Three Different Dental Age Estimation Methods in India: A Test of Ethnic Variability.

ABSTRACTAimThe present study aimed to evaluate and compare the applicability of Demirjian, Willems, and Haavikko methods of dental age estimation in southeastern (Dravidian ethnicity) and northwestern regions (Aryan ethnicity) of the Indian population.Materials and methodsThe study includes the orthopantomographs (OPGs) of 303 individuals (173 males and 130 females) of age ranging from 5 to 14 years. The participants in the present research were evaluated under two study groups: group I: participants of the southeastern region and group II: participants of the northwestern region. Dental age was calculated using Demirjian, Willems, and Haavikko methods and compared with the chronologic age of each participant. The accuracy of dental age estimation methods was evaluated by mean absolute error. One-way analysis of variance (ANOVA) and Student's t tests were used to test the significant difference between the chronologic age and estimated dental ages.ResultsThe Demirjian method showed overestimation, while Willems and Haavikko methods showed underestimation for boys and girls in both the ethnic groups of Indian population. The Willems method of dental age estimation showed comparatively more accurate and reliable results in both the ethnic groups of the Indian population.ConclusionThe dental age estimation by Demirjian, Willems, and Haavikko methods showed no significant variation between the different ethnicities of the Indian population.Clinical significanceThe present research will be helpful in pedodontic, orthodontic, and forensic investigations for accurate and reliable dental age estimation in different parts of Indian population.How to cite this articleChaudhry K, Talwar M, Vanga NRV, et al. A Comparative Evaluation of Three Different Dental Age Estimation Methods in India: A Test of Ethnic Variability. Int J Clin Pediatr Dent 2020;13(1):16–20.

A comparison of the accuracy of Willems’ and Cameriere’s methods based on panoramic radiography

Tooth development evaluation is majorly the current approach to identify age and maturity. Dental age (DA) is therefore considerably emphasized in forensic and pediatric dentistry. The aim of this study was to assess the applicability of Willems and Cameriere methods for Turkish children. Panoramic images of 636 Turkish healthy children (319 male; 317 female) aged between 6 and 15 years were assessed. DA of the subjects was determined by using Willems and Cameriere methods. The seven right and left permanent lower teeth were valued using these two methods. The mean chronological age (CA) of the subjects was 11.53±2.25 (min:6, max:14.99) years (boys: 11.29±2.34 years, girls: 11.77±2.15 years). Willems method overestimated the CA (p≤0.001), in contrast, Cameriere method underestimated the CA (p≤0.001) for both sexes. In different age groups the mean difference between the CA and DA calculated by Cameriere method (CADA) ranged from 0.86 to −0.41 years for boys and from 1.00 to −0.21 years for girls, while the mean difference between the CA and DA calculated by Willems method ranged from −0.26 to −0.71 years for boys and from 0.19 to −0.76 years for girls. Cameriere method provided a better percentage of accuracy (84.6% and 77.3% for males and females, respectively) in the absolute difference values within 1 year compared to Willems method. Cameriere method performed slightly better but, both methods may be used for DA estimation in the Turkish population.

Accuracy of Demirjian and Willems Methods for Age Estimation of Children from Northern Argentina

The dental development is widely used to estimate the chronological age; one method frequently used is that of Demirjian, applied in Franc-Canadian children, and the other is that of Willems, adapted from the first one to Belgian children. Demirjian uses scores according to the degree of calcification of the seven permanent mandible teeth of the left side; Willems adapts to years the scale of scores of Demirjian. Objective: To analyze the accuracy in determining the chronological age through the degree of dental calcification using the methods of Demirjian and of Willems in children from Tucumán, Argentina. Methods: 66 children (29 female and 37 male) who assisted to radiological studies previous to the dental treatment were selected. Panoramic X-rays were taken. Dental ages were calculated using the corresponding tables of the methods of Demirjian and Willems. Chronological ages were calculated between the date of birth and the date of the study. The statistical paired t-test was used. Results: Through the method of Demirjian the mean of the differences was 0.44 ± 0.96 for girls and 0.49 ± 1.02 for boys, being significant differences between both genders. The method of Willems was more accurate than that one of Demirjian (-0.08 ± 0.92 for girls and 0.19 ± 0.94 for boys), being no significant differences between the dental and the chronological ages. Conclusion: According to these results both methods could be used to estimate the chronological age through the observed dental calcification in radiographic images of children from northern Argentina. Nevertheless, greater statistical accuracy with the method of Willems would be reached for both genders.

New model for dental age estimation: Willems method applied on fewer than seven mandibular teeth.

Willems method measures the developmental stages of the seven left permanent mandibular teeth and is frequently used for dental age estimation. The aim of this study was to test its accuracy on a large sample of the Croatian population and to develop new models for estimation based on one to seven mandibular teeth. The developmental stages were evaluated on the digital, standardized orthopantomograms of 1868 Croatian children aged 5 to 16. Univariate regression was used for age estimation based on one tooth and regression with forward and backward elimination for selection of the best combination on two to six teeth. Tested in parallel with Willems method, the accuracy of the new models was assessed within intervals of ± 0.5, ± 1, ± 1.5 and ± 2years and shows the percentage of correct estimations. Using Willems method, the average overestimation was 0.41years for boys and 0.22years for girls. Newly developed models that use two to seven teeth proved to be significantly more accurate (p < 0.001). The accuracy of age estimation increases significantly with the number of teeth in a model. Predictably, within the interval ± 0.5years, a model with three teeth has 3% fewer accurate age estimations than a model including seven teeth. In both theory and practice, Willems method has been considered suitable for age estimation among Croatian children. However, these newly developed models significantly surpass its accuracy. Models using two to seven teeth represent a simple, reliable, and accurate method for age estimation, even in cases with missing mandibular teeth.

Age determination in children by orthopantomograph and lateral cephalogram: A comparative digital study.

Background and Aims:The assessment of age is useful in forensic medicine and forensic odontology and in treatment planning in various branch of dentistry. The aim of study is comparative evaluation and assessment of applicability of Demirjian's method, Willem's method of dental age (DA) estimation, and Maria de Paula Caldas's method of skeletal age estimation for children aged 9–16 years.Materials and Methods:A total of 140 individuals (70 females and 70 males) between the age group of 9–16 years were enrolled. These individuals were grouped by a difference of 1 year into 7 groups (each group comprising of 20 individuals: 10 males and 10 females). Dental age estimation was performed from orthopantomograph images of mandibular teeth of left quadrant by both Demirjian's and Willem's methods. Skeletal age estimation was done from Lateral Cephalogram by Caldas Digital Method. The differences between the chronological age and the estimated dental and skeletal ages were statistically tested using paired t-test.Results:Demirjian's DA estimation overestimated males (0.4040 years) and females (0.1316 years). Willem's DA estimation method underestimated males (0.1386 years) and females (0.4210 years) and Caldas skeletal age estimation overestimated males (0.2982 years) and females (0.4259 years).Conclusion:The study concluded Willem's DA estimation method was the most accurate for male and Demirjian's method for female for Gujarati Population. Caldas's new computer-assisted method for skeletal age estimation used in the present study is easy to perform and less time-consuming and objective method and can be applied for Gujarati population.

Comparative assessment of chronological, dental, and skeletal age in children.

Age of a child can be assessed from various parameters such as chronological age, height, weight, secondary sexual characteristics, skeletal age, or dental age. The present study was planned to assess and compare chronological age with dental age (Demirjian's method and Willem's method) and skeletal age (Fishman's method). The present study was done on a sample of 100 children in the age group of 9-14 years. The chronological age was computed through the birth certificates and dental age was calculated from their orthopantomograms (OPGs) using Demirjian's and Willem's methods. Hand-wrist radiograph of the left hand was used to compute skeletal age using Fishman's method. Paired t-test and Pearson's correlation coefficients were calculated as a part of statistical analysis at a significance level of P < 0.01. The mean chronological age among the group was 12.37 ± 1.34 years, the mean dental age by Demirjian's method was 12.36 ± 1.72 years, the mean dental age by Willem's method was 12.36 ± 1.51, and the mean skeletal age by Fishman's method was 13.03 ± 1.34 years. Out of the all methods evaluated in the study, Fishman's method of age estimation showed the least value of correlation coefficient (r = 0.728) with the chronological age, whereas Willem's method showed the maximum correlation with the chronological age (r = 0.885). It can be concluded from the present study that the dental age estimation evaluated by the digital OPG by both the methods, that is, Demirjian's method and Willem's method, has shown high accuracy when applied to the children of Faridabad. Skeletal maturation evaluated by Fishman's method using hand-wrist radiographs was found to overestimate the age when compared to chronological age in both the sexes.

Reliability of two dental age estimation methods in children and comparison with their chronological age

Background: Dental age estimation is being performed since Demirjian proposed dental maturity scores. Subsequently, numerous methods were proposed and were estimated worldwide. Although these methods showed high degrees of reliability, ethnic differences were found to affect the accuracy of the dental age. Objectives: The present study evaluated the relationship between chronological age and dental age using Demirjian and Willems methods in children using digital panoramic radiographs. Materials and Methods: Dental age of 60 digital panoramic radiographs of children (males: 34, females: 26) were calculated using the Demirjian scoring method and Willems scoring method. These age values were compared among themselves as well as with chronological age of the children. Further, the comparison was made by dividing all children in the age ranges of 5-7, 7.1-9, 9.1-11, and 11.1-13 years. The correlations between ages among all parameters were statistically significant except age groups 9.1-11 and 11.1-13 years. Conclusion: A significant correlation was observed between chronological age and dental age estimated by Demirjian and Willems methods. Both methods can be useful in the estimation of chronological age in children.

Applicability of Willems method for dental age estimations in Tunisian children

AimThis study aims to evaluate the applicability of Willems method in a sample of Tunisian children. Panoramic x-ray photographs of 500 children (241 females, 259 males) aged between 5 and 15 years were examined. The mean absolute error (MAE) was performed to assess the accuracy of age estimation. The chronological age minus dental age (CA-DA) was determined for each age group and for each gender. Independent samples t-test was employed to compare the differences between genders. MethodsWillems method underestimated the chronological age on the average, by 0.40 years for males and by 0.69 years for females. The discrepancy between the chronological age and the estimated age was most frequently observed for ages above 8 years. ResultsIt is established that the Willems method could estimate the chronological age with acceptable accuracy in Tunisian children (MAE = 1.10 years, and 0.98 years for males and females, respectively).

Applicability and accuracy of Demirjian and Willems methods in a population of Eastern Chinese subadults

BackgroundTo assess the validity of the Demirjian and Willems dental age estimation methods in a population of Eastern Chinese 11–18-year-old subadults. Samples and methodsA total of 1622 orthopantomograms (787 boys and 835 girls) aged from 11.00 to 18.99 years old from a Chinese Han population were evaluated in the study. Dental ages were calculated using both Demirjian and Willems method. Statistical significance was set at p<0.05 and for each method, discrepancies between chronological age (CA) and dental age (DA) were statistically analyzed by paired t-tests. Special age interval analysis was conducted by Chi-square tests to compare the accuracy of the Demirjian and the Willems methods. ResultsDemirjian method underestimated CA 0.66±1.45 y (p<0.001) in boys and 0.62±1.61 y (p<0.001) in girls while Willems method underestimated 0.90±1.32 y (p<0.001) and 0.97±1.56 y (p<0.001) in boys and girls, respectively. The mean absolute error (MAE) value between the CA and the DA (CA–DA) using the Demirjian method and the Willems method were 1.31 and 1.29 y for boys, respectively, and 1.35 and 1.43 y for girls, respectively. ConclusionsIt is suggested that the Demirjian method was found to be more accurate compared with the Willems method. However, the Demirjian method may not be satisfactory for 11–18-year-old children of Eastern China. It is recommended that a modified Demirjian method for better dental age estimation for Eastern Chinese juvenile individuals.

Accuracy of the Demirjian and Willems methods of dental age estimation for children from central southern China.

The aim of this study was to compare the accuracy of the Demirjian method and the Demirjian method as revised by Willems for age estimation based on orthopantomograms from central southern Chinese Han population aged 8-16years. Discrepancies between chronological and estimated ages were statistically evaluated by analyzing 1249 orthopantomograms from 603 girls and 646 boys. Using the Demirjian method, the mean age estimates underestimated chronological age by 0.03years (p = 0.48) for girls and overestimated it by 0.03years (p = 0.59) for boys; these differences with respect to chronological age were not statistically significant. In contrast, the Willems method underestimated chronological age by 0.54years (p < 0.01) for girls and 0.44years (p < 0.01) for boys; these differences with respect to chronological age were statistically significant. Compared to the Demirjian method, the overall mean absolute error generated using the Willems method was slightly higher (0.85 and 0.86years, respectively). Since the Demirjian method was more accurate, we highly recommend that it should be applied when estimating dental age in the Chinese Han population. Further modifications of these two methods for populations from other regions and additional studies of other age groups are warranted.

Applicability of Willems methods and Demirjian’s four teeth method for dental age estimation: Cross sectional study on Tunisian sub-adults

This study aims to evaluate and compare the applicability of three dental methods for age estimation, including Demirjian’s four teeth, Willems I, and Willems II methods in a sample of Tunisian children. Panoramic radiographs of 500 children (241 females, 259 males) aged between 5 and 15 years were examined. The mean absolute error (MAE) was performed to assess the accuracy of age estimation. Independent samples t-test was employed to compare the differences, the chronological age minus dental age (CA-DA), between sexes for the three methods.All of the three methods underestimated the chronological age on the average, and almost for all age groups. The discrepancy between the chronological age and the estimated age was most frequently observed for ages above 8 years for all methods.In our study, the Demirjian’s four teeth method underestimated the chronological age by 0.45 years for males and 0.32 years for females, with no significant difference (p=0.124). Whereas the Willems I method is indicted for underestimating the chronological age by 0.40 years for males, and by 0.69 years for females. Willems II method underestimated age by 0.91, and 0.64 years for males and females, respectively.It is established that the Demirjian’s four teeth method was more accurate in estimating the dental age than the Willems I and II methods, with a mean absolute error of 0.76 years for males and 0.79 years for females (MAE=1.10, and 0.98 years for the Willems I/1.02, and 0.92 years for the Willems II).According to the results, it is highly recommended that the Demirjian’s four teeth method should be applied when estimating the dental age in Tunisian males and females. In forensic cases, when the sex is unknown or doubted, the Willems II method could be appropriate.

Age estimation using Orthopantomograph and Willems method in Chitwan population: an original study

ABSTRACTBackground: Utilization of age estimation has increased manifold in recent years. Various methods available for age estimation before the complete dentition has erupted and matured till the root closure stage include Nolla’s stages, Demirijan”s method, modified Demirijan’s method by Willems, Haavikko’s method. So, in this study we have tested that on Chitwan population of Nepal.Materials and methods: 60 patients between the ages 6-16 were selected and digital orthopantomographs of each of the patients was taken and then Demerijian method was applied and age estimation done by Willems method. Whereas the chronolical age was known and the reliability of this method on this population checked.Results: The study shows correlation between chronological age CA and estimated dental age DA in males - .965 while in females - .861 and it is statistically significantConclusion: There was an underestimation of age i.e. the dental age was found out to be less than the actual chronological age of the sample. This shows the dental growth lag in the Chitwan population. It was also found that when a comparison is done between the males and females it is found out that the females mature earlier than the males.

Accuracy of Different Dental Age Assessment Methods to Determine Chronological Age among Malay Children

Willems method is the most common method used for dental age assessment among Malaysian children. London Atlas method was recently introduced in 2010 and there was no study conducted using this method for Malaysian children. This study was conducted retrospectively by analyzing 150 digital dental panoramic tomograms of 5-, 10- and 15-year-old healthy Malay children attending Faculty of Dentistry, International Islamic University Malaysia within the period from 2012 to 2016. The mean age estimated using Willems method and London Atlas method were compared to the mean chronological age. All data were analysed using RStudio software. The results of the study showed that intra- and inter-examiner reliability were 0.75 and 0.82, respectively. The mean chronological age for 5, 10- and 15-year-old groups were 5.49, 10.22 and 15.39, respectively. Significant differences were observed for 5- and 10-year-old groups between London Atlas method (P<0.05) and Willems method (P<0.05) when compared to chronological age. However, no significant difference was observed for 15-year-old group (P>0.05). Willems method is more accurate in determining chronological age for the 5- and 10-year-old groups compared to London Atlas method.

Dental age estimation using four Demirjian's, Chaillet's and Willems' methods in Kosovar children.

Tooth formation was recognized as useful body system to assess maturity and predict age. Tooth mineralization is much less affected by the endocrine and different nutritional status than bone mineralization, and teeth formation provides a more reliable indication of chronological age. Demirjian et al. in 1973 presented a scoring system and method for dental age estimation on a sample of French-Canadian children. Chaillet et al. and Willems et al. modified original Demirjian method. This study aimed to evaluate the accuracy of four Demirjian's, Chaillet and Willems methods for age estimation in the children of Kosovo. The cross-sectional study was based on the evaluation of the sample of 1022 orthopantomograms (OPTs) of healthy Kosovar children, aged between 5 and 14 years. OPTs were taken from the Radiology unit of University Dentistry Clinical Center of Kosova, as part of random clinical treatment. We tested the accuracy of four methods based on seven mandibular teeth, Demirjian from 1973 (Dem73) and 1976 (Dem76), Chaillet from 2005 (Chaillet) and Willems from 2001 (Willems) and two Demirjian's methods based on different sets of four teeth (Dem76PM1 and Dem76IN2). For most tested methods, we found statistically significant differences between the chronological age (CA) and dental age (DA) (p < 0.05). In males, the most accurate method were those using four teeth, Dem76IN2 (0.03 years) following by Dem76PM1 (-0.05 years), following those using seven teeth, Willems (-0.14 years), Chaillet (-0.24 years) and Dem73 (0.43 years). In females, dental age was the most accurate for the Willems method (-0.24 years) following Chaillet (-0.35 years), Dem76 (0.43 years) and Dem73 (0.55 years), while Dem76PM1 and Dem76IN2 overestimated by 0.45 years and 0.46 years, respectively. The mean absolute difference between DA and CA were between 0.61 years for the Willems, to 0.78 years for the Dem73 in males, and 0.64 years for the Willems to 0.75 years for the Dem76IN2 in females. The Willems method was the most accurate for estimating a dental age if all seven mandibular teeth are available for analysis, and we found the similar accuracy of Dem76PM1 and Dem76IN2 methods. Therefore, we may encourage their use for age estimation on the Kosovar children.

Accuracy of the Demirjian and Willems methods of age estimation in a Black Southern African population

The accuracies of the original Demirjian, modified Demirjian and Willems dental age estimation methods were compared for a Black Southern African population to determine their usefulness for forensic and anthropological purposes. Data were collected using a community-based prospective study design. Panoramic radiographs of seven left mandibular teeth from 540 children aged 5-15.99 years were scored using the three methods. Obtained estimates were compared to the chronological ages and mean absolute errors were calculated. The original Demirjian method significantly overestimated ages (males 0.85 years, female 1.0 years; mean absolute errors of 1.1 years for both sexes), as did the modified Demirjian method (males 0.90 years, females 1.21 years; mean absolute errors of males 1.1 years, females 1.4 years). The Willems method was the most accurate for Black Southern Africans, with the lowest significant mean difference (males 0.2 years, females 0.3 years) between dental and chronological age, with the least mean absolute errors (males 0.70 years, females 0.68 years).

Comparison of the applicability of Demirjian and Willems methods for dental age estimation in children from the Thrace region, Turkey

ObjectivesDental age (DA) estimation is frequently used in the fields of orthodontics, paediatric dentistry and forensic science. DA estimation methods use radiology, and are reliable and non-destructive according to the literature. The Demirjian method is currently the most frequently used method, but recently, the Willems method was reported to have given results that were more accurate for some regions. The aim of this study was to detect and compare the accuracy of DA estimation methods for children and adolescents from the Thrace region, Turkey. The mean difference between the chronological age (CA) and the DA was selected as the primary outcome measure, and the difference range according to sex and age group was selected as the secondary outcome. Materials and methodsPanoramic radiographs (n=766) from a Thrace region population (380 males and 386 females) ranging in age from 6 to 14.99 years old were evaluated. DA was calculated using both the Demirjian and the Willems methods. ResultsThe mean CA of the subjects was 11.39±2.34 years (males=11.08±2.42 years and females=11.70±2.23 years). The mean difference values between the CA and the DA (CA–DA) using the Demirjian method and the Willems method were −0.87 and −0.17 for females, respectively, and −1.04 and −0.40 for males, respectively. For the different age groups, the differences between the CA and the DA calculated using the Demirjian method (CA–DA) ranged from −0.53 to −1.46 years for males and from −0.19 to −1.20 years for females, while the mean differences between the CA and the DA calculated by the Willems method (CA–DA) ranged from −0.19 to −0.50 years for males and from 0.20 to −0.49 years for females. ConclusionThe results suggest that the Willems method produced more accurate results for almost all age groups of both sexes, and it is better suited for children from the Thrace region of Turkey, than the Demirjian method.

Dental Age Assessment using Demirjian’s Eight Teeth Method and Willems Method in a Tertiary Hospital

Age estimation is an important aspect in forensic anthropology, as it can aid in the identification of the deceased, and can be used in cases of immigration, child abuse and criminal prosecution in living individuals. Dental age estimation is considered reliable and accurate, since tooth development is least affected by environmental factors compared to somatic growth. In total, 150 pre-orthodontic treatment radiographs from healthy individuals were assessed. These individuals were aged between 8 to 19 years. Dental age for these individuals was calculated by two methods: Demirjian's eight teeth method and Willems method. For Willems method, seven teeth on the left side of mandible (except the third molar) were staged according to Demirjian's staging, and for Demirjian's eight teeth method, all eight teeth were staged. The mean chronological ages were 13.6961±1.94384 years in males and 13.9204±2.63541 years in females. The mean estimated ages by Demirjian's eight teeth method were 12.1856±1.73478 years and 11.7906±2.32344 years in males and females respectively. Similarly, the mean estimated ages by Willems method were 12.8958±1.46838 years in males and 12.6926±2.27807 years in females. Willems method and Demirjian's eight teeth method underestimated the chronological age in the given population. Both methods showed excellent correlation with chronological age indicating their applicability in dental age estimation, with development of population specific scores.