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VOLUME 20 , ISSUE 5 ( May, 2019 ) > List of Articles

ORIGINAL RESEARCH

Comparison between Chronological Age and Dental Ages of Saudi Patients with Cleft Lip and Palate

Naif A Bindayel, Maan Alsultan, Samar El Hayek, Khalid Almoammer

Keywords : Age, Chronological, Cleft, Dental, Lip, Palate

Citation Information : Bindayel NA, Alsultan M, Hayek SE, Almoammer K. Comparison between Chronological Age and Dental Ages of Saudi Patients with Cleft Lip and Palate. J Contemp Dent Pract 2019; 20 (5):603-608.

DOI: 10.5005/jp-journals-10024-2566

License: CC BY-NC 4.0

Published Online: 01-08-2015

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: The primary aim of this study is to compare the chronological age with the dental age of Saudi patients with non-syndromic cleft lip and palate (CLP). The patients’ demographics (gender and age group) were analyzed further. Materials and methods: In total, 401 panoramic radiographs were assessed (195 and 206 for the control and the CLP groups, respectively). The subjects’ ages ranged from 3 to 17 years, from both genders. The root and crown developmental stages of the mandibular permanent teeth were evaluated using Demirjian's method to calculate dental age. The subjects were separated into three groups according to chronological age. One investigator collected all the data, the intra-class correlation (ICC) coefficient test showed good reliability (0.984). A paired t test was then used to determine any statistically significant difference between the mean dental and chronological ages of the control and the cleft samples. The mean difference between chronological and dental ages was then calculated for the control and the cleft groups. A Student's t test was then used to compare the two mean differences. Results: The dental age of normal subjects was ahead of their chronological age by 8.1 months. The CLP group had delayed dental development by 9.6 months (p < 0.01) when compared with normal subjects. The males with CLP had an extended delay in dental development by 6.5 months when compared with females with CLP. Conclusion: Saudi subjects affected with CLP had significantly delayed dental development when compared with the control group. Clinical significance: Dental age is commonly used to assess dental development in comparison with chronological age. Reporting dental age accuracy for CLP cases would be of value for proper management and diagnosis.


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  1. Murray JC. Gene/environment causes of cleft lip and/or palate. Clin Genet 2002 Apr;61(4):248–256.
  2. Tanaka K, Fujino H, et al. Cleft lip and palate: some evidences for the multifactorial trait and estimation of heritability based upon Japanese data. Jinrui Idengaku Zasshi 1969 Jun;14(1):1–9.
  3. Kumar P, Hussain MT, et al. Facial clefts in Saudi Arabia: an epidemiologic analysis in 179 patients. Plast Reconstr Surg 1991 Dec;88(6):955–958.
  4. Jiroutova O, Mullerova Z. The occurrence of hypodontia in patients with cleft lip and/or palate. Acta Chir Plast 1994;36(2):53–56.
  5. Ranta R. A review of tooth formation in children with cleft lip/palate. Am J Orthod Dentofacial Orthop 1986 Jul;90(1):11–18.
  6. Eerens K, Vlietinck R, et al. Hypodontia and tooth formation in groups of children with cleft, siblings without cleft, and nonrelated controls. Cleft Palate Craniofac J 2001 Jul;38(4):374–378. DOI: 10.1597/1545- 1569_2001_038_0374_hatfig_2.0.co_2.
  7. Al-Kharboush GH, Al-Balkhi KM, et al. The prevalence of specific dental anomalies in a group of Saudi cleft lip and palate patients. Saudi Dent J 2015 Apr;27(2):75–80. DOI: 10.1016/j.sdentj.2014.11.007.
  8. Krailassiri S, Anuwongnukroh N, et al. Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals. Angle Orthod 2002 Apr;72(2):155–166. DOI: 10.1043/0003-3219(2002)072<0155:RBDCSA>2.0.CO;2.
  9. Uysal T, Sari Z, et al. Relationships between dental and skeletal maturity in Turkish subjects. Angle Orthod 2004 Oct;74(5):657–664. DOI: 10.1043/0003-3219(2004)074<0657:RBDASM>2.0.CO;2.
  10. Eid RM, Simi R, et al. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian's method. Int J Paediatr Dent 2002 Nov;12(6):423–428.
  11. Hegde RJ, Sood PB. Dental maturity as an indicator of chronological age: radiographic evaluation of dental age in 6 to 13 years children of Belgaum using Demirjian methods. J Indian Soc Pedod Prev Dent 2002 Dec;20(4):132–138.
  12. Demirjian A, Buschang PH, et al. Interrelationships among measures of somatic, skeletal, dental, and sexual maturity. Am J Orthod 1985 Nov;88(5):433–438.
  13. Lewis AB, Garn SM. The relationship between tooth formation and other maturational factors. Angle Orthodontist 1960;30(2):70–77.
  14. Cameriere R, Ferrante L, et al. Age estimation in children by measurement of open apices in teeth. Int J Leg Med 2006 Jan;120(1):49–52. DOI: 10.1007/s00414-005-0047-9.
  15. Demirjian A, Goldstein H, et al. A new system of dental age assessment. Hum Biol 1973 May;45(2):211–227.
  16. Nolla C. The development of the permanent teeth. ASDCJ 1960;27: 254–266.
  17. Haavikko K. Tooth formation age estimated on a few selected teeth. A simple method for clinical use. Proc Finn Dent Soc 1974 Feb;70(1):15–19.
  18. Kirzioglu Z, Ceyhan D. Accuracy of different dental age estimation methods on Turkish children. Forensic Sci Int 2012 Mar 10;216(1–3): 61–67. DOI: 10.1016/j.forsciint.2011.08.018.
  19. Baghdadi ZD, Pani SC. Accuracy of population-specific Demirjian curves in the estimation of dental age of Saudi children. Int J Paediatr Dent 2012 Mar;22(2):125–131. DOI: 10.1111/j.1365- 263X.2011.01179.x.
  20. Mani SA, Naing L, et al. Comparison of two methods of dental age estimation in 7 to 15 year-old Malays. Int J Paediatr Dent 2008 Sep;18(5):380–388. DOI: 10.1111/j.1365-263X.2007.00890.x.
  21. Leurs IH, Wattel E, et al. Dental age in Dutch children. Eur J Orthod 2005 Jun;27(3):309–314.
  22. Willems G, Van Olmen A, et al. Dental age estimation in Belgian children: Demirjian's technique revisited. J Forensic Sci 2001 Jul;46(4):893–895.
  23. Koshy S, Tandon S. Dental age assessment: the applicability of Demirjian's method in south Indian children. Forensic Sci Int 1998 Jun 8;94(1–2):73–85.
  24. Nystrom M, Haataja J, et al. Dental maturity in Finnish children, estimated from the development of seven permanent mandibular teeth. Acta Odontol Scand 1986 Aug;44(4):193–198.
  25. Mornstad H, Reventlid M, et al. The validity of four methods for age determination by teeth in Swedish children: a multicentre study. Swed Dent J 1995;19(4):121–130.
  26. Rozylo-Kalinowska I, Kiworkowa-Raczkowska E, et al. Dental age in Central Poland. Forensic Sci Int 2008 Jan 30;174(2–3):207–216.
  27. Nykanen R, Espeland L, et al. Validity of the Demirjian method for dental age estimation when applied to Norwegian children. Acta Odontol Scand 1998 Aug;56(4):238–244
  28. Liversidge HM, Speechly T, et al. Dental maturation in British children: are Demirjian's standards applicable? Int J Paediatr Dent 1999 Dec;9(4):263–269.
  29. Frucht S, Schnegelsberg C, et al. Dental age in southwest Germany. A radiographic study. J Orofac Orthop 2000;61(5):318–329.
  30. Lee SE, Lee SH, et al. Age estimation of Korean children based on dental maturity. Forensic Sci Int 2008 Jul 4;178(2–3):125–131. DOI: 10.1016/j.forsciint.2007.12.010.
  31. Cheraskin E, Ringsdorf Jr WM. Biology of the orthodontic patient. 3. Relationship of chronologic and dental age in terms of vitamin C state. Angle Orthod 1972 Jan;42(1):56–59. DOI: 10.1043/0003-3219(1972)042<0056:BOTOPI>2.0.CO;2.
  32. Brouwers HJ, Kuijpers-Jagtman AM. Development of permanent tooth length in patients with unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop 1991 Jun;99(6):543–549.
  33. Lai MC, King NM, et al. Dental development of Chinese children with cleft lip and palate. Cleft Palate Craniofac J 2008 May;45(3): 289–296. DOI: 10.1597/07-019.
  34. Pham AN, Seow WK, et al. Developmental dental changes in isolated cleft lip and palate. Pediatr Dent 1997 Mar-Apr;19(2):109–113.
  35. Huyskens RW, Katsaros C, et al. Dental age in children with a complete unilateral cleft lip and palate. Cleft Palate Craniofac J 2006 Sep;43(5):612–615. DOI: 10.1597/05-096.
  36. Menius JA, Largent MD, et al. Skeletal development of cleft palate children as determined by hand-wrist roentgenographs: a preliminary study. Cleft Palate J 1966 Jan;3:67–75.
  37. Fishman LS. Factors related to tooth number, eruption time, and tooth position in cleft palate individuals. ASDC J Dent Child 1970 Jul-Aug;37(4):303–306.
  38. Bailit HL, Doykos JD, et al. Dental development in children with cleft palates. J Dent Res 1968;47(4):664.
  39. Hunter WS. The effects of clefting on crown-root length, eruption, height and weight in twins discordant for cleft of lip and/or palate. Cleft Palate J 1975 Apr;12:222–228.
  40. Hazza'a AM, Rawashdeh MA, et al. Dental development in children with cleft lip and palate: a comparison between unilateral and bilateral clefts. Eur J Paediatr Dent 2009 Jun;10(2):90–94.
  41. de Carvalho Carrara CF, de Oliveira Lima JE, et al. Chronology and sequence of eruption of the permanent teeth in patients with complete unilateral cleft lip and palate. Cleft Palate Craniofac J 2004 Nov;41(6):642–645. DOI: 10.1597/02-085.1.
  42. Heidbuchel KL, Kuijpers-Jagtman AM, et al. Dental maturity in children with a complete bilateral cleft lip and palate. Cleft Palate Craniofac J 2002 Sep;39(5):509–512. DOI: 10.1597/1545-1569_2002_039_0509_ dmicwa_2.0.co_2.
  43. Borodkin AF, Feigal RJ, et al. Permanent tooth development in children with cleft lip and palate. Pediatr Dent 2008 Sep-Oct; 30(5):408–413.
  44. Al-Hadlaq A, Hashim H, et al. Interrelationship between dental maturity, skeletal maturity and chronological age in Saudi male children. Egypt Dent J 2008;54(1):55–65.
  45. Al-Emran S. Dental age assessment of 8.5 to 17 year-old Saudi children using Demirjian's method. J Contemp Dent Pract 2008;9(3): 64–71.
  46. Al-Tuwirqi A, Holcombe T, et al. A study of dental development in a Caucasian population compared with a non-Caucasian population. Eur Arch Paediatr Dent 2011 Feb;12(1):26–30.
  47. Qudeimat MA, Behbehani F. Dental age assessment for Kuwaiti children using Demirjian's method. Ann Hum Biol 2009 Nov-Dec; 36(6):695–704. DOI: 10.3109/03014460902988702.
  48. Pagano MaKg. Principles of biostatistics; numerical summary measures. Duxbury Press, 2000;p. 42.
  49. Ongkosuwito EM, de Gijt P, et al. Dental development in hemifacial microsomia. J Dent Res 2010 Dec;89(12):1368–1372. DOI: 10.1177/0022034510378425.
  50. De Coster PJ, Mortier G, et al. Cranial suture biology and dental development: genetic and clinical perspectives. J Oral Pathol Med 2007 Sep;36(8):447–455. DOI: 10.1111/j.1600-0714.2007.00553.x.
  51. Thorson J, Hagg U. The accuracy and precision of the third mandibular molar as an indicator of chronological age. Swed Dent J 1991;15(1): 15–22.
  52. Fanning EA. Most cited: number 1. A longitudinal study of tooth formation and root resorption. N Z Dent J 2008 Jun;104(2): 60–61.
  53. Staaf V, Mornstad H, et al. Age estimation based on tooth development: a test of reliability and validity. Scand J Dent Res 1991 Aug;99(4):281–286.
  54. Galic I, Vodanovic M, et al. Accuracy of Cameriere, Haavikko, and Willems radiographic methods on age estimation on Bosnian- Herzegovian children age groups 6-13. Int J Legal Med 2011 Mar;125(2):315–321. DOI: 10.1007/s00414-010-0515-8.
  55. Jordan RE, Kraus BS, et al. Dental abnormalities associated with cleft lip and/or palate. Cleft Palate J 1966 Jan;3:22–55.
  56. Ranta R. Asymmetric tooth formation in the permanent dentition of cleft-affected children. An orthopantomographic study. Scand J Plast Reconstr Surg 1973;7(1):59–63.
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