한국 어린이의 골 성숙도와 치아 석회화 단계 간의 상관관계 = Correlation between Dental and Skeletal Maturity in Korean Children

다국어 초록 (Multilingual Abstract)

The aim of this study was to investigate the relationships between the stages of calcification of various teeth and skeletal maturity stages among Korean subjects. The samples were derived from hand-wrist, panoramic radiographs, and lateral cephalograms of 743 subjects (359 males and 384 females) with ages ranging from 6 to 14 years. Calcification of seven permanent mandibular teeth on the left side were rated according to the system of Demirjian. To evaluate the stage of skeletal maturation, hand-wrist radiographs were analyzed by skeletal maturity indicators (SMI) system of Fishman and lateral cephalograms by cervical vertebral maturation (CVM) method of Baccetti. Statistically significant relationships were found between dental calcification and skeletal maturity stages according to Spearman rank-order correlation coefficients (r = 0.40-0.84, p < 0.001). The second molar showed the highest correlation and central incisor showed the lowest correlation for female and male subjects. For both sexes, canine stage G and second molar stage F were related to SMI 6 and CS 3. Because of the high correlation coefficients, this study suggests that tooth calcification stages from panoramic radiographs might be clinically useful as a maturity indicator of the pubertal growth period in Korean patients.

참고문헌 (Reference)

1 강동균, "치아 석회화 단계와 골 성숙도 단계간의 상관관계에 대한 연구" 대한소아치과학회 35 (35): 243-258, 2008

2 유현경, "성장기 아동의 상악 견치를 이용한 골격적 성숙도 평가" 대한소아치과학회 46 (46): 247-254, 2019

3 이연주, "사춘기 최대 성장 단계 예측을 위한 SMI 및 MP3 단계별 골연령 평가" 대한소아치과학회 46 (46): 233-238, 2019

4 Olze A, "Validation of common classification systems for assessing the mineralization of third molars" 119 : 22-26, 2005

5 Akoglu H, "User's guide to correlation coefficients" 18 : 91-93, 2018

6 Harris E, "Tooth mineralization standards for blacks and whites from the middle southern United States" 35 : 859-872, 1990

7 Chertkow S, "Tooth mineralization as an indicator of the pubertal growth spurt" 77 : 79-91, 1980

8 Björk A, "Timing of interceptive orthodontic measures based on stages of maturation" 61-72, 1972

9 Mohammed RB, "The reliability of Fishman method of skeletal maturation for age estimation in children of South Indian population" 5 : 297-302, 2014

10 Green LJ, "The interrelationships among height, weight and chronological, dental and skeletal ages" 31 : 189-193, 1961

11 Nolla C, "The development of the human dentition" 27 : 254-266, 1960

12 Stiehl J, "The development of the cervical vertebrae as an indicator of skeletal maturity : comparison with the classic method of hand-wrist radiograph" 70 : 327-335, 2009

13 Baccetti T, "The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics" 119-129, 2005

14 김재현, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects" 대한소아청소년과학회 61 (61): 135-149, 2018

15 Grave K, "Skeletal ossification and the adolescent growth spurt" 69 : 611-619, 1976

16 조선미, "Skeletal maturation evaluation using mandibular third molar development in adolescents" 대한치과교정학회 39 (39): 120-129, 2009

17 Kumar S, "Skeletal maturation evaluation using mandibular second molar calcification stages" 82 : 501-506, 2012

18 Hassel B, "Skeletal maturation evaluation using cervical vertebrae" 107 : 58-66, 1995

19 Krailassiri S, "Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals" 72 : 155-166, 2002

20 Uysal T, "Relationships between dental and skeletal maturity in Turkish subjects" 74 : 657-664, 2004

21 Lecca-Morales RM, "Relationship between dental calcification and skeletal maturation in a Peruvian sample" 22 : 89-96, 2017

22 Fishman LS, "Radiographic evaluation of skeletal maturation : a clinically oriented method based on hand-wrist films" 52 : 88-112, 1982

23 Greulich WW, "Radiographic atlas of skeletal development of the hand and wrist" Stanford University Press 1959

24 Burstone CJ, "Process of maturation and growth prediction" 49 : 907-919, 1963

25 Chapman SM, "Ossification of the adductor sesamoid and the adolescent growth spurt" University of Sydney 1971

26 Hägg U, "Maturation indicators and the pubertal growth spurt" 82 : 299-309, 1982

27 Sidlauskas A, "Mandibular pubertal growth spurt prediction. Part one: Method based on the hand-wrist radiographs" 7 : 16-20, 2005

28 Bishara SE, "Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years" 80 : 115-135, 1981

29 Demirjian A, "Interrelationships among measures of somatic, skeletal, dental, and sexual maturity" 88 : 433-438, 1985

30 Manjunatha B, "Estimation of age from development and eruption of teeth" 6 : 73-76, 2014

31 Balaraj B, "Determination of adolescent ages 14-16 years by radiological study of permanent mandibular second molars" 17 : 329-332, 2010

32 Pancherz H, "Dentofacial orthopedics in relation to somatic maturation : An analysis of 70 consecutive cases treated with the Herbst appliance" 88 : 273-287, 1985

33 Lebbe A, "Dental development in patients with agenesis" 131 : 537-546, 2017

34 Koshy S, "Dental age assessment : the applicability of Demirjian's method in south Indian children" 94 : 73-85, 1998

35 Badrov J, "Dental age and tooth development in orthodontic patients with agenesis of permanent teeth" 2017 : 8683970-, 2017

36 Ogodescu AE, "Dental Maturity-a biologic indicator of chronological age : Digital radiographic study to assess dental age in Romanian children" 1 : 32-40, 2011

37 Flores-Mir C, "Correlation of skeletal maturation stages determined by cervical vertebrae and hand-wrist evaluations" 76 : 1-5, 2006

38 Alkhal HA, "Correlation between Chronological Age, Cervical Vertebral Maturation and Fishman's Skeletal Maturity Indicators in Southern Chinese" 78 : 591-596, 2008

39 Chaillet N, "Comparison of dental maturity in children of different ethnic origins : international maturity curves for clinicians" 50 : 1164-1174, 2005

40 Joshi VV, "Comparative study between cervical vertebrae and hand-wrist maturation for the assessment of skeletal age" 6 : 207-213, 2010

41 Mittal S, "Co-relation between determination of skeletal maturation using cervical vertebrae and dental calcification stages" 4 : 1-9, 2009

42 Fishman LS, "Chronological versus skeletal age, an evaluation of craniofacial growth" 49 : 181-189, 1979

43 Başaran G, "Cervical vertebral and dental maturity in Turkish subjects" 131 : 447-, 2007

44 Tanner JM, "Assessment of skeletal maturity and prediction of adult height (TW3method)" Saunders 2001

45 Tanner JM, "Assessment of skeletal maturity and prediction of adult height (TW2method)" Academic Press 1975

46 Sierra AM, "Assessment of Dental and Skeletal Maturity. A New Approach" 57 : 194-208, 1987

47 Mappes MS, "An example of regional variation in the tempos of tooth mineralization and hand-wrist ossification" 101 : 145-151, 1992

48 Chalasani S, "An Evaluation of Skeletal Maturation by Hand-Wrist Bone Analysis and Cervical Vertebral Analysis : A Comparitive Study" 47 : 433-437, 2013

49 Uslenghi S, "A radiographic study of tooth development in hypodontia" 51 : 129-133, 2006

50 Demirjian A, "A new system of dental age assessment" 45 : 211-227, 1973

51 Kim HI, "A longitudinal study on the pubertal growth peak and maturity stages of the hand-wrist in malocclusion" 19 : 123-133, 1989

52 Lauterstein AM, "A cross-sectional study in dental development and skeletal age" 62 : 161-167, 1961