치아 발육 단계의 상관관계를 이용한 하악 제3대구치 발육 평가
Estimation of Mandibular Third Molar Development Using the Correlation in Dental Developmental Stages
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초록
이 연구의 목적은 소아 청소년의 하악 견치, 제1, 2소구치, 제2, 3대구치의 발육 단계별평균 연령을 확인하고, 이를 토대로 하악 제3대구치의 발생 유무를 추정할 수 있는 하악 견치, 제1, 2소구치, 제2대구치의 발육 단계를 확인하는 것이다. 2019년 1월부터 2020년 12 월까지 서울대학교치과병원에 내원한 만 6 - 15세 사이의 건강한 환자의 1,956개의 파노라마 방사선 사진을 이용하여, Demirjian과 Goldstein의 방법으로 양측 하악 견치, 제1, 2 소구치, 제2, 3대구치의 치아 발육 단계를 평가하였다. 제3대구치의 치배가 처음 관찰되는연령은 평균 9.34 ± 1.35세였고, 6세부터 12세에 걸쳐 다양하게 나타났다. 하악 견치, 제1, 2소구치가 F단계, 제2대구치가 E단계 이후에도, 제3대구치가 관찰되지 않으면 제3대구치의 결손 가능성이 높은 것으로 나타났으며 그 연령은 평균 10세였다. 제3대구치의 발육 여부를 추정할 때 치아 하나만을 고려한다면 제2소구치와의 추정 부합도가 가장 높았으며 4 개 치아 전부를 포함했을 때와 큰 차이가 없었다.이번 연구를 통해 만 6세에서 15세 사이의 소아 청소년에서 하악 견치, 제1, 2소구치, 제2대구치의 발육 단계별 연령 분포를 확인할 수 있었으며, 이를 근거로 하악 제3대구치의 발육 여부를 평가할 수 있는 하악 견치, 제1, 2소구치, 제2대구치의 발육 단계를 확인할 수 있었다.
Abstract
This study aims to confirm the average chronologic age according to the developmental stages of the mandibular canine (L3), first and second premolars (L4, L5), and second and third molars (L7, L8) in children and adolescents, and to confirm the developmental stage of L3, L4, L5, and L7, which can estimate the development of L8. A total of 1,956 digital panoramic radiographs of healthy individuals aged between 6 and 15 years who visited Seoul National University Dental Hospital from January 2019 to December 2020 were selected. The developmental stages of L3, L4, L5, L7, and L8 on both sides were evaluated using the dental maturity scoring system proposed by Demirjian and Goldstein. The average age at which the follicle of L8 was first observed was around 9.34 ± 1.35 years and varied from 6 to 12 years. The possibility of agenesis of L8 was high when no traces of L8 were observed after the following stages: L3, L4, and L5 at the developmental stage F and L7 at the developmental stage E; the age was about 10 years. In estimating the development of L8, when only one tooth was considered, estimation accuracy with L5 was the highest, and there was no significant difference when all four teeth were included. This study showed the age distribution according to the developmental stages of L3, L4, L5, L7, and L8 in children and adolescents and confirmed the developmental stages of L3, L4, L5, and L7, which can be used to estimate the development of L8.
참고문헌 (39)
- Bei M, "Molecular genetics of tooth development", Curr Opin Genet Dev, 19, pp.504~510 (2009)
- Azzaldeen A, "Tooth agenesis; aetiological factors", J Dent Med Sci, 16, pp.75~85 (2017)
- Garn SM, "The relationship between third molar agenesis and reduction in tooth number", Angle Orthod, 32, pp.14~18 (1962)
- Vastardis H, "The genetics of human tooth agenesis : new discoveries for understanding dental anomalies", Am J Orthod Dentofacial Orthop, 117, pp.650~656 (2000)
- Shapira J, "Prevalence of tooth transposition, third molar agenesis, and maxillary canine impaction in individuals with Down syndrome", Angle Orthod, 70, pp.290~296 (2000)
- De Castro JMB, "Third molar agenesis in human prehistoric populations of the Canary Islands", Am J Phys Anthropol, 79, pp.207~215 (1989)
- Kajii TS, "Agenesis of third molar germs depends on sagittal maxillary jaw dimensions in orthodontic patients in Japan", Angle Orthod, 74, pp.337~342 (2004)
- Carter K, "Morphologic and demographic predictors of third molar agenesis : a systematic review and meta-analysis", J Dent Res, 94, pp.886~894 (2015)
- Barka G, "Radiographic evaluation of third molar genesis in Greek orthodontic patients", Int J Gen Med, 6, pp.747~755 (2013)
- Kajii T, "Presence of third molar germs in orthodontic patients in Japan", Am J Orthod Dentofacial Orthop, 119, pp.245~250 (2001)
- Gorgani N, "A radiographic investigation of third-molar development", ASDC J Dent Child, 57, pp.106~110 (1990)
- Bolaños MV, "Radiographic evaluation of third molar development in Spanish children and young people", Forensic Sci Int, 133, pp.212~219 (2003)
- Orhan K, "Radiographic evaluation of third molar development in relation to chronological age among Turkish children and youth", Forensic Sci Int, 165, pp.46~51 (2007)
- Olze A, "Comparative study on the chronology of third molar mineralization in a Japanese and a German population", Leg Med, 5(Suppl 1), pp.S256~S260 (2003)
- Olze A, "Studies on the progress of third-molar mineralisation in a Black African population", Homo, 57, pp.209~217 (2006)
- Li G, "Dental age estimation from the developmental stage of the third molars in western Chinese population", Forensic Sci Int, 219, pp.158~164 (2012)
- Lee SH, "Development of third molars in Korean juveniles and adolescents", Forensic Sci Int, 188, pp.107~111 (2009)
- 정연화, "Radiographic evaluation of third molar development in 6- to 24-year-olds", Imaging Science in Dentistry, 44(3), pp.185~191 (2014), 대한영상치의학회
- 송민선, "하악 좌측 제3대구치 발육과 연령 사이의 연관성", 대한소아치과학회지, 49(1), pp.35~44 (2022), 대한소아치과학회
- Al-Ani AH, "Hypodontia : an update on its etiology, classification, and clinical management", Biomed Res Int, 2017, pp.9378325~ (2017)
- Daugaard S, "Delayed dental maturity in dentitions with agenesis of mandibular second premolars", Orthod Craniofac Res, 13, pp.191~196 (2010)
- Navarro J, "Dental anomaly pattern(DAP) : agenesis of mandibular second premolar, distal angulation of its antimere and delayed tooth formation", Angle Orthod, 84, pp.24~29 (2014)
- Song JS, "Prediction of agenesis of the mandibular second premolar using the developmental stages of the mandibular canine, first premolar, and second molar", Arch Oral Biol, 87, pp.110~114 (2018)
- Demirjian A, "New systems for dental maturity based on seven and four teeth", Ann Hum Biol, 3, pp.411~421 (1976)
- Halicioglu K, "Permanent first molar extraction in adolescents and young adults and its effect on the development of third molar", Clin Oral Investig, 18, pp.1489~1494 (2014)
- Cobourne MT, "National clinical guidelines for the extraction of first permanent molars in children", Br Dent J, 217, pp.643~648 (2014)
- Richardson M, "Late third molar genesis : its significance in orthodontic treatment", Angle Orthod, 50, pp.121~128 (1980)
- Almpani K, "Role of third molars in orthodontics", World J Clin Cases, 3, pp.132~140 (2015)
- Jayaraman J, "The French-Canadian data set of Demirjian for dental age estimation : a systematic review and meta-analysis", J Forensic Leg Med, 20, pp.373~381 (2013)
- Alkandiri F, "Dental Age Estimation : A comparison of three methods of estimating dental age in a population of Kuwaiti children and adolescents", Forensic Sci Int Rep, 3, pp.100214~ (2021)
- Lee SS, "The chronology of second and third molar development in Koreans and its application to forensic age estimation", Int J Legal Med, 124, pp.659~665 (2010)
- Knell B, "Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth", Int J Legal Med, 123, pp.465~469 (2009)
- Olze A, "Studies on the chronology of third molar mineralization in a Japanese population", Leg Med, 6, pp.73~79 (2004)
- Dhanjal KS, "Reproducibility of radiographic stage assessment of third molars", Forensic Sci Int, 159(Suppl 1), pp.S74~S77 (2006)
- Lee SE, "Age estimation of Korean children based on dental maturity", Forensic Sci Int, 178, pp.125~131 (2008)
- Zandi M, "Evaluation of third molar development and its relation to chronological age : a panoramic radiographic study", Oral Maxillofac Surg, 19, pp.183~189 (2015)
- Willershausen B, "Analysis of 1202 orthopantograms to evaluate the potential of forensic age determination based on third molar developmental stages", Eur J Med Res, 6, pp.377~384 (2001)
- Olze A, "Forensic age estimation in living subjects : the ethnic factor in wisdom tooth mineralization", Int J Legal Med, 118, pp.170~173 (2004)
- Logan WH, "Development of the human jaws and surrounding structures from birth to the age of fifteen years", J Am Dent Assoc, 20, pp.379~428 (1933)