대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제46권1호
  • /
  • Pages.10-20
  • /
  • 2019
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

경희대학교 소아치과에 내원한 아동의 진단 모형 분석을 이용한 영구치 맹출 단계

Eruption Stage of Permanent Teeth Using Diagnostic Model Analysis in Kyung Hee Dental Hospital

  • 오태준 (경희대학교 대학원 치의학과 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (강동경희대학교병원 치과병원 소아치과) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김광철 (강동경희대학교병원 치과병원 소아치과) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Oh, Taejun (Department of Pediatric Dentistry, Graduate School, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Misun (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Lee, Hyo-seol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 투고 : 2018.09.06
  • 심사 : 2018.10.29
  • 발행 : 2019.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

개인의 치령은 연령 추정의 한 지표로 사용되고 있으며, 아동의 성장 단계를 알 수 있는 중요한 지표가 된다. 치령의 변화는 시대의 변화에 따라 크지는 않지만, 꾸준히 변하게 되며 이에 대한 정보의 업데이트의 중요성은 널리 알려져 있다. 이에 이 연구는 진단 모형을 이용해 한국 아동의 치아 맹출 단계에 대한 정보를 제공하고, 이 정보를 바탕으로 치아 맹출 순서를 조사하고 연령 추정을 시행해 보았다. 5 - 13세 아동 488명의 진단 모형을 통해 치아 맹출 단계에 대해 조사하였다. 맹출 단계 정보를 바탕으로 한 영구치의 맹출 순서는 남녀 모두 상악에서는 제1대구치, 중절치, 측절치, 제1소구치, 견치, 제2소구치였으며, 하악에서는 제1대구치, 중절치, 측절치, 견치, 제1소구치, 제2소구치, 제2대구치 순서로 나타났다. 일부 나이에서 견치, 제1,2소구치, 제2대구치에서 남녀 간의 유의한 맹출 단계 수준의 차이를 보였다. 연령별 맹출 단계를 바탕으로 선형회귀분석을 이용해 연령 추정을 시행해 본 결과 남아와 여아의 나이를 결정 계수 0.816와 0.826 수준으로 추정해 볼 수 있었다.

Individual dental age is used as an index of chronological age estimation and is an important indicator of the child's growth stage. Dental age does change greatly over time, but it changes constantly. And updating information about this change is important. The purpose of this study was to provide information about tooth eruption stage using diagnostic model analysis and to investigate tooth eruption sequence and estimate chronological age based on this information. Tooth eruption stages were measured on a diagnostic model from 488 patients in 5 - 13 year old children. Based on the information on eruption stage, eruption sequence in maxilla was first permanent molar, central incisor, lateral incisor, first premolar, canine, second premolar and second permanent molar. Eruption sequence in mandible was first permanent molar, central incisor, lateral incisor, canine, first premolar, second premolar and second permanent molar. There were significant differences between males and females in the eruption stage of canine, first and second premolar, and second molar at several ages. The chronological age of male and female was estimated by the coefficient of determination of 0.816, 0.826 respectively.

키워드

참고문헌

  1. Nolla CM : The development of the human dentition. J Dent Child, 27:254-266, 1960.
  2. Demirjian A, Goldstein H, Tanner JM : A new system of dental age assessment. Hum Biol, 45:211-227, 1973.
  3. Haavikko K : The formation and the alveolar and clinical eruption of the permanent teeth. An orthopantomographic study. Suom Hammaslaak Toim, 66:103-170, 1970.
  4. Kvaal S, Solheim T : A non-destructive dental method for age estimation. J Forensic Odontostomatol, 12:6-11, 1994.
  5. Schulze R, Krummenauer F, Schalldach F, d'Hoedt B : Precision and accuracy of measurements in digital panoramic radiography. Dentomaxillofac Radiol, 29:52-56, 2000. https://doi.org/10.1038/sj.dmfr.4600500
  6. Larheim TA, Svanaes DB : Reproducibility of rotational panoramic radiography: mandibular linear dimensions and angles. Am J Orthod Dentofacial Orthop, 90:45-51, 1986. https://doi.org/10.1016/0889-5406(86)90026-0
  7. Schiff T, D'Ambrosio J, McDavid WD, et al. : Common positioning and technical errors in panoramic radiography. J Am Dent Assoc, 113:422-426, 1986. https://doi.org/10.14219/jada.archive.1986.0212
  8. Parner ET, Heidmann JM, Vaeth M, Poulsen S : A longitudinal study of time trends in the eruption of permanent teeth in Danish children. Arch Oral Biol, 46:425-431, 2001. https://doi.org/10.1016/S0003-9969(01)00002-4
  9. Moon JW : A statistical study on eruption timing of permanent teeth in Korean population. J Korean Acad Pediatr Dent, 11:25-39, 1984.
  10. Kang TS, Choi BJ, Choi HJ, et al. : Timing and sequence of eruption of permanent teeth in a sample of children from Yonsei Dental Hospital. J Korean Acad Pediatr Dent, 32:703-708, 2005.
  11. Kwon JH, Choi BJ, Choi HJ, et al. : Eruption time and sequence of permanent teeth in students from E-elementary school. J Korean Acad Pediatr Dent, 36:253-261, 2009.
  12. Korean Academy of Pediatric Dentistry : Pediatric, adolescent dentistry, 5th ed. Dental Wisdom Yenang INC, Seoul, 100-103, 2014.
  13. Moorrees CF, Reed RB : Changes in dental arch dimensions expressed on the basis of tooth eruption as a measure of biologic age. J Dent Res, 44:129-141, 1965. https://doi.org/10.1177/00220345650440010601
  14. Moorrees CF : Normal variation in dental development determined with reference to tooth eruption status. J Dent Res, 44:161-173, 1965. https://doi.org/10.1177/00220345650440011301
  15. DeKock WH : Dental arch depth and width studied longitudinally from 12 years of age to adulthood. Am J Orthod, 62:56-66, 1972. https://doi.org/10.1016/0002-9416(72)90125-X
  16. Chaillet N, Nystrom M, Demirjian A : Comparison of dental maturity in children of different ethnic origins: international maturity curves for clinicians. J Forensic Sci, 50:1164-1174, 2005. https://doi.org/10.1520/JFS2005020
  17. Teivens A, Mornstad H : A comparison between dental maturity rate in the Swedish and Korean populations using a modified Demirjian method. J Forensic Odontostomatol, 19:31-35, 2001.
  18. Bruna del Cojo M, Gallardo Lopez NE, Mourelle Martinez MR, De Nova Garcia MJ : Time and sequence of eruption of permanent teeth in Spanish children. Eur J Paediatr Dent, 14:101-103, 2013.
  19. Fatih O, Elif SE, Nurhan O et al. : Time and sequence of eruption of permanent teeth in Ankara, Turkey. Pediatr Dent J, 26:1-7, 2016. https://doi.org/10.1016/j.pdj.2015.09.002
  20. Kutesa A, Nkamba EM, Rewnyonyi CM, et al. : Weight, height and eruption times of permanent teeth of children aged 4-15 years in Kampala, Uganda. BMC Oral Health, 13:15, 2013. https://doi.org/10.1186/1472-6831-13-15
  21. AlQahtani SJ, Hector MP, Liversidge HM : Brief communication: The London atlas of human tooth development and eruption. Am J Phys Anthropol, 142:481-490, 2010. https://doi.org/10.1002/ajpa.21258
  22. Kurt W, Friedrich W, Maria T : Dental anthropology. 1st ed., Springer, 419-442, 1998.
  23. Smith BH, Garn SM : Polymorphisms in eruption sequence of permanent teeth in American children. Am J Phys Anthropol , 74:289-303, 1987. https://doi.org/10.1002/ajpa.1330740303
  24. Ritz-Timme S, Cattaneo C, Borrman HI, et al. : Age estimation: the state of the art in relation to the specific demands of forensic practise. Int J Legal Med, 113:129-136, 2000. https://doi.org/10.1007/s004140050283
  25. Almeida MS, Pontual Ados A, Pontual ML, et al. : The chronology of second molar development in Brazilians and its application to forensic age estimation. Imaging Sci Dent, 43:1-6, 2013. https://doi.org/10.5624/isd.2013.43.1.1
  26. Chaillet N, Nystrom M, Kataja M, Demirjian A : Dental maturity curves in Finnish children: Demirjian's method revisited and polynomial functions for age estimation. J Forensic Sci, 49:1324-1331, 2004.
  27. Lee SE, Lee SH, Kim YK, et al. : Age estimation of Korean children based on dental maturity. Forensic Sci Int, 178:125-131, 2008. https://doi.org/10.1016/j.forsciint.2007.12.010
  28. Moon JS : Secular trends of body sizes in Korean children and adolescents: from 1965 to 2010. Korean J Pediatr, 54: 436-442, 2011. https://doi.org/10.3345/kjp.2011.54.11.436
  29. Fogel RW : Changes in the disparities in chronic diseases during the course of the 20th century. Perspect Biol Med, 48:150-165, 2005. https://doi.org/10.1353/pbm.2005.0038
  30. Shaweesh AI : Timing and sequence of emergence of permanent teeth in the Jordanian population. Arch Oral Biol, 57:122-130, 2012. https://doi.org/10.1016/j.archoralbio.2011.08.014
  31. Almonaitiene R, Balciuniene I, Tutkuviene J : Standards for permanent teeth emergence time and sequence in Lithuanian children, residents of Vilnius city. Stomatologija, 14:93-100, 2012.