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Dental Age in Precocious and Delayed Puberty Periods
Derya Tabakcilar1, Ruveyde Bundak2, Koray Gencay3
1Department of Pediatric Dentistry, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.
Dental development accelerates in precocious puberty and slows in delayed puberty, differing significantly from chronological and skeletal ages. This study compared dental and skeletal development in children with various pubertal timings.
Area of Science:
- Pediatric Endocrinology
- Orthodontics
- Radiology
Background:
- Precocious puberty involves early growth onset, while delayed puberty signifies growth retardation.
- Assessing dental and skeletal development is crucial for understanding somatic development patterns.
- Synchronicity between dental, skeletal, and chronological ages is a key indicator of normal development.
Purpose of the Study:
- To investigate the synchronicity between dental and somatic development in children with precocious and delayed puberty.
- To compare dental and skeletal ages with chronological ages in different pubertal development groups.
- To determine if dental development patterns align with somatic development in pubertal variations.
Main Methods:
- Evaluated 169 children with normal development, precocious puberty, and delayed puberty.
- Determined dental age using the Demirjian method on panoramic radiographs.
- Assessed skeletal age via the Greulich-Pyle atlas on hand-wrist radiographs.
Main Results:
- Dental age values were significantly higher than chronological and skeletal ages across all groups.
- In precocious puberty, dental age significantly exceeded chronological age.
- No statistically significant difference was found between chronological and dental age in the delayed puberty group.
Conclusions:
- Dental development appears accelerated in precocious puberty compared to chronological and skeletal development.
- Dental development seems retarded in delayed puberty, though not statistically significant compared to chronological age.
- Findings suggest dental age assessment can indicate pubertal development status, with potential biases in specific methods.
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