Ji-Soo Song1, Teo Jeon Shin2, Young-Jae Kim2, Jung-Wook Kim2, Ki-Taeg Jang2, Sang-Hoon Lee2, Hong-Keun Hyun3. 1. Department of Pediatric Dentistry, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea. 2. Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea. 3. Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea. Electronic address: hege1@snu.ac.kr.
Abstract
OBJECTIVE: The aim in this study was to suggest a standard for early diagnosis of agenesis of the mandibular second premolars (L5) by estimating the developmental stages of the mandibular canines (L3), first premolars (L4), and second molars (L7). DESIGN: Among all 5136 pediatric patients aged 5-11 years who received panoramic radiographs between June 2008 and December 2009 at Seoul National University Dental Hospital, 215 control patients and 74 agenesis patients who met inclusion criteria were analyzed. The developmental stages of all L3, L4, L5, and L7 of control and agenesis patients were estimated using the method proposed by Demirjian. To identify the tooth (L3, L4, L7) with the developmental pattern most similar to that of L5, Kendall rank correlation coefficients and Bootstrap method were used. To verify that patients with agenesis of L5 show delayed development, Wilcoxon rank sum test was used. To identify the stages in which to diagnose agenesis of L5, we performed survival analysis. RESULTS: There was a significant correlation between the developmental stages of L3, L4, L7 and L5. The developmental stages of those three teeth in the agenesis group were delayed compared with those in the control group at certain ages. If the developmental stages of at least two of those three teeth reach Demirjian stage D without the calcification of L5, agenesis of L5 can be confirmed. CONCLUSIONS: Agenesis of L5 can be confirmed when two of the three teeth (L3, L4, L7) reach Demirjian stage D.
OBJECTIVE: The aim in this study was to suggest a standard for early diagnosis of agenesis of the mandibular second premolars (L5) by estimating the developmental stages of the mandibular canines (L3), first premolars (L4), and second molars (L7). DESIGN: Among all 5136 pediatric patients aged 5-11 years who received panoramic radiographs between June 2008 and December 2009 at Seoul National University Dental Hospital, 215 control patients and 74 agenesis patients who met inclusion criteria were analyzed. The developmental stages of all L3, L4, L5, and L7 of control and agenesis patients were estimated using the method proposed by Demirjian. To identify the tooth (L3, L4, L7) with the developmental pattern most similar to that of L5, Kendall rank correlation coefficients and Bootstrap method were used. To verify that patients with agenesis of L5 show delayed development, Wilcoxon rank sum test was used. To identify the stages in which to diagnose agenesis of L5, we performed survival analysis. RESULTS: There was a significant correlation between the developmental stages of L3, L4, L7 and L5. The developmental stages of those three teeth in the agenesis group were delayed compared with those in the control group at certain ages. If the developmental stages of at least two of those three teeth reach Demirjian stage D without the calcification of L5, agenesis of L5 can be confirmed. CONCLUSIONS: Agenesis of L5 can be confirmed when two of the three teeth (L3, L4, L7) reach Demirjian stage D.