Determina??o da idade dental de crian?as brasileiras nordestinas: novos valores de convers?o de maturidade dental para popula??o espec?fica

• Main Author: Maia, Maria Cristina Germano
• Other Authors: CPF:26277573349
• Format: Others
• Language: Portuguese
• Published: Universidade Federal do Rio Grande do Norte 2014
• Subjects: Idade dental; Crian?a; Maturidade dental; Radiografia panor?mica; Odontopedriatria; Odontologia legal; Forensic odontology; Dental age estimation; Standards; Demirjian s system; CNPQ::CIENCIAS DA SAUDE
• Online Access: http://repositorio.ufrn.br:8080/jspui/handle/123456789/13200

Made available in DSpace on 2014-12-17T14:13:35Z (GMT). No. of bitstreams: 1 MariaCGM_DISSERT.pdf: 783345 bytes, checksum: 2bbd27cd96c8b3b35673be95266c5187 (MD5) Previous issue date: 2010-09-17 === Since Demirjian's system of estimating dental maturity was first described, many researchers from different countries have tested its accuracy among diverse populations. Some of these studies have pointed out a need to determine population-specific standards. In Brazil, the Northeast region is the one that most suffers the negative impact of exodus, specially related to the increase of abandoned children in the cities. The aim of this study was to test the accuracy of Demirjian's system for assessing the dental maturity of northeastern Brazilian children, so as to present a scale for maturity score conversion into dental age developed specifically for this population. This could be used for forensic, anthropological and legal matters, and also as a model for other countries attempting to formulate their own conversion scales. Panoramic radiographs of 1,491 children (821 females and 670 males), aged 7 to 13 years, from Cear? state, northeast Brazil, were assessed by a single observer to determine dental age (DA) according to Demirjian's system. The mean percentage of intra-observer agreement was 86.6%, with a mean Cohen's Kappa coefficient of 0.67 (substantial agreement). The DA was compared by paired t-test to subjects' chronological age (CA). The differences between CA and DA in all age groups were statistically significant (p<0.0001), demonstrating a great advancement in DA among Brazilians. Scatter plots were drawn for both genders, and the data were fitted to a growth curve, y = 100/ (1 + e-a(x b)). Graphs corresponding to the 50th percentile curves were produced. A table with new values for the conversion of maturity score into dental age for northeastern Brazilian children is presented. The great advancement in DA, as obtained by Demirjian's system in this population, justified the determination of specific scores for dental maturity assessment === A estimativa da maturidade dent?ria tem sido descrita na literatura basicamente atrav?s de dois m?todos, a observa??o direta do processo de erup??o do dente na cavidade oral ou por meio de radiografias. A radiografia panor?mica, obtida por t?cnica extra-oral de uso dos raios X, ? um elemento essencial para o diagn?stico por imagens em Radiologia odontol?gica. Este trabalho apresenta dois estudos quantitativos anal?tico-descritivos utilizando o m?todo de determina??o da idade dental atrav?s de radiografia panor?mica em crian?as brasileiras nordestinas. Um estudo piloto realizado com 325 crian?as (191 meninas e 134 meninos) de 7 a 16 anos, da cidade de Fortaleza, objetivando determinar as interrela??es entre as suas idades cronol?gica (data de nascimento), ?ssea (pelo m?todo de Grewlich & Pyle) e dental (segundo Demirjian et al.). Outro estudo, j? publicado, conduzido com 1.491 crian?as (821 meninas e 670 meninos) cearenses, de 7 a 13 anos, visando avaliar a aplicabilidade do m?todo de Demirjian na popula??o estudada. Em ambos os estudos, mostra-se que a estimativa de idade dental utilizando as tabelas de convers?o de maturidade dental propostas por Demirjian et al. n?o se ad?qua ? popula??o pesquisada. Assim, uma escala de valores de convers?o de maturidade dental em idade dental foi desenvolvida especificamente para crian?as nordestinas e ? agora apresentada, visando ? sua aplica??o n?o s? na cl?nica, mas em quest?es forenses, antropol?gicas, legais e/ou criminais. As pesquisas de car?ter interdisciplinar envolveram pesquisadores das ?reas de Odontologia (Odontopediatria, Ortodontia e Radiologia); Medicina (Endocrinologia e Metabologia); e F?sica, preenchendo os requisitos de multidisciplinaridade do Programa de P?s-Gradua??o em Ci?ncias da Sa?de