Clinical trial NCT05573295: Dental Age Estimation by Different Methods in Patients With Cleft Lip and Palate
Official title: Evaluation of Dental Age of Children With Cleft Lip and Palate Using Willems Method, Cameriere European Formula, and London Atlas
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Dental Age Estimation
Cleft Lip and Palate
Keywords: children
dental age estimation
Cleft Lip and Palate
chronological age
London Atlas
Cameriere European Formula
Willems method
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2022-10-10
Enrollment: 240
Sex: ALL
Minimum age (years): 5
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: This study was conducted on gender-age matched healthy control group of children aged 5-14 years, who applied to Istanbul University Faculty of Dentistry, Department of Pedodontics, had an AI record in their anamnesis, had panoramic radiographs in the archive of the Department of Oral and Maxillofacial Radiology, Istanbul University Faculty of Dentistry.

Brief summary: The aim of this study is to investigate whether there is a significant difference in dental age between children with CLP and healthy controls using the Willems method, Cameriere European formula and London Atlas. It is aimed to create a new formula if there is a significant difference in dental age between children with CLP and healthy controls.

Detailed description: Dental age is widely evaluated by pedodontists, forensic dentists and orthodontists. While a delay in tooth development may be associated with growth retardation and learning difficulties, dental age determination can also be used for forensic age determination for children whose birth information is uncertain. A clear assessment of maturation in children with continued growth is important in establishing a dental treatment plan.

There are two basic approaches to dental age determination in children:

evaluation of eruption of teeth in the oral cavity, evaluation of the development and mineralization of crowns and roots on dental radiographs.

In many methods, the developmental stages of different numbers of permanent teeth are used.

The most commonly used method for determining dental age in children; is the Demirjian method that evaluates the development of seven left permanent mandibular teeth in eight stages (from A to H). Willems et al. In 2001, they modified the Demirjian method by conducting a study on the fact that it showed higher age determination in the Belgian Caucasian population. The adapted method was named the Willems method. It is stated that one of the advantages of this method is that it is a relatively simple system for determining tooth age.

One of the most widely used methods of dental age determination recently is the European formula of Cameriere et al., which is calculated based on open apex. It has been reported that this method has been tested on different population groups, and the results are accurate and reliable.

An atlas method was proposed by a group of London researchers in 2010. The Atlas shows all the teeth array images of certain age groups as a schematic series. Age determination is made by deciding which reference image matches the individual's panoramic radiography image more.

Eligibility criteria: Inclusion Criteria:

* 5-14 years old
* Healthy children
* Children with CLP
* Patients without missing left mandibular permanent teeth on panoramic radiography

Exclusion Criteria:

* Children younger than 5 years old and older than 14 years (children that cannot be assessed by the Willems and Cameriere method)
* Poor quality panoramic radiography
* Patients who have received orthodontic treatment
* Patients who received restorative or endodontic treatment

Primary outcomes:
measure: Correlation coefficient of Willems method
timeFrame: day 1
measure: Correlation coefficient of London Atlas method.
timeFrame: day 1
measure: Correlation coefficient of Cameriere European formula.
timeFrame: day 1
Secondary outcomes:
measure: Dental age estimation in children with Cleft Lip and Palate
timeFrame: day 1
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University, Faculty of Dentistry
Study officials:
References: