Radiographic dental age estimation of Brazilian children and adolescents using a national reference sample - 24/02/26


Highlights |
• | Dental age estimation was performed in 500 panoramic radiographs. |
• | The Brazilian model led to mean absolute error (MAE) of 0.67 years for males. |
• | The Brazilian model led to MAE of 0.73 years for females. |
• | The Brazilian model was applicable in the studied population. |
Summary |
Several radiographic methods have been proposed for dental age estimation, among which the Willems model and its Brazilian adaptation by Franco et al. (2024) have shown promising results. However, the Brazilian model has not yet been tested in Northeastern populations. This study aimed to validate Franco's model in a sample of children and adolescents from Alagoas, Northeastern Brazil. A retrospective, cross-sectional study was performed on 500 panoramic radiographs (250 males, 250 females) aged 6–15.99 years, distributed evenly across one-year intervals. Chronological age was calculated from documentary records and compared with dental age estimated using Demirjian's staging system and Franco's Brazilian model. Mean error (ME), mean absolute error (MAE), and root mean squared error (RMSE) were calculated and complemented by Bland – Altman analysis. The mean chronological age was 11.0 ± 2.9 years, while the mean estimated age was 10.8 ± 2.5 years. The overall ME was 0.18 years (0.06 males, 0.29 females). The MAE was 0.70 years (0.67 males, 0.73 females), with the best performance between 7 and 10.99 years ( < 0.5 years). RMSE values increased in older groups, reaching > 1.0 year after age 13.99. Bland–Altman plots showed a transition from overestimation in younger ages to underestimation in older ages, earlier in females. The Brazilian model was adequate for the studied population, particularly for individuals aged 7–10.99 years, with overall differences below one year.
Le texte complet de cet article est disponible en PDF.Keywords : Brazil, Dental age estimation, Forensic dentistry, Radiograph
Plan
Vol 110 - N° 368
Article 101081- mars 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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