Title Sekularni trend razvoja trajnih zubi u hrvatskoj populaciji Istre i Primorja : doktorski rad
Title (english) Secular trend in the development of the permanent teeth in Istria and Primorje : doctoral thesis
Author Anja Sasso
Mentor Mario Legović (mentor) MBZ: 133553
Committee member Ivana Čuković-Bagić (predsjednik povjerenstva) MBZ: 192075
Committee member Hrvoje Brkić (član povjerenstva)
Committee member Hrvoje Jurić (član povjerenstva)
Committee member Mario Legović (član povjerenstva) MBZ: 133553
Granter University of Rijeka Faculty of Medicine Rijeka
Defense date and country 2011-01-01, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Dental Medicine
Universal decimal classification (UDC ) 611 - Anatomy
Abstract Cilj istraživanja
Evaluacija sekularnog trenda razvoja zuba unutar 30 godina, određivanje kronološke
dobi putem dentalne dobi.
Ispitanici i metode
Uzorak: Na 600 ortopantomograma djece Istarske i Primorsko–Goranske županije
učinjenih od 1977. i 1979. godine (skupina A) i 600 ortopantomograma djece
Primorsko-Goranske županije učinjenih od 2007. do 2009. godine (skupina B)
vrednovana je dentalna zrelost metodom po Demirjianu. Za određivanje kronološke
dobi prema mineralizaciji umnjaka korišteno je 979 ortopantomograma djece iz Istre,
analiziranih metodom po Nolli.
Rezultati
Utvrđena je statistički značajna (P‹0,001) razlika u dentalnoj dobi između skupina A i
B. U skupini B utvrđena je značajno naprednija dentalna dob. U obje skupine
statistički značajno naprednija bila je kronološka od dentalne dobi od 0,4 (B) do 1,2
(A) godine. U skupini A dentalna dob dječaka bila je značajno viša od djevojčica
(P‹0,001), u skupini B niža (nema statističke značajnosti) od dobi djevojčica
(P=0,072). U skupini B statistički značajno napredniji bio je razvoj svih donjih lijevih
zubi osim prvog molara, duži razvoj donjih lijevih inciziva, očnjaka, pretkutnjaka i
drugog molara u djevojčica (svi P‹0,001), a razvoj prvog donjeg lijevog molara u
dječaka (P‹0,001). Koeficijent korelacije dentalne i kronološke dobi bio je za skupinu
A r=0,746, za skupinu B r=0,885. U skupini B statistički značajno veća (P‹0,001) je
bila prisutnost svih umnjaka, i naprednijih stadija mineralizacije (stadija B) (P‹0,001).
Početak mineralizacije donjeg umnjaka bio je nakon šeste, mineralizacija korijena
trajala je od jedanaeste do petnaeste godine.
Zaključak
Značajna razlika dentalne dobi skupina A i B te naprednija dentalna dob u skupini B
potvrdila je hipotezu pozitivnog sekularnog trenda. Utvrđena je visoka korelacija
kronološke i dentalne dobi, dentalna dob bila je podcijenjena za 0,4 (B) do 1,2 (A)
godine. Veća pojavnost naprednijih stadija razvoja, kod svih zuba, bila je u skupini B.
Razvoj zubi bio je napredniji za sve donje zube osim prvog molara te za umnjake.
Značajnija pojavnost svih umnjaka bila je u skupini B. Visoka korelacija kronološke i
dentalne dobi donjih umnjaka (od 0,725 do 0,793) dala je pouzdanost utvrđivanja iste
metodom po Nolli.
Abstract (english) The purpose of this study was to evaluate the secular trend of dental development in
the period of 30 years by dental age estimation. The study also investigated the
correlation between dental and chronological age.
Patients and Methods
The sample consisted of 1200 panoramic radiographs of school children: 600
panoramic radiographs from Istarska and Primorsko-goranska županija, taken
between the years of 1977 and 1979 (group A), and 600 panoramic radiographs from
Primorsko-goranska županija, obtained between the years of 2007 and 2009 (group B).
The dental age was determined according to the Demirjian′s method. The
determination of chronological age was based on development of the lower third
molars, and it was analyzed using the Nolla method on 979 panoramic radiographs in
children from Istria.
Results
The difference in dental age between group A and group B was statistically significant
(P=0,002). Group B had significantly advanced dental age. Both groups demonstrated
significantly higher chronological age compared to dental age in the range from 0.4
(B) to 1,2 (A) years. In group B, the development of all left lower teeth, except the
first molar, was statistically more advanced, as well as the development of the left
lower incisors, canines, premolars and second molar in girls (all P‹0.001), and the
development of the first left lower molar in boys (P‹0.001). In group A, the dental age
of male patients was significantly higher than dental age of female patients (P‹0.001).
In group B, the dental age of male patients was lower than dental age of female
patients (no statistical significance) (P=0.072). The correlation between dental and
chronological age was high (r=0.746 for group A, and r=0.885 for group B). The
presence of all four third molars was statistically higher in group B (p‹0.001), and
they were in statistically significantly more advanced stage of development (stage B)
in group B (P‹0.001). Mineralization of the lower third molars began after the age of
six, and mineralization of the root lasted from the eleventh till fifteenth year.
Conclusion
Our study showed a significant difference in dental age between group A and group B.
Children in group B had more advanced dental age, which confirms the hypothesis of
a positive secular trend in dental development. The comparison of developmental
stages for each tooth between the two groups demonstrated more advanced stages of
development of all teeth in group B. Tooth development was advanced for all teeth
except the first molar and third molars. The correlation between dental and
chronological age was high, and the dental age was underestimated for 0.4 (B) to 1,2
(A) years. The secular trend had a positive influence on the development and presence
of all four third molars, which was more pronounced in group B. Statistically
significant correlation between mineralization of the mandibular third molars and
chronological age was found (from 0.725 to 0.793) in Istria by the Nolla method of
dental age estimation.
Keywords
Dob - Određivanje pomoću zuba
Hrvatska/Istra i PGŽ
Molar - Treći/rengenogram
Rast populacije - Određivanje
Rengenogram - Panoramski
Zubni lukovi/Rast i razvoj
Keywords (english)
Age Determination by Teeth
Croatia/ Istria and PGŽ
Dental Arch/Growth and Development
Molar - Third/radiography
Population growth estimation
Radiography - Panoramic
Language croatian
URN:NBN urn:nbn:hr:188:112216
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
Catalog URL http://libraries.uniri.hr/cgi-bin/ucat/unilib.cgi?form=D1121027002
Type of resource Text
Extent 158 str; 30 cm
File origin Born digital
Access conditions Closed access
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Created on 2017-01-19 19:03:17