Radiographic Indicators for Dental Age Estimation in Children and Adolescents: A Systematic Review
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Mohammed Yahya Mashaa Albassous, Ali Saleh Manea Almutared, Mutared Mana sherfan Alyami, Rabiah Dalil Alreshidi, Sarah Ghazi Baghawi, Mohammed Jamal Alyami
Mutarid Owaidh Al-Mutarid, Ali Mohammed Ali Abudarahem, Mohammed Ahmed Ali Almashham, Fatimah Hassan Ali Alshahrani, Thekra Ali Ahmed Madkhali, Hamad Heshan Mohammed Almanajm
Abstract
Background: Dental age estimation is a critical tool in pediatric dentistry, orthodontics, and forensic sciences, particularly in children and adolescents where chronological age documentation may be unavailable or unreliable. Radiographic indicators derived from dental development stages provide a non-invasive and widely applied approach for age assessment.
Objective: This systematic review aims to synthesize current evidence on radiographic indicators used for dental age estimation in children and adolescents, focusing on methods applied, accuracy, reliability, and influencing factors.
Methods: A systematic search was conducted across electronic databases including PubMed, Scopus, and Web of Science. Eligible studies published between 2000 and 2025 were screened according to predefined inclusion and exclusion criteria following PRISMA guidelines. Radiographic methods, age ranges, population characteristics, and estimation accuracy were extracted and analyzed.
Results: The included studies demonstrated that tooth development-based radiographic indicators—particularly those derived from panoramic radiographs—show high accuracy in children and adolescents. However, variability was observed across populations, sex, and methodological approaches.
Conclusion: Radiographic dental age estimation is a reliable method in pediatric populations, yet population-specific standards and methodological harmonization remain essential to improve accuracy and clinical applicability.
Keywords :
Dental age estimation; Radiographic indicators; Children; Adolescents; Panoramic radiography; Systematic review.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty