Willems I and Willems II Methods for Dental Age Assessment in Children and Adolescents aged 3–16 years in the Varanasi Region: Applicability and Comparability

Authors

  • R Mishra Research Scholar,Department of Forensic Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi
  • R Mourya Senior Resident,Department of Forensic Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi
  • VK Srivastava Professor,Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi
  • SK Pandey Professor,Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi
  • NPG Kumar Professor,Department of Forensic Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi

DOI:

https://doi.org/10.48165/jiafm.2024.46.2.13

Keywords:

Age estimation, Dental age, Tooth Development, Willems I method, Willems II method

Abstract

 

In order to create new, simplified tables (Willems I method) for males and females in the Belgian Caucasian population, Willems G et al. (2001) reexamined Demirjian's technique. With these tables, dental age can be represented directly in years without the need for additional conversion tables. Using the prior data and a new study group, Willems G et al. (2010) created a common table for males and females to overcome cases of unknown gender and created a non-gender-specific method (Willems II method) that was not gender-specific. This study aims to evaluate the Willems I and Willems II methods for age estimation in a sample of the Varanasi region population. In this cross- sectional study, 432 samples (237 boys and 195 girls of age range 3–16 years) from the population of Varanasi region were evaluated to validate the Willems I and Willems II age estimation methods. A paired t-test was applied to determine the statistical significance between estimated dental age and chronological age. The Willems I method underestimated the dental age in boys by -0.27 ± 0.80 years and in girls by -0.60 ± 0.95 years. The Willems II method also underestimated the age by -0.57 ± 0.86 years in boys and -0.38 ± 0.93 years in girls. Pearson correlation revealed a strong positive association in both methods. The Willems I and Willems II methods are not exactly applicable, but the Willems I method is more relatable to the actual age of the boys sample and the Willems II method for the girls sample.

 

Downloads

Download data is not yet available.

References

Altunsoy M, Nur BG, Akkemik O, Ok E, Evcil MS. Applicability of the Demirjian method for dental age estimation in western Turkish children. Acta Odontol Scand. 2015 Feb;73(2):121-5. doi: 10.3109/00016357.2014.956333. Epub 2014 Oct 14. PMID: 25314122.

Akkaya N, Yilanci HÖ, Göksülük D. Applicability of Demirjian's four methods and Willems method for age estimation in a sample of Turkish children. Leg Med (Tokyo). 2015 Sep;17(5):355-9. doi: 10.1016/j.legalmed.2015.04.003. Epub 2015 Apr 27. PMID: 25934017.

Al Balushi S, Thomson WM, Al-Harthi L. Dental age estimation of Omani children using Demirjian's method. Saudi Dent J. 2018 Jul;30(3):208-213. doi: 10.1016/j.sdentj. 2018.04.005. Epub 2018 May 15. PMID: 29942104;PMCID: PMC6011213.

Kelmendi J, Vodanović M, Koçani F, Bimbashi V, Mehmeti B, Galić I. Dental age estimation using four Demirjian's, Chaillet's and Willems' methods in Kosovar children. Leg Med(Tokyo). 2018 Apr 24;33:23-31. doi: 10.1016/j.legalmed

. 2018.04.006. Epub ahead of print. PMID: 29709721.

Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973 May;45(2):211-27. PMID: 4714564.

Djukic K, Zelic K, Milenkovic P, Nedeljkovic N, Djuric M. Dental age assessment validity of radiographic methods on Serbian children population. Forensic Sci Int. 2013 Sep 10;231(1-3):398.e1-5. doi: 10.1016/j.forsciint.2013.05.036. Epub 2013 Jul 5. PMID: 23835078.

Willems G, Van Olmen A, Spiessens B, Carels C. Dental age estimation in Belgian children: Demirjian's technique revisited. J Forensic Sci. 2001 Jul;46(4):893-5. PMID: 11451073.

Willems G, Thevissen PW, Belmans A, Liversidge HM. Willems II. Non-gender-specific dental maturity scores. Forensic Sci Int. 2010 Sep 10;201(1-3):84-5. doi: 10.1016/j.forsciint.2010.04.033. Epub 2010 May 18. PMID: 20483551.

Hegde S, Patodia A, Dixit U. Willems I VS Willems II: A comparative study of accuracy in 5-15 year old Indian children. Forensic Sci Int. 2016 Sep;266:117-122. doi: 10.1016/j.forsciint.2016.05.012. Epub 2016 May 21. PMID:

Urzel V, Bruzek J. Dental age assessment in children: a comparison of four methods in a recent French population. J Forensic Sci. 2013 Sep;58(5):1341-7. doi: 10.1111/1556- 4029.12221. Epub 2013 Jul 3. PMID: 23822870.

Ortega-Pertuz AI, Silú Piña-D'Abreu M. Comparison of the Willems I and Willems II methods for forensic age estimation in Venezuelan children. Spanish Journal of Legal Medicine. Elsevier BV; 2020 Jan;46(1):4–11.

Mohammed RB, Sanghvi P, Perumalla KK, Srinivasaraju D, Srinivas J, Kalyan US, Rasool SM. Accuracy of four dental age estimation methods in southern Indian children. J Clin Diagn Res. 2015 Jan;9(1):HC01-8. doi: 10.7860/JCDR/2015

/10141.5495. Epub 2015 Jan 1. PMID: 25738008;PMCID: PMC4347099.

Priya E. Applicability of Willem's Method of Dental Age Assessment in 14 Years Threshold Children in South India - A Pilot Study. J Forensic Res. 2015; S4: S4-002.

Ranasinghe S, Perera J, Taylor JA, Tennakoon A, Pallewatte A, Jayasinghe R. Dental age estimation using radiographs: Towards the best method for Sri Lankan children. Forensic Sci Int. 2019 May;298:64-70. doi: 10.1016/j.forsciint. 2019.02.053. Epub 2019 Mar 5. PMID: 30884438.

Lee SS, Kim D, Lee S, Lee UY, Seo JS, Ahn YW, et al. Validity of Demirjian's and modified Demirjian's methods in age estimation for Korean juveniles and adolescents. Forensic Sci Int. 2011 Sep 10;211(1-3):41-6. doi: 10.1016/j.forsciint.2011. 04.011. Epub 2011 May 11. PMID: 21561728.

Zhai Y, Park H, Han J, Wang H, Ji F, Tao J. Dental age assessment in a northern Chinese population. J Forensic Leg Med. 2016 Feb;38:43-9. doi: 10.1016/j.jflm.2015.11.011. Epub 2015 Nov 25. PMID: 26706412.

Rai B, Anand SC. Tooth Developments: An Accuracy of Age Estimation of Radiographic Methods. World Journal of Medical Sciences. 2006; 1 (2): 130-132.

Gupta S, Mehendiratta M, Rehani S, Kumra M, Nagpal R, Gupta R. Age estimation in Indian children and adolescents in the NCR region of Haryana: A comparative study. J Forensic Dent Sci. 2015 Sep-Dec;7(3):253-8. doi: 10.4103/0975- 1475.172453. PMID: 26814053; PMCID: PMC4714416.

Kumar V, Chowdary Kopuri R, Kiran Reddy Ealla K. Applicability of Willems method of dental age estimation to the population of Raichur city of Karnataka. Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology. 2020 Dec 15;4(3):139–143.

Grover S, Marya CM, Avinash J, Pruthi N. Estimation of dental age and its comparison with chronological age: accuracy of two radiographic methods. Med Sci Law. 2012 Jan;52(1):32-5. doi: 10.1258/msl.2011.011021. Epub 2011 Nov 30. PMID: 22399027.

Akbar A, Chatra L, Shenai PMKV, Kumar P R, Prabhu R. Dental age estimation using willems method in Mangalore population: A radiographic study. Int J Med Sci Clin Invent

; 3:1870-1875.

El-Bakary AA, Hammad SM, Mohammed F. Dental age estimation in Egyptian children, comparison between two methods. J Forensic Leg Med. 2010 Oct;17(7):363-7. doi: 10.1016/j.jflm.2010.05.008. Epub 2010 Jul 15. PMID: 20851354.

Javadinejad S, Sekhavati H, Ghafari R. A Comparison of the Accuracy of Four Age Estimation Methods Based on Panoramic Radiography of Developing Teeth. J Dent Res Dent Clin Dent Prospects. 2015 Spring;9(2):72-8. doi: 10.15171/joddd.2015.015. Epub 2015 Jun 10. PMID: 26236431; PMCID: PMC4517308.

Mani SA, Naing L, John J, Samsudin AR. Comparison of two methods of dental age estimation in 7-15-year-old Malays. Int J Paediatr Dent. 2008 Sep;18(5):380-8. doi: 10.1111/j.1365- 263X.2007.00890.x.Epub 2008 Feb 18. PMID: 18284472.

Nik-Hussein NN, Kee KM, Gan P. Validity of Demirjian and Willems methods for dental age estimation for Malaysian children aged 5-15 years old. Forensic Sci Int. 2011 Jan 30;204(1-3):208.e1-6. doi: 10.1016/j.forsciint.2010.08.020. Epub 2010 Sep 24. PMID: 20869825.

Yusof MY, Thevissen PW, Fieuws S, Willems G. Dental age estimation in Malay children based on all permanent teeth types. Int J Legal Med. 2014 Mar;128(2):329-33. doi: 10.1007/s00414-013-0825-8. Epub 2013 Jan 31. PMID: 23370574.

Ambarkova V, Galić I, Vodanović M, Biočina-Lukenda D, Brkić H. Dental age estimation using Demirjian and Willems methods: cross sectional study on children from the Former Yugoslav Republic of Macedonia. Forensic Sci Int. 2014 Jan;234:187.e1-7. doi: 10.1016/j.forsciint.2013.10.024. Epub 2013 Nov 1. PMID: 24262808.

Medina AC, Blanco L. Accuracy of dental age estimation in Venezuelan children: comparison of Demirjian and Willems methods. Acta OdontolLatinoam. 2014;27(1):34-41. PMID: 25335362.

Galić I, Vodanović M, Cameriere R, Nakaš E, Galić E, Selimović E, Brkić H. Accuracy of Cameriere, Haavikko, and Willems radiographic methods on age estimation on Bosnian- Herzegovian children age groups 6-13. Int J Legal Med. 2011 Mar;125(2):315-21. doi: 10.1007/s00414-010-0515-8. Epub 2010 Sep 29. PMID: 20878416.

Franco A, Thevissen P, Fieuws S, Souza PH, Willems G. Applicability of Willems model for dental age estimations in Brazilian children. Forensic Sci Int. 2013 Sep 10;231(1- 3):401.e1-4. doi: 10.1016/j.forsciint.2013.05.030. Epub 2013 Jun 24. PMID: 23806342.

Maber M, Liversidge HM, Hector MP. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int. 2006 May 15;159 Suppl 1:S68-73. doi: 10.1016/j.forsciint.2006.02.019. Epub 2006 Mar 14. PMID: 16533584.

Paz Cortés MM, Rojo R, Alía García E, Mourelle Martínez

MR. Accuracy assessment of dental age estimation with the Willems, Demirjian and Nolla methods in Spanish children: Comparative cross-sectional study. BMC Pediatr. 2020 Jul 31;20(1):361. doi: 10.1186/s12887-020-02247-x. PMID:

; PMCID: PMC7393889.

Metsäniitty M, Waltimo-Sirén J, Ranta H, Fieuws S, Thevissen P. Dental age estimation in Somali children using the Willems et al. model. Int J Legal Med. 2018 Nov;132(6):1779-1786. doi: 10.1007/s00414-018-1926-1. Epub 2018 Sep 1. PMID: 30173300.

Ramanan N, Thevissen P, Fleuws S, Willems G. Dental age estimation in Japanese individuals combining permanent teeth and third molars. J Forensic Odontostomatol. 2012 Dec

;30(2):34-9. PMID: 23474507; PMCID: PMC5734828.

Cameriere R, Ferrante L, Liversidge HM, Prieto JL, Brkic H. Accuracy of age estimation in children using radiograph of developing teeth. Forensic Sci Int. 2008 Apr 7;176(2-3):173- 7. doi: 10.1016/j.forsciint.2007.09.001. Epub 2007 Oct 18. PMID: 17949930.

Alassiry A, Alshomrani K, Al Hasi S, Albasri A, Alkhathami SS, Althobaiti MA. Dental age assessment of 3-15-year-old Saudi children and adolescents using Demirjian's method-A radiographic study. Clin Exp Dent Res. 2019 Apr 29;5(4):336-342. doi: 10.1002/cre2.186. PMID: 31452944; PMCID: PMC6704033.

Downloads

Published

2024-07-30

How to Cite

Mishra , R., Mourya , R., Srivastava , V., Pandey, S., & Kumar, N. (2024). Willems I and Willems II Methods for Dental Age Assessment in Children and Adolescents aged 3–16 years in the Varanasi Region: Applicability and Comparability. Journal of Indian Academy of Forensic Medicine, 46(2), 253-258. https://doi.org/10.48165/jiafm.2024.46.2.13