The applicability of the Demirjian, Willems and Chaillet standards to age estimation of 5-15 year old Indian children

Abstract

Background: Demirjian’s method of age estimation has been reported to overestimate age and Willems’ method to give consistently more accurate results. Not enough, however, is known about the applicability of Chaillet’s standards.
Aim: The present study aimed to compare the accuracy of Demirjian’s, Willems’ and Chaillet’s standards in age estimation of 5 to 15 year-old Indian children.
Design: In this cross-sectional observational study, three methods were compared for accuracy in estimating the age of 1200 Indian children aged 5-15 years.
Results: Demirjian’s method overestimated age by +0.24 ± 0.80 years, +0.11 ± 0.81years and +0.19 ± 0.80 years in boys, girls and the total sample, respectively. With Willems’ method, overestimations of +0.09 ± 0.80 years, +0.08 ± 0.80 years and +0.09 ± 0.80 years were obtained in boys, girls and the total sample, respectively. Chaillet’s method underestimated age by -0.12 ± 0.69 years, -0.45 ± 0.88 years and -0.25 ± 0.83 years in boys, girls and the total sample, respectively. Statistically significant differences were observed between dental and chronological ages with all methods (p < 0.001). Significant sex-based differences were observed only with Demirjian’s and Chaillet’s methods (p < 0.05).
Conclusion: Willems’ method was the most accurate in age estimation, followed by Demirjian’s and Chaillet’s methods. While Demirjian’s method was more accurate than Chaillet’s in females, Chaillet’s method better predicted the age of males.