Application of auxological methods, including dental age estimation, in the assessment of delayed puberty in girls in gynecological practice
, 2, 3, 4, 5, 2
Abstract
Developmental gynecology uses methods practiced in auxology — the science of human ontogenetic development. An important and jointly used concept in gynecology and auxology is the concept of developmental age, which, unlike calendar age, is a measure of the biological maturity of the organism, indicating the stage of advancement in the development of certain features or body systems. Developmental age assessment methods include: a) morphological (somatic) age — body height and weight, b) secondary sex characteristics — breast in girls, genitalia (penis and testes) in boys, and pubic hair in both sexes, c) bone age — hand and wrist x-ray, and d) dental age. An important marker of developmental age is also age at menarche, treated as a late indicator of puberty in girls. All of these methods are useful in the context of assessing regularity and disorders of puberty, such as delayed puberty. The paper discusses developmental age assessment methods that can be used to diagnose delayed puberty as well as the causes of delayed puberty in girls. It should be emphasized that in assessing the process of physical development of a given individual, the cooperation of specialists in the field of developmental gynecology, pediatrics, auxology, dentistry, endocrinology, and dietetics would be the most desirable.
Keywords: developmental agedelayed pubertygirls
References
- Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969; 44(235): 291–303.
- Kaczmarek M. Adolescent growth and its relation to menarche, dental and somatic maturation. Anthropol Rev. 2002; 65: 27–42.
- Durda-Masny M, Hanć T, Czapla Z, et al. BMI at menarche and timing of growth spurt and puberty in Polish girls - longitudinal study. Anthropol Anz. 2019; 76(1): 37–47.
- Gomula A, Koziel S. Secular trend and social variation in age at menarche among Polish schoolgirls before and after the political transformation. American Journal of Human Biology. 2017; 30(1): e23048.
- Hermanussen M. Auxology. Studying human growth and development. Germany Schweizerbart. ; 2013.
- Malina Eb. Young Athletes Biological Psychological Educational Perspectives. Medicine & Science in Sports & Exercise. 1991; 23(9): 1116.
- Cole TJ. The evidential value of developmental age imaging for assessing age of majority. Ann Hum Biol. 2015; 42(4): 379–388.
- GREULICH W, PYLE S. RADIOGRAPHIC ATLAS OF SKELETAL DEVELOPMENT OF THE HAND AND WRIST. The American Journal Of The Medical Sciences. 1959; 238(3): 393.
- Kaplowitz PB. Delayed puberty. Pediatr Rev. 2010; 31(5): 189–195.
- Argente J. Diagnosis of late puberty. Horm Res. 1999; 51 Suppl 3: 95–100.
- Crowley WF, Pitteloud N. Approach to the patient with delayed puberty. https://www.uptodate.com/contents/approach-to-the-patient-with-delayed-puberty.
- Jarząbek-Bielecka G, Pisarska-Krawczyk M. Opóźnione dojrzewanie płciowe jako problem w ginekologii dziecięcej. In: Pisarska-Krawczyk M, Jarząbek-Bielecka G. ed. Zagadnienia interdyscyplinarne w ginekologii praktycznej. Kalisz Wydawnictwo PWSZ 2014: 69–93.
- Vaaralahti K, Wehkalampi K, Tommiska J, et al. The role of gene defects underlying isolated hypogonadotropic hypogonadism in patients with constitutional delay of growth and puberty. Fertil Steril. 2011; 95(8): 2756–2758.
- Frisch RE, Revelle R. Height and weight at menarche and a hypothesis of menarche. Arch Dis Child. 1971; 46(249): 695–701.
- Kaplowitz PB. Link between body fat and the timing of puberty. Pediatrics. 2008; 121 Suppl 3: S208–S217.
- Shalitin S, Phillip M. Role of obesity and leptin in the pubertal process and pubertal growth--a review. Int J Obes Relat Metab Disord. 2003; 27(8): 869–874.
- Entrala-Bernal C, Montes-Castillo C, Alvarez-Cubero MJ, et al. Genetic diagnosis of idiopathic hypogonadotrophic hypogonadism: a new point mutation in the KAL2 gene. Hormones (Athens). 2014; 13(2): 280–285.
- Jarząbek-Bielecka G, Sowińska-Przepiera E, Szafińska-Dolata A, et al. Girls delayed puberty. Pediatric Endocrinology. 2014; 13(3): 65–70.
- Jarząbek-Bielecka G, Sowińska-Przepiera E, Szafińska-Dolata A, et al. Hipogonadyzm hipogonadotropowy jako przyczyna opóźnionego pokwitania dziewcząt. Endokr Pediat. 2014; 13(4): 41–45.
- Jarząbek-Bielecka G, Drosdzol-Cop A, et al. The hypogonadism and delayed puberty in childhood and adolescent gynecology. Archives of Perinatal Medicine. 2017; 23(4): 229–235.
- McKenna CJ, James H, Taylor JA, et al. Tooth development standards for South Australia. Aust Dent J. 2002; 47(3): 223–227.
- Bland R. Steroid hormone receptor expression and action in bone. Clin Sci (Lond). 2000; 98(2): 217–240.
- Riggs BL, Khosla S, Melton LJ. Sex steroids and the construction and conservation of the adult skeleton. Endocr Rev. 2002; 23(3): 279–302.
- Kim SM, Lee BN, Koh JT, et al. The effect of chlormadinone acetate on odontogenic differentiation of human dental pulp cells: in vitro study. BMC Oral Health. 2017; 17(1): 89.
- GARN SM, LEWIS AB, BLIZZARD RM. ENDOCRINE FACTORS IN DENTAL DEVELOPMENT. J Dent Res. 1965; 44: SUPPL:243–SUPPL:258.
- Demirjian A, Buschang PH, Tanguay R, et al. Interrelationships among measures of somatic, skeletal, dental, and sexual maturity. Am J Orthod. 1985; 88(5): 433–438.
- Roberts MW, Li SH, Cutler GB, et al. Dental development in precocious puberty. J Dent Res. 1985; 64(8): 1084–1086.
- Lee HK, Choi SH, Fan D, et al. Evaluation of characteristics of the craniofacial complex and dental maturity in girls with central precocious puberty. Angle Orthod. 2018; 88(5): 582–589.
- Gaethofs M, Verdonck A, Carels C, et al. Delayed dental age in boys with constitutionally delayed puberty. Eur J Orthod. 1999; 21(6): 711–715.
- Różyło-Kalinowska I, Kolasa--Rączka A, Kalinowski P. Relationship between dental age according to Demirjian and cervical vertebrae maturity in Polish children. Eur J Orthod. 2011; 33(1): 75–83.
- Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973; 45: 221–227.
- Fudalej P, Chrostowska E, Maciejewska A. Validity of nolla's and Demirjian's method of dental age assessment in children with a normal craniofacial structure. Czas Stomatol. 2007; 11: 744–751.
- Wites M, Kalukin J, Niżankowska-Jędrzejczyk A, et al. Prediction of the growth spurt based on panoramic radiograhps. J Stomatol. 2011; 64: 875–886.
- Zatylna N, Rogowska K, Kozanecka A. Comparison of 6–12 year old girls' and boys' dental age using Demirijan's method. Dent Med Probl. 2013; 50(1): 64–70.
- Pirinen S. Endocrine regulation of craniofacial growth. Acta Odontol Scand. 1995; 53(3): 179–185.
