Multimedialna platforma wiedzy medycznej Internetowa Księgarnia Medyczna Kalendarium Konferencji
Ginekologia Polska
MENU
Shortcuts Submit an article Author Guidelines Ahead Of Print Reviewers 2023

open access

Vol 90, No 11 (2019)
Review paper
Published online: 2019-11-28
View PDF Download PDF file
Get Citation

Application of auxological methods, including dental age estimation, in the assessment of delayed puberty in girls in gynecological practice

Magdalena Durda-Masny1, Grazyna Jarzabek-Bielecka2, Justyna Opydo-Szymaczek3, Agnieszka Przystanska4, Malgorzata Mizgier5, Witold Kedzia2
DOI: 10.5603/GP.2019.0113
·
Pubmed: 31802468
·
Ginekol Pol 2019;90(11):662-666.
Affiliations
  1. Department of Human Biological Development, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, Poznan, Poland
  2. Division of Developmental Gynecology and Sexology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poland
  3. Department of Pediatric Dentistry, Poznan University of Medical Sciences, Poland
  4. Department of Temporomandibular Disorders, Division of Prosthodontics, Poznan University of Medical Sciences, Poland
  5. Department of Morphological and Health Sciences, Dietetic Division, Faculty of Physical Culture in Gorzow Wielkopolski, Poznan University of Physical Education, Poland

open access

Vol 90, No 11 (2019)
REVIEW PAPERS Gynecology
Published online: 2019-11-28

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.

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.

Full Text:

View PDF Download PDF file
Get Citation

Keywords

developmental age; delayed puberty; girls

About this article
Title

Application of auxological methods, including dental age estimation, in the assessment of delayed puberty in girls in gynecological practice

Journal

Ginekologia Polska

Issue

Vol 90, No 11 (2019)

Article type

Review paper

Pages

662-666

Published online

2019-11-28

Page views

949

Article views/downloads

837

DOI

10.5603/GP.2019.0113

Pubmed

31802468

Bibliographic record

Ginekol Pol 2019;90(11):662-666.

Keywords

developmental age
delayed puberty
girls

Authors

Magdalena Durda-Masny
Grazyna Jarzabek-Bielecka
Justyna Opydo-Szymaczek
Agnieszka Przystanska
Malgorzata Mizgier
Witold Kedzia

References (35)
  1. Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969; 44(235): 291–303.
    CrossRefPubMed
  2. Kaczmarek M. Adolescent growth and its relation to menarche, dental and somatic maturation. Anthropol Rev. 2002; 65: 27–42.
  3. 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.
    CrossRefPubMed
  4. 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.
    CrossRef
  5. Hermanussen M. Auxology. Studying human growth and development. Germany Schweizerbart. ; 2013.
  6. Malina Eb. Young Athletes Biological Psychological Educational Perspectives. Medicine & Science in Sports & Exercise. 1991; 23(9): 1116.
    CrossRef
  7. Cole TJ. The evidential value of developmental age imaging for assessing age of majority. Ann Hum Biol. 2015; 42(4): 379–388.
    CrossRefPubMed
  8. 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.
    CrossRef
  9. Kaplowitz PB. Delayed puberty. Pediatr Rev. 2010; 31(5): 189–195.
    CrossRefPubMed
  10. Argente J. Diagnosis of late puberty. Horm Res. 1999; 51 Suppl 3: 95–100.
    CrossRefPubMed
  11. Crowley WF, Pitteloud N. Approach to the patient with delayed puberty. https://www.uptodate.com/contents/approach-to-the-patient-with-delayed-puberty.
  12. 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.
  13. 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.
    CrossRefPubMed
  14. Frisch RE, Revelle R. Height and weight at menarche and a hypothesis of menarche. Arch Dis Child. 1971; 46(249): 695–701.
    CrossRefPubMed
  15. Kaplowitz PB. Link between body fat and the timing of puberty. Pediatrics. 2008; 121 Suppl 3: S208–S217.
    CrossRefPubMed
  16. 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.
    CrossRefPubMed
  17. 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.
    CrossRefPubMed
  18. Jarząbek-Bielecka G, Sowińska-Przepiera E, Szafińska-Dolata A, et al. Girls delayed puberty. Pediatric Endocrinology. 2014; 13(3): 65–70.
    CrossRef
  19. 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.
  20. 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.
  21. McKenna CJ, James H, Taylor JA, et al. Tooth development standards for South Australia. Aust Dent J. 2002; 47(3): 223–227.
    CrossRefPubMed
  22. Bland R. Steroid hormone receptor expression and action in bone. Clin Sci (Lond). 2000; 98(2): 217–240.
    PubMed
  23. Riggs BL, Khosla S, Melton LJ. Sex steroids and the construction and conservation of the adult skeleton. Endocr Rev. 2002; 23(3): 279–302.
    CrossRefPubMed
  24. 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.
    CrossRefPubMed
  25. GARN SM, LEWIS AB, BLIZZARD RM. ENDOCRINE FACTORS IN DENTAL DEVELOPMENT. J Dent Res. 1965; 44: SUPPL:243–SUPPL:258.
    CrossRefPubMed
  26. 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.
    CrossRefPubMed
  27. Roberts MW, Li SH, Cutler GB, et al. Dental development in precocious puberty. J Dent Res. 1985; 64(8): 1084–1086.
    CrossRefPubMed
  28. 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.
    CrossRefPubMed
  29. 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.
    CrossRefPubMed
  30. 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.
    CrossRefPubMed
  31. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973; 45: 221–227.
  32. 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.
  33. Wites M, Kalukin J, Niżankowska-Jędrzejczyk A, et al. Prediction of the growth spurt based on panoramic radiograhps. J Stomatol. 2011; 64: 875–886.
  34. 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.
  35. Pirinen S. Endocrine regulation of craniofacial growth. Acta Odontol Scand. 1995; 53(3): 179–185.
    CrossRefPubMed

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl