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Demirjian Stages (A-H)

Definition

Eight illustrated calcification stages covering a tooth from initial cusp formation (A) to complete root apex closure (H), scored from a standardised radiographic view. Developed by Demirjian, Goldstein, and Tanner in 1973 from a Montreal reference sample.

Stages used
A to H (eight stages)
Developers
Demirjian, Goldstein, Tanner
Year
1973
Reference sample
Montreal population

Common questions

What does Stage A versus Stage H represent in this scoring system?+

Stage A marks the earliest visible sign of cusp formation in a developing tooth, while Stage H marks the root apex fully closed, so the letters track a tooth's entire calcification sequence from start to finish.

Why is the Montreal origin of this scale relevant to its forensic use?+

Because the stages were calibrated on a specific reference population, examiners applying it elsewhere should be aware the resulting age estimate carries some population-specific bias unless local calibration data exists.

Related terms

Calcification Stage
A discrete described increment of tooth mineralisation, from initial deposition of the crown cusps through completion of root and apex. Calcification staging...
Eruption Sequence
The order in which teeth emerge into the oral cavity. Less precise than calcification staging because eruption timing shows more individual variation,...
London Atlas
A visual atlas published by AlQahtani, Hector, and Liversidge in 2010 showing expected tooth development and eruption for all deciduous and permanent...
Panoramic Radiograph
A single wide-field dental X-ray showing all teeth simultaneously in both jaws. The standard imaging tool for sub-adult dental age assessment because...
Population Bias (Dental Methods)
The systematic difference between the reference sample on which a method was calibrated and the study population to which it is applied....

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