“…However, certain studies have raised concerns about its potential for age overestimation (10,45,71,83,92) , while the Willems method, modified from Demirjian's, has demonstrated greater accuracy in some studies (14,71,82,92,130) but yielded contrasting results in others. (13,15) The assessment of open apices, as pioneered by Cameriere, is also extensively employed and has been reported to provide more accurate age estimations compared to Demirjian (101) and Willems in some instances, although another has noted potential age underestimation. (72) The second choice for age determination (23.1%), employed when all teeth have fully developed, involves assessing anatomic changes.…”