Skip to main content
Top
Published in: International Journal of Legal Medicine 1/2020

01-01-2020 | Original Article

Usability of dental pulp visibility and tooth coronal index in digital panoramic radiography in age estimation in the forensic medicine

Authors: Ertugrul Gok, Recep Fedakar, Ilker Mustafa Kafa

Published in: International Journal of Legal Medicine | Issue 1/2020

Login to get access

Abstract

Age estimation has a great importance due to legal requirements. The aim of our study was to determine the applicability of two different methods in age estimation; one of them based on the calculation of the visibility of the root pulp of mandibular third molar teeth and the other based on the calculation of the tooth coronal index (TCI) in the mandibular first and second molar teeth in the 9059 digital orthopantomogram of people aged between 15 and 40 in Bursa. In the first method in which the visibility of the fully mineralized root pulp of the mandibular third molar teeth was evaluated in 4 stages; the stages 0, 1, 2, and 3 were observed regardless of sex at the earliest 17.2; 19.1; 20.1, and 25.1 years, respectively. In the second method in which TCI was regressed on chronological age using measuring crown and coronal pulp cavity heights, the most accurate age estimation model based on simple linear regression for all cases without any sex difference was found to be with right first molar tooth (SEE ±7304 years) and the most accurate age model based on multiple regression model was found to be with bilateral first molar teeth (SEE ±7413 years). In conclusion, we believe that the root pulp visibility of the third molar teeth can be applied safely for stages 1, 2, and 3 at 16, 17, and 21 years of ages, respectively. A correlation was also found between TCI and age, and our findings have shown that both methods are available for forensic purposes.
Literature
1.
go back to reference Fedakar R (1998) Usability of chest radiographs in age determination in forensic medicine. Dissertation, Bursa Uludag University Fedakar R (1998) Usability of chest radiographs in age determination in forensic medicine. Dissertation, Bursa Uludag University
2.
go back to reference Meinl A (2007) The application of dental age estimation methods: comparative validity and problems in practical implementation. Dissertation, University of Vienna Meinl A (2007) The application of dental age estimation methods: comparative validity and problems in practical implementation. Dissertation, University of Vienna
4.
go back to reference Olze A, Solheim T, Schulz R, Kupfer M, Schmeling A (2010) Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Legal Med 124(3):183–186PubMedCrossRef Olze A, Solheim T, Schulz R, Kupfer M, Schmeling A (2010) Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Legal Med 124(3):183–186PubMedCrossRef
10.
go back to reference Harris EF, Mincer HH, Anderson KM, Senn DR (2010) Age estimation from oral and dental structures. In: Senn DR, Stimson PG (eds) Forensic dentistry, 2nd edn. CRC Press, pp 263–305 Harris EF, Mincer HH, Anderson KM, Senn DR (2010) Age estimation from oral and dental structures. In: Senn DR, Stimson PG (eds) Forensic dentistry, 2nd edn. CRC Press, pp 263–305
11.
go back to reference Afşin H (2004) Morphology of mouth and teeth. In: Afşin H (ed) Adli Diş Hekimliği, 1st edn, İstanbul, pp 19–75 Afşin H (2004) Morphology of mouth and teeth. In: Afşin H (ed) Adli Diş Hekimliği, 1st edn, İstanbul, pp 19–75
12.
go back to reference Zijabeg N (2007) Dental development and anomalies. Dissertation, Ege University; 2007 Zijabeg N (2007) Dental development and anomalies. Dissertation, Ege University; 2007
13.
go back to reference Star H, Thevissen P, Jacobs R, Fieuws S, Solheim T, Willems G (2011) Human dental age estimation by calculation of pulp-tooth volume ratios yielded on clinically acquired cone beam computed tomography images of monoradicular teeth. J Forensic Sci 56(1):77–82CrossRef Star H, Thevissen P, Jacobs R, Fieuws S, Solheim T, Willems G (2011) Human dental age estimation by calculation of pulp-tooth volume ratios yielded on clinically acquired cone beam computed tomography images of monoradicular teeth. J Forensic Sci 56(1):77–82CrossRef
14.
go back to reference Drusini AG (1993) Age estimation from teeth using soft X-ray findings. Anthropol Anz 51(1):41–46PubMed Drusini AG (1993) Age estimation from teeth using soft X-ray findings. Anthropol Anz 51(1):41–46PubMed
15.
go back to reference Meinl A, Tangl S, Pernicka E, Fenes C, Watzek G (2007) On the applicability of secondary dentin formation to radiological age estimation in young adults. J Forensic Sci 52(2):438–441PubMedCrossRef Meinl A, Tangl S, Pernicka E, Fenes C, Watzek G (2007) On the applicability of secondary dentin formation to radiological age estimation in young adults. J Forensic Sci 52(2):438–441PubMedCrossRef
16.
go back to reference Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45(2):211–227PubMed Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45(2):211–227PubMed
17.
go back to reference Thevissen PW, Fieuws S, Willems G (2011) Third molar development: measurements versus scores as age predictor. Arch Oral Biol 56(10):1035–1040PubMedCrossRef Thevissen PW, Fieuws S, Willems G (2011) Third molar development: measurements versus scores as age predictor. Arch Oral Biol 56(10):1035–1040PubMedCrossRef
18.
go back to reference Mesotten K, Gunst K, Carbonez A, Willems G (2002) Dental age estimation and third molars: a preliminary study. Forensic Sci Int 129(2):110–115PubMedCrossRef Mesotten K, Gunst K, Carbonez A, Willems G (2002) Dental age estimation and third molars: a preliminary study. Forensic Sci Int 129(2):110–115PubMedCrossRef
19.
go back to reference Thevissen PW, Alqerban A, Asaumi J et al (2010) Human dental age estimation using third molar developmental stages: accuracy of age predictions not using country specific information. Forensic Sci Int 201(1–3):106–111PubMedCrossRef Thevissen PW, Alqerban A, Asaumi J et al (2010) Human dental age estimation using third molar developmental stages: accuracy of age predictions not using country specific information. Forensic Sci Int 201(1–3):106–111PubMedCrossRef
20.
go back to reference Kolltveit KM, Solheim T, Kvaal SI (1998) Methods of measuring morphological parameters in dental radiographs: comparison between image analysis and manual measurements. Forensic Sci Int 94(1–2):87–95PubMedCrossRef Kolltveit KM, Solheim T, Kvaal SI (1998) Methods of measuring morphological parameters in dental radiographs: comparison between image analysis and manual measurements. Forensic Sci Int 94(1–2):87–95PubMedCrossRef
21.
go back to reference Yun JI, Lee JY, Chung JW, Kho HS, Kim YK (2007) Age estimation of Korean adults by occlusal tooth wear. J Forensic Sci 52(3):678–683PubMedCrossRef Yun JI, Lee JY, Chung JW, Kho HS, Kim YK (2007) Age estimation of Korean adults by occlusal tooth wear. J Forensic Sci 52(3):678–683PubMedCrossRef
22.
go back to reference Yang F, Jacobs R, Willems G (2006) Dental age estimation through volume matching of teeth imaged by cone-beam CT. Forensic Sci Int 159(1):78–83CrossRef Yang F, Jacobs R, Willems G (2006) Dental age estimation through volume matching of teeth imaged by cone-beam CT. Forensic Sci Int 159(1):78–83CrossRef
23.
go back to reference Maat GJ, Gerretsen RR, Aarents MJ (2006) Improving the visibility of tooth cementum annulations by adjustment of the cutting angle of microscopic sections. Forensic Sci Int 159(1):95–99CrossRef Maat GJ, Gerretsen RR, Aarents MJ (2006) Improving the visibility of tooth cementum annulations by adjustment of the cutting angle of microscopic sections. Forensic Sci Int 159(1):95–99CrossRef
24.
go back to reference Yekkala R, Meers C, Van Schepdael A, Hoogmartens J, Lambrichts I, Willems G (2006) Racemization of aspartic acid from human dentin in the estimation of chronological age. Forensic Sci Int 159(1):89–94CrossRef Yekkala R, Meers C, Van Schepdael A, Hoogmartens J, Lambrichts I, Willems G (2006) Racemization of aspartic acid from human dentin in the estimation of chronological age. Forensic Sci Int 159(1):89–94CrossRef
25.
go back to reference Martin-de las Heras S, Valenzuela A, Villanueva E (1999) Deoxypyridinoline crosslinks in human dentin and estimation of age. Int J Legal Med 112(4):222–226PubMedCrossRef Martin-de las Heras S, Valenzuela A, Villanueva E (1999) Deoxypyridinoline crosslinks in human dentin and estimation of age. Int J Legal Med 112(4):222–226PubMedCrossRef
26.
go back to reference Drusini AG, Toso O, Ranzato C (1997) The coronal pulp cavity index: a biomarker for age determination in human adults. Am J Phys Anthropol 103(3):353–363PubMedCrossRef Drusini AG, Toso O, Ranzato C (1997) The coronal pulp cavity index: a biomarker for age determination in human adults. Am J Phys Anthropol 103(3):353–363PubMedCrossRef
27.
go back to reference Żądzińska E, Drusini AG, Carrara N (2000) The comparison between two age estimation methods based on human teeth. Prz Antropol Anthropol Rev 63:95–101 Żądzińska E, Drusini AG, Carrara N (2000) The comparison between two age estimation methods based on human teeth. Prz Antropol Anthropol Rev 63:95–101
28.
go back to reference Igbigbi PS, Nyirenda SK (2005) Age estimation of Malawian adults from dental radiographs. West Afr J Med 24(4):329–233PubMed Igbigbi PS, Nyirenda SK (2005) Age estimation of Malawian adults from dental radiographs. West Afr J Med 24(4):329–233PubMed
29.
go back to reference Karadayı B (2010) Age estimation from teeth of adults and sub-adults: application of digital radiologic techniques. Dissertation, İstanbul University Karadayı B (2010) Age estimation from teeth of adults and sub-adults: application of digital radiologic techniques. Dissertation, İstanbul University
30.
go back to reference Karkhanis S, Mack P, Franklin D (2013) Age estimation standards for a Western Australian population using the coronal pulp cavity index. Forensic Sci Int 231(1–3):412.1–412.6 Karkhanis S, Mack P, Franklin D (2013) Age estimation standards for a Western Australian population using the coronal pulp cavity index. Forensic Sci Int 231(1–3):412.1–412.6
31.
go back to reference Moss ML, Chase PS, Howes RI (1967) Comparative odontometry of the permanent post-canine dentition of American Whites and Negroes. Am J Phys Anthropol 27:125–142CrossRef Moss ML, Chase PS, Howes RI (1967) Comparative odontometry of the permanent post-canine dentition of American Whites and Negroes. Am J Phys Anthropol 27:125–142CrossRef
32.
go back to reference De Salvia A, Calzetta C, Orrico M, De Leo D (2004) Third mandibular molar radiological development as an indicator of chronological age in a European population. Forensic Sci Int 146:9–12CrossRef De Salvia A, Calzetta C, Orrico M, De Leo D (2004) Third mandibular molar radiological development as an indicator of chronological age in a European population. Forensic Sci Int 146:9–12CrossRef
33.
go back to reference Lalys L, Ruquet M, Tardivo D, Laibi S, Bartoli C, Adalian P, Panuel M, Leonetti G, Foti B (2011) Estimation of gestational age from tooth germs: biometric study of DentaScan images. J Forensic Sci 56(1):220–223PubMedCrossRef Lalys L, Ruquet M, Tardivo D, Laibi S, Bartoli C, Adalian P, Panuel M, Leonetti G, Foti B (2011) Estimation of gestational age from tooth germs: biometric study of DentaScan images. J Forensic Sci 56(1):220–223PubMedCrossRef
34.
go back to reference Guo YC, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen T, Schmeling A (2018) Age estimation of Chinese children based on second molar maturity. Int J Legal Med 132(3):807–813PubMedCrossRef Guo YC, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen T, Schmeling A (2018) Age estimation of Chinese children based on second molar maturity. Int J Legal Med 132(3):807–813PubMedCrossRef
35.
go back to reference Guo YC, Li MJ, Olze A, Schmidt S, Schulz R, Zhou H, Pfeiffer H, Chen T, Schmeling A (2018) Studies on the radiographic visibility of the periodontal ligament in lower third molars: can the Olze method be used in the Chinese population? Int J Legal Med 132(2):617–622PubMedCrossRef Guo YC, Li MJ, Olze A, Schmidt S, Schulz R, Zhou H, Pfeiffer H, Chen T, Schmeling A (2018) Studies on the radiographic visibility of the periodontal ligament in lower third molars: can the Olze method be used in the Chinese population? Int J Legal Med 132(2):617–622PubMedCrossRef
37.
go back to reference Farhadian M, Salemi F, Saati S, Nafisi N (2019) Dental age estimation using the pulp-to-tooth ratio in canines by neural networks. Imaging Sci Dent 49(1):19–26PubMedPubMedCentralCrossRef Farhadian M, Salemi F, Saati S, Nafisi N (2019) Dental age estimation using the pulp-to-tooth ratio in canines by neural networks. Imaging Sci Dent 49(1):19–26PubMedPubMedCentralCrossRef
38.
go back to reference Guo YC, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen T, Schmeling A (2018) Application of age assessment based on the radiographic visibility of the root pulp of lower third molars in a northern Chinese population. Int J Legal Med 132(3):825–829PubMedCrossRef Guo YC, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen T, Schmeling A (2018) Application of age assessment based on the radiographic visibility of the root pulp of lower third molars in a northern Chinese population. Int J Legal Med 132(3):825–829PubMedCrossRef
Metadata
Title
Usability of dental pulp visibility and tooth coronal index in digital panoramic radiography in age estimation in the forensic medicine
Authors
Ertugrul Gok
Recep Fedakar
Ilker Mustafa Kafa
Publication date
01-01-2020
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Legal Medicine / Issue 1/2020
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-019-02188-w

Other articles of this Issue 1/2020

International Journal of Legal Medicine 1/2020 Go to the issue