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Uys A, Steyn M, Botha D. Decision tree analysis for age estimation in living individuals: integrating cervical and dental radiographic evaluations within a South African population. Int J Legal Med 2024; 138:951-959. [PMID: 38163831 PMCID: PMC11004030 DOI: 10.1007/s00414-023-03154-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 12/18/2023] [Indexed: 01/03/2024]
Abstract
Age estimation in living individuals around the age of 18 years is medico-legally important in undocumented migrant cases and in countries like South Africa where many individuals are devoid of identification documents. Establishing whether an individual is younger than 18 years largely influences the legal procedure that should be followed in dealing with an undocumented individual. The aim of this study was to combine dental third molar and anterior inferior apophysis ossification data for purposes of age estimation, by applying a decision tree analysis. A sample comprising of 871 black South African individuals (n = 446 males, 425 = females) with ages ranging between 15 and 24 years was analyzed using panoramic and cephalometric radiographs. Variables related to the left upper and lower third molars and cervical vertebral ring apophysis ossification of C2, C3, and C4 vertebrae analyzed in previous studies were combined in a multifactorial approach. The data were analyzed using a pruned decision tree function for classification. Male and female groups were handled separately as a statistically significant difference was found between the sexes in the original studies. A test sample of 30 individuals was used to determine if this approach could be used with confidence in estimating age of living individuals. The outcomes obtained from the test sample indicated a close correlation between the actual ages (in years and months) and the predicted ages (in years only), demonstrating an average age difference of 0.47 years between the corresponding values. This method showed that the application of decision tree analysis using the combination of third molar and cervical vertebral development is usable and potentially valuable in this application.
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Affiliation(s)
- A Uys
- Department of Anatomy, University of Pretoria, Pretoria, South Africa.
| | - M Steyn
- Human Variation and Identification Research Unit, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - D Botha
- Human Variation and Identification Research Unit, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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2
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D'Amico C, Fiorillo L, Cervino G, Cicciù M, Laino L. Dental trauma and prevention guidelines: a narrative review. Minerva Dent Oral Sci 2023; 72:332-341. [PMID: 37310194 DOI: 10.23736/s2724-6329.23.04802-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Dental injuries affect different patients every day in conditions that can range from domestic, work, or road accidents. As for traumas in the age of development, the field is restricted to domestic, sports, and school environments. The purpose of this study was to clarify the current protocols in the literature to limit and manage this type of pathology. This narrative review considers the literature of the last 20 years on this topic in different ways. The literature is in agreement with dividing the treatments into primary and secondary and also according to what is the place where the trauma occurred to evaluate the type of intervention. However, all protocols are aimed at implementing efficient preventive strategies rather than having to solve a problem subsequently, certainly, new protocols and protection systems can limit this problem which leads not only to more or less complex problems related to oral health and aesthetics but also possible subsequent psychological problems.
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Affiliation(s)
- Cesare D'Amico
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy -
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
- Department of Prosthodontics, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Marco Cicciù
- School of Dentistry, Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | - Luigi Laino
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
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Correlation of chronological age with dental age estimated using modified Cameriere’s method and UT-age estimation software — a cross-sectional study. EGYPTIAN JOURNAL OF FORENSIC SCIENCES 2023. [DOI: 10.1186/s41935-023-00324-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Abstract
Background
Estimating age is essential in both the analysis of human skeletal remains and assessing live persons. The third molar develops over a longer period and is hence used in age estimation for subadults. Since dental age correlates with chronological age better than other growth markers, this study aims to assess the reliability of dental age assessed using the University of Texas (UT) age estimation method and modified Cameriere’s method.
Methods
It is a retrospective cross-sectional study in which the development and maturation of mandibular third molars were examined in 600 orthopantomograms (264 males and 336 females) of South Indian individuals (16–23 years). Dental age was estimated by using an Indian-specific formula based on maturity index value and the UT-age estimation software program. The results were evaluated using the Student’s t-test for both methods and Pearson’s correlation test to compare chronological age with estimated dental age.
Results
Positive correlation was noted between chronological age and estimated dental age for males, females, and the total sample with highly statistically significant differences (p = 0.000). Modified Cameriere’s method underestimated dental age in samples ranging from less than 1 year to more than 2 years. UT-age estimation method underestimated age in samples above 20 years and overestimated age in samples below 20 years. The predictive classification of utilizing the maturity index was 79.17% accurate.
Conclusions
Dental age was negligibly over and underestimated in UT software method whereas it was overestimated in the modified Cameriere's method. To evaluate the reliability of these two methods, studies with larger sample sizes and population-specific data sets should be performed.
Graphical Abstract
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Yılancı HÖ, Akkaya N, Bulut G, Göksülük D, Bulut H, Cameriere R. Assessment of second (I 2M) and third (I 3M) molar maturity indices individually and in combination (I 2M+3M) and the sum of the seven mandibular teeth indices (S) for the legal age thresholds of 12 and 15 years in a Turkish sample. AUST J FORENSIC SCI 2022. [DOI: 10.1080/00450618.2020.1865454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Hümeyra Özge Yılancı
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, İzmir Demokrasi University, Konak, İzmir, Turkey
| | - Nursel Akkaya
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Sıhhiye, Ankara, Turkey
| | - Gülçin Bulut
- Clinic of Pediatric Dentistry, İzmir Training Dental Hospital, İzmir, Turkey
| | - Dinçer Göksülük
- Department of Biostatistics, Faculty of Medicine, Erciyes University, Talas, Kayseri, Turkey
| | - Hakan Bulut
- Department of Orthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey
| | - Roberto Cameriere
- AgEstimation Project, Department of Forensic Medicine, University of Sechenov, Moscow, Russia
- For. Med. Lab., Forensic Medicine and Laboratory, S.R.L. University of Macerata, Macerata, Italy
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Briem Stamm AD, Cariego MT, Vazquez DJ, Pujol MH, Saiegh J, Bielli MV, Hetch P, Carosi MJ, Cabirta ML. Use of the Demirjian method to estimate dental age in panoramic radiographs of patients treated at the Buenos Aires University School of Dentistry. ACTA ODONTOLOGICA LATINOAMERICANA : AOL 2022; 35:25-30. [PMID: 35700538 DOI: 10.54589/aol.35/1/25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 12/01/2021] [Indexed: 06/15/2023]
Abstract
The aim of this study was to determine the difference between real age (RA) and dental age (DA) in boys and girls from the Autonomous City of Buenos Aires (C.A.B.A.) by analyzing digital panoramic radiographs from the database of the Imaging Department at the Buenos Aires University School of Dentistry, using the Demirjian Method (DM). The sample consisted of 508 panoramic radiographs of 6- to 14-year old Argentines (268 female and 240 male). The Demirjian method was used to estimate dental age from each panoramic radiograph, and the Wilcoxon test was applied to perform a comparative analysis with the real age recorded in the image database. Average RA was 9.36 years (SD 2.11), and average DA according to the Demirjian method was 10.45 years (SD 2.31). For females, RA was 9.25 (SD 2.12), and DA according to the DM was 10.40 years (SD 2.41). For males, RA was 9.46 (SD 2.10), and DA according to the DM was 10.50 years (SD 2.22). An inter-classcorrelationcoefficient(ICC) calculated as a correlation measure between dental age and real age was ICC = 1.09%. The ICC was 1.04% for the males and 1.15% for females. Significant differences were found between DA and RA (p<0.01) in general and according to sex. Real age was found to be lower than dental age in the study population from Buenos Aires City.
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Affiliation(s)
- Alan D Briem Stamm
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Odontología Legal con Historia de la Odontología. Buenos Aires, Argentina
| | - Maria T Cariego
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Odontología Legal con Historia de la Odontología. Buenos Aires, Argentina
| | - Diego J Vazquez
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
| | - Martin H Pujol
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
| | - Jonathan Saiegh
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
| | - Maria V Bielli
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
| | - Pedro Hetch
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
| | - Maria J Carosi
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina.
| | - Maria L Cabirta
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Diagnóstico por Imágenes. Buenos Aires, Argentina
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Angelakopoulos N, Galić I, Balla SB, Kiş HC, Gómez Jiménez L, Zolotenkova G, Mohd Yusof MYP, Hadzić Selmanagić A, Pandey H, Palmela Pereira C, Nóbrega JBM, Hettiarachchi K, Mieke SM, Kumagai A, Gulsahi A, Zelić K, Marinković N, Kelmendi J, Bianchi I, Soriano Vázquez I, Spinas E, Velezmoro-Montes YW, Oliveira-Santos I, De Luca S, Arrais Ribeiro IL, Moukarzel M, Cameriere R. Comparison of the third molar maturity index (I 3M) between left and right lower third molars to assess the age of majority: a multi-ethnic study sample. Int J Legal Med 2021; 135:2423-2436. [PMID: 34228192 DOI: 10.1007/s00414-021-02656-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 06/27/2021] [Indexed: 11/26/2022]
Abstract
The diagnostic accuracy of the I3M to assess the legal age of 18 years has already been tested in several specific-population samples. The left lower third molar has been extensively used for discriminating between minors and adults. This research aimed to compare the usefulness of lower third molar maturity indexes, from both left and right side (I3ML and I3MR), in samples originating from four distinct continents in order to examine possible differences in their accuracy values. For this purpose, a sample of 10,181 orthopantomograms (OPGs), from Europe, Africa, Asia and America, was analysed and previously scored in other studies. The samples included healthy subjects with no systemic disorders with both third molars and clear depicted root apices. Wilcoxon Signed Rank test for left and right asymmetry did not show any significant differences. Data about sensitivity, specificity, predictive values, likelihood ratio and accuracy were pooled together and showed similar results for I3ML and I3MR, respectively. In addition, all these quantities were high when only the I3MR was considered to discriminate between adults and minors. The present referable database was the first to pool third molar measurements using panoramic radiographs of subjects coming from different continents. The results highlighted that both I3ML and I3MR are reliable indicators for assessing the legal age of 18 years old in those jurisdictions where this legal threshold has been set as the age of majority.
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Affiliation(s)
- N Angelakopoulos
- Department of Orthodontics and Dentofacial Orthopaedics, University of Bern, Bern, Switzerland
- AgEstimation Project, Macerata, Italy
| | - I Galić
- AgEstimation Project, Macerata, Italy
- Department of Oral Surgery, School of Medicine, University of Split, Split, Croatia
| | - S B Balla
- AgEstimation Project, Macerata, Italy
- Department of Forensic Odontology, Panineeya Institute of Dental Sciences and Research Center, Hyderabad, Telangana, India
| | - H C Kiş
- Faculty of Dentistry, Oral and Maxillofacial Radiology, Nuh Naci Yazgan University, Kocasinan, Kayseri, Turkey
| | - L Gómez Jiménez
- Instituto Nacional de Patología Dr. Sergio Sarita Valdez, Santo Domingo, República Dominicana
| | - G Zolotenkova
- Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
- Design Information Technologies Centre, Russian Academy of Sciences (DITC RAS), Moscow, Russia
| | - M Y P Mohd Yusof
- Centre for Oral & Maxillofacial Diagnostics and Medicine Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia
| | - A Hadzić Selmanagić
- Department of Dental Morphology With Dental Anthropology and Forensics Faculty of Dentistry, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - H Pandey
- Department of Forensic Medicine and Toxicology, Seth GS Medical College and KEM Hospital, Mumbai, India
| | - C Palmela Pereira
- Facultade de Medicina Dentária da Universidade de Lisboa, Lisboa, Portugal
| | - J B M Nóbrega
- Postgraduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brasil
| | - K Hettiarachchi
- Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Kandy, Central Province, Sri Lanka
| | - S M Mieke
- Department of Forensic Odontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - A Kumagai
- Division of Forensic Odontology and Disaster Oral Medicine, Department of Forensic Science, Iwate Medical University, Iwate, Japan
| | - A Gulsahi
- AgEstimation Project, Macerata, Italy
- Faculty of Dentistry, Dentomaxillofacial Radiology Department, Baskent University, Ankara, Turkey
| | - K Zelić
- Laboratory of Anthropology, Institute of Anatomy, School of Medicine, University of Belgrade, Belgrade, Serbia
- School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - N Marinković
- Clinic for Orthodontics, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - J Kelmendi
- Department of Orthodontics, Faculty of Medicine Alma Mater Europaea, University of Prishtina, Campus Rezonanca, Prishtina, Kosovo
| | - I Bianchi
- Department of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy
| | | | - E Spinas
- Department of Surgical Sciences, Section of Dentistry, University of Cagliari , Cagliari, Italy
| | | | - I Oliveira-Santos
- Centre for Functional Ecology, Laboratory of Forensic Anthropology, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Stefano De Luca
- AgEstimation Project, Macerata, Italy.
- Área de Identificación Forense, Unidad de Derechos Humanos, Servicio Médico Legal, Santiago de Chile, Chile.
| | - I L Arrais Ribeiro
- Postgraduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brasil
| | | | - R Cameriere
- AgEstimation Project, Macerata, Italy
- Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
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7
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Accurate age classification using manual method and deep convolutional neural network based on orthopantomogram images. Int J Legal Med 2021; 135:1589-1597. [PMID: 33661340 DOI: 10.1007/s00414-021-02542-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 02/11/2021] [Indexed: 02/06/2023]
Abstract
Age estimation is an important challenge in many fields, including immigrant identification, legal requirements, and clinical treatments. Deep learning techniques have been applied for age estimation recently but lacking performance comparison between manual and machine learning methods based on a large sample of dental orthopantomograms (OPGs). In total, we collected 10,257 orthopantomograms for the study. We derived logistic regression linear models for each legal age threshold (14, 16, and 18 years old) for manual method and developed the end-to-end convolutional neural network (CNN) which classified the dental age directly to compare with the manual method. Both methods are based on left mandibular eight permanent teeth or the third molar separately. Our results show that compared with the manual methods (92.5%, 91.3%, and 91.8% for age thresholds of 14, 16, and 18, respectively), the end-to-end CNN models perform better (95.9%, 95.4%, and 92.3% for age thresholds of 14, 16, and 18, respectively). This work proves that CNN models can surpass humans in age classification, and the features extracted by machines may be different from that defined by human.
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Age estimation in the living: A scoping review of population data for skeletal and dental methods. Forensic Sci Int 2021; 320:110689. [PMID: 33561788 DOI: 10.1016/j.forsciint.2021.110689] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 01/07/2021] [Accepted: 01/11/2021] [Indexed: 11/22/2022]
Abstract
Age estimation of living individuals has become a crucial part of the forensic practice, especially due to the global increase in cross-border migration. The low rate of birth registration in many countries, hence of identification documents of migrants, especially in Africa and Asia, highlights the importance of reliable methods for age estimation of living individuals. Despite the fact that a number of skeletal and dental methods for age estimation have been developed, their main limitation is that they are based on specific reference samples and there is still no consensus among researchers on whether these methods can be applied to all populations. Though this issue remains still unsolved, population information at a glance could be useful for forensic practitioners dealing with such issues. This study aims at presenting a scoping review and mapping of the current situation concerning population data for skeletal (hand-wrist and clavicle) and dental methods (teeth eruption and third molar formation) for age estimation in the living. Two hundred studies on the rate of skeletal maturation and four hundred thirty-nine on the rate of dental maturation were found, covering the period from 1952 and 2020 for a total of ninety-eight countries. For most of the western and central African countries there are currently no data on the rate of skeletal and dental maturation. The same applies to the countries of the Middle East, as well as the eastern European countries, especially as regard the skeletal development.
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Yang Z, Wen D, Xiao J, Liu Q, Sun S, Kureshi A, Chang Y, Zha L. Application of Cameriere's method for dental age estimation in children in South China. Forensic Sci Res 2021; 7:106-114. [PMID: 35784412 PMCID: PMC9246020 DOI: 10.1080/20961790.2020.1830515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The aim of this study was to evaluate the applicability of Cameriere’s European formula for age estimation in children in South China and to adapt the formula to establish a more suitable formula for these children. Moreover, the performance of dental age estimation based on Cameriere’s method combining the developmental information of permanent teeth (PT) and third molar (TM) was also analysed. Orthopantomographs of 720 healthy children in Group A, and orthopantomographs of 320 children and 280 subadults in Group B were assessed. The samples of Group A were divided into training dataset 1 and test dataset 1, and the samples of Group B were also divided into training dataset 2 and test dataset 2. A South China-specific formula was established based on the training dataset 1, and the comparison of accuracy between the Cameriere’s European formula and the South China-specific formula was conducted with the test dataset 1. Additionally, a PT regression model, a TM regression model, and a combined regression model (PT + TM) were established based on the training dataset 2, and the performance of these three models were validated on the test dataset 2. The Cameriere’s European formula underestimated chronological age with a mean difference (ME) of −0.47 ± 1.11 years in males and −0.69 ± 1.19 years in females. However, the South China-specific formula underestimated chronological age, with a mean difference (ME) of −0.02 ± 0.71 years in males and −0.14 ± 0.73 years in females. Compared with PT model and TM model, the PT and TM combined model obtained the smallest root mean square error (RMSE) of 1.29 years in males and 0.93 years in females. In conclusion, the South China-specific formula was more suitable for assessing the dental age of children in South China, and the PT and TM combined model can improve the accuracy of dental age estimation in children.Key points Orthopantomographs of 720 healthy children in Group A, and orthopantomographs of 320 children and 280 subadults in Group B were assessed. A South China-specific formula was established based on the training dataset 1, and the comparison of accuracy between the Cameriere’s European formula and the South China-specific formula was conducted with the test dataset 1. A PT regression model, a TM regression model, and a combined regression model (PT + TM) were established based on the training dataset 2, and the performance of these three models were validated on the test dataset 2. The South China-specific formula was more suitable for assessing the dental age of children in South China, and the PT and TM combined model can improve the accuracy of dental age estimation in children.
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Affiliation(s)
- Zedeng Yang
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | - Dan Wen
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | - Jiao Xiao
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | - Qianying Liu
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | - Shule Sun
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | | | - Yunfeng Chang
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China
| | - Lagabaiyila Zha
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, China.,Xinjiang Medical University, Urumqi, China
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Suvarna M, Lingam S, Balla SB, Lakshmi Prasanna N, Gayathri C, Sai Tejaswi B, Sivaraj LD, Galic I, Cameriere R. Measurement of the open apices of mandibular first and second premolars to test the chronological age over 14 years: Study on a sample of south Indian children. Leg Med (Tokyo) 2020; 49:101835. [PMID: 33418270 DOI: 10.1016/j.legalmed.2020.101835] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Revised: 12/19/2020] [Accepted: 12/27/2020] [Indexed: 11/26/2022]
Abstract
Age estimation is an integral part of forensic medical and dental practice. In many countries, the age threshold of 14 years is set to determine the minimum age for criminal responsibility. In the present study, the authors studied the final maturation of the first (IPM1) and second mandibular premolars (IPM2) by Cameriere maturity index and determined cut-offs at the age threshold of 14 years, and validate on the test sample. Orthopantomograms of 960 healthy south Indian children and sub-adults (480 boys and 480 girls) aged between 10 and 18 were analysed, 640 as training sample and 320 as a test sample. The results of logistic regression analysis with age (</≥14 years) as a dependent variable and IPM1, IPM2, and sex as predictor variables on training sample showed that both IPM1 and IPM2 significantly related to the legal age of 14 years but not the sex (p = 0.052). A receiver operating characteristic (ROC) curve analysis was performed to evaluate the specific cut-off values of IPM1 and IPM2 for predicting 14 years. A cut- off value of IPM1 < 0.01 and IPM2 < 0.02 were obtained using the highest Youden index value. Our results on test sample showed that the combined predictor, IPM1 + IPM2 < 0.02, showed the highest specificity (97.5% in boys and 92.5% for girls), better post-test probability, 97.2% in boys and 91.9% for girls, and a smaller number of false positives (6.8%). In conclusion, the combination of IPM1 and IPM2 could be useful in determining the age of over 14 years in south Indian children.
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Affiliation(s)
- M Suvarna
- Department of Dentistry, Government Medical College, Nalgonda, India
| | | | - Sudheer B Balla
- Department of Forensic Odontology, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, Telangana, India.
| | - N Lakshmi Prasanna
- Department of Oral Pathology, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Gannavaram, India
| | - Ch Gayathri
- Department of Oral Pathology & Microbiology, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, Telangana, India
| | - B Sai Tejaswi
- Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, Telangana, India
| | | | - Ivan Galic
- Departments of Research in Biomedicine and Health, University of Split School of Medicine & University Hospital of Split, Croatia
| | - Roberto Cameriere
- Department of Forensic Medicine University of Sechenov, Moscow, Russian Federation AgEstimation Project, FOR.MED.LAB, University of Macerata, Macerata, Italy
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11
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Gulsahi A, Çehreli SB, Galić I, Ferrante L, Cameriere R. Age estimation in Turkish children and young adolescents using fourth cervical vertebra. Int J Legal Med 2020; 134:1823-1829. [DOI: 10.1007/s00414-020-02246-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 01/02/2020] [Indexed: 12/17/2022]
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12
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Khdairi N, Halilah T, Khandakji MN, Jost-Brinkmann PG, Bartzela T. The adaptation of Demirjian’s dental age estimation method on North German children. Forensic Sci Int 2019; 303:109927. [DOI: 10.1016/j.forsciint.2019.109927] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 08/02/2019] [Accepted: 08/06/2019] [Indexed: 10/26/2022]
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Kumagai A, Takahashi N, Palacio LAV, Giampieri A, Ferrante L, Cameriere R. Accuracy of the third molar index cut-off value for estimating 18 years of age: Validation in a Japanese samples. Leg Med (Tokyo) 2019; 38:5-9. [DOI: 10.1016/j.legalmed.2019.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Revised: 02/04/2019] [Accepted: 03/03/2019] [Indexed: 11/29/2022]
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Validation of Cameriere’s third molar maturity index alone and in combination with apical maturity of permanent mandibular second molar for indicating legal age of 14 years in a sample of South Indian children. Forensic Sci Int 2019; 297:243-248. [DOI: 10.1016/j.forsciint.2019.02.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Revised: 11/29/2018] [Accepted: 02/11/2019] [Indexed: 12/30/2022]
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Sobieska E, Fester A, Nieborak M, Zadurska M. Assessment of the Dental Age of Children in the Polish Population with Comparison of the Demirjian and the Willems Methods. Med Sci Monit 2018; 24:8315-8321. [PMID: 30449880 PMCID: PMC6256839 DOI: 10.12659/msm.910657] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background Dental age is less affected than the bone age by nutritional and hormonal factors. The assessment of dental age in children is of value in clinical and forensic practice. The aims of this study were to compare the Demirjian method and the Willems method in the assessment of dental age in children in Poland and to consider the need to standardize dental age assessment. Material/Methods Polish children of Caucasian ethnicity (n=1,002) who were treated at a single orthodontic center between 1994–2016 included girls (n-540) and boys (n=462) aged between 4–17 years, and 1,002 panoramic radiographs were reviewed. Dental age was assessed using the Demirjian method and the Willems method, the findings of the two methods were compared with the chronological age of the study participants. Results Following statistical analysis, both the Demirjian method and the Willems method overestimated the dental age of the younger study participants, and underestimated the dental age of the older study participants. Both the Demirjian method and the Willems method had similar accuracy in estimating the chronological and dental age in the Polish population. Conclusions In the assessment of dental age in Polish children from panoramic radiographs, both the Demirjian method and the Willems method were accurate and should still be used as a method of choice. However, it seems reasonable to create international standards for the assessment of dentition maturity for this population to obtain a more acceptable range of error values between the dental age and chronological age.
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Affiliation(s)
- Ewa Sobieska
- Department of Orthodontics, Medical University of Warsaw, Warsaw, Poland
| | - Aneta Fester
- Department of Orthodontics, Medical University of Warsaw, Warsaw, Poland
| | - Marina Nieborak
- Department of Orthodontics, Medical University of Warsaw, Warsaw, Poland
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Dental maturity assessment in Serbian population: A comparison of Cameriere’s European formula and Willems’ method. Forensic Sci Int 2018; 288:331.e1-331.e5. [DOI: 10.1016/j.forsciint.2018.04.019] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 02/11/2018] [Accepted: 04/12/2018] [Indexed: 12/21/2022]
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17
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Cameriere R, Velandia Palacio LA, Pinares J, Bestetti F, Paba R, Coccia E, Ferrante L. Assessment of second (I2M) and third (I3M) molar indices for establishing 14 and 16 legal ages and validation of the Cameriere’s I3M cut-off for 18 years old in Chilean population. Forensic Sci Int 2018; 285:205.e1-205.e5. [DOI: 10.1016/j.forsciint.2017.12.043] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 11/29/2017] [Accepted: 12/29/2017] [Indexed: 11/29/2022]
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Angelakopoulos N, De Luca S, Velandia Palacio LA, Coccia E, Ferrante L, Cameriere R. Third molar maturity index (I 3M) for assessing age of majority: study of a black South African sample. Int J Legal Med 2018. [PMID: 29520486 DOI: 10.1007/s00414-018-1818-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS The evaluation of the cutoff value of I3M = 0.08 for discriminating black South African minors from adults, and its relationship with chronological age. MATERIAL AND METHODS A sample of 833 panoramic radiographs of healthy black South African subjects (500 females and 333 males), in the age range of 14 to 24 years (mean age 17.67 years in females and 17.42 years in males), was retrospectively evaluated. RESULTS ICC values were 99.10% (95% CI 97.70 to 99.70%) and 99.20% (95% CI 98.00 to 99.60%), for the intra- and inter-observer reliability, respectively. I3M decreased as the real age gradually increased in both sexes. According to the logistic regression model, the variable sex was not significant when the probability that an individual is 18 years or older was calculated. The I3M = 0.08 was valuable in discriminating between adults and minors. The overall accuracy (ACC = fraction of accurately classified subjects) is 0.90 (95% CI 0.87-0.91); the proportion of correctly classified subjects (Se = sensitivity) is 0.80 (95% CI 0.76-0.84), and specificity (Sp) is 0.95 (95% CI 0.93-0.97). The PPV (predictive positive value) is 0.96 (95% CI 0.95-0.97), and the negative predictive value is 0.76 (95% CI 0.72-0.80). CONCLUSION The results show that I3M is a valuable method to distinguish subjects who are around legal adult age in South Africa.
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Affiliation(s)
- N Angelakopoulos
- School of Dentistry, Division of Cariology and Endodontics and Pediatric Dentistry, University of Geneva, Geneva, Switzerland
| | - S De Luca
- Unidad Especial de Identificación Forense, Servicio Médico Legal, Santiago de Chile, Chile. .,AgEstimation Project, Institute of Legal Medicine, University of Macerata, Macerata, Italy.
| | - L A Velandia Palacio
- AgEstimation Project, Institute of Legal Medicine, University of Macerata, Macerata, Italy
| | - E Coccia
- Department of Odontostomatologic and Specialized Clinical Sciences (DISCO), Polytechnic University of Marche, Ancona, Italy
| | - L Ferrante
- Center of Epidemiology, Biostatistics and Medical Information Technology, Department of Biomedical Science and Public Health, Polytechnic University of Marche, Ancona, Italy
| | - R Cameriere
- AgEstimation Project, Institute of Legal Medicine, University of Macerata, Macerata, Italy
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Galić I, Pacifici A, Carbone D, Pacifici L, Jerončić A, Cameriere R. Age estimation by the Cameriere’s normalized measurements (CNM) of the single permanent mandibular tooth on a panoramic radiograph. Leg Med (Tokyo) 2017; 26:65-72. [DOI: 10.1016/j.legalmed.2017.03.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 03/23/2017] [Accepted: 03/24/2017] [Indexed: 10/19/2022]
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20
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Franklin D, Karkhanis S, Flavel A, Collini F, DeLuca S, Cameriere R. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population. Forensic Sci Int 2016; 266:575.e1-575.e6. [DOI: 10.1016/j.forsciint.2016.06.032] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 04/18/2016] [Accepted: 06/07/2016] [Indexed: 11/15/2022]
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21
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Galić I, Mihanović F, Giuliodori A, Conforti F, Cingolani M, Cameriere R. Accuracy of scoring of the epiphyses at the knee joint (SKJ) for assessing legal adult age of 18 years. Int J Legal Med 2016; 130:1129-1142. [DOI: 10.1007/s00414-016-1348-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Accepted: 02/22/2016] [Indexed: 11/29/2022]
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22
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Third molar maturity index (I3M) for assessing age of majority in a black African population in Botswana. Int J Legal Med 2016; 130:1109-1120. [PMID: 26972694 DOI: 10.1007/s00414-016-1344-1] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Accepted: 02/17/2016] [Indexed: 10/22/2022]
Abstract
Assessment of legal age, also known as age of majority, is a controversial issue as there are few body biomarkers or evidence during late adolescence differentiating a subject from being a minor or adult. The third molar was recognized as a suitable site for age examination in late adolescence. We analyzed the development of the left mandibular third molar by the third molar maturity index (I3M) and a specific cut-off value of I3M = 0.08, established by Cameriere et al. in 2008 and used it for discriminating between minors and adult black Africans from Gaborone, Botswana. A final sample of panoramic radiographs (OPTs) of 1294 people (582 males and 712 females) aged between 13 and 23 years was evaluated. The real age decreased as I3M gradually increased. There was no statistically significant difference in the third molar development evaluated using I3M between males and females (p > 0.05) across different I3M classes. Results of 2 × 2 contingency tables for different cut-off values indicated that I3M = 0.08 was useful in discriminating between adults and minors. Precisely, for I3M = 0.08, the values of accuracy or overall fraction of correctly classified were 0.91 in males with a 95 % confidence interval (95 % CI) of 0.88 to 0.93 and 0.92 (95 % CI, 0.90 to 0.93) in females. Values of sensitivity of the test or the proportion of participants being 18 years and older were 0.88 (95 % CI, 0.87 to 0.90) in males and 0.88 (95 % CI, 0.90 to 0.93) in females, while values of specificity or proportion of individuals younger than 18 who have I3M <0.08 were 0.94 (95 % CI, 0.91 to 0.96) in males and 0.96 (95 % CI, 0.94 to 0.98) in females. Positive predictive values of the test, where the participants whose I3M <0.08 were adults, were 0.94 (95 % CI 0.91 to 0.96) in males and 0.97 (95 % CI, 0.94 to 0.98) in females, while negative predictive values of the test, where the participants whose I3M was ≥0.08 were minors, were 0.88 (95 % CI 0.85 to 0.90) in males and 0.97 (95 % CI, 0.94 to 0.98) in females. The likelihood ratios of the positive test (LR+) were 13.67 (95 % CI, 9.21 to 21.02) in males and 23.73 (95 % CI, 14.20 to 42.28) in females, while likelihood ratios of the negative test (LR-) were 0.12 (95 % CI 0.10 to 0.16) in males and 0.12 (95 % CI, 0.11 to 0.15) in females. Bayes post-test probabilities, p, were 0.94 (95 % CI 0.90 to 0.98) in males and 0.97 (95 %CI, 0.93 to 1.00) in females. These results indicate with high accuracy that I3M may be a useful alternative method in legal and forensic practice to discriminate individuals of black African origin who are around the legal adult age of 18 years in Botswana. Further studies should address the usefulness of this method and specific cut-off for different adolescent populations.
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Pinchi V, Pradella F, Vitale G, Rugo D, Nieri M, Norelli GA. Comparison of the diagnostic accuracy, sensitivity and specificity of four odontological methods for age evaluation in Italian children at the age threshold of 14 years using ROC curves. MEDICINE, SCIENCE, AND THE LAW 2016; 56:13-18. [PMID: 25748440 DOI: 10.1177/0025802415575416] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The age threshold of 14 years is relevant in Italy as the minimum age for criminal responsibility. It is of utmost importance to evaluate the diagnostic accuracy of every odontological method for age evaluation considering the sensitivity, or the ability to estimate the true positive cases, and the specificity, or the ability to estimate the true negative cases. The research aims to compare the specificity and sensitivity of four commonly adopted methods of dental age estimation - Demirjian, Haavikko, Willems and Cameriere - in a sample of Italian children aged between 11 and 16 years, with an age threshold of 14 years, using receiver operating characteristic curves and the area under the curve (AUC). In addition, new decision criteria are developed to increase the accuracy of the methods. Among the four odontological methods for age estimation adopted in the research, the Cameriere method showed the highest AUC in both female and male cohorts. The Cameriere method shows a high degree of accuracy at the age threshold of 14 years. To adopt the Cameriere method to estimate the 14-year age threshold more accurately, however, it is suggested - according to the Youden index - that the decision criterion be set at the lower value of 12.928 for females and 13.258 years for males, obtaining a sensitivity of 85% and specificity of 88% in females, and a sensitivity of 77% and specificity of 92% in males. If a specificity level >90% is needed, the cut-off point should be set at 12.959 years (82% sensitivity) for females.
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Affiliation(s)
- Vilma Pinchi
- Section of Forensic Medical Sciences, Department of Health Sciences, University of Firenze, Italy
| | - Francesco Pradella
- Section of Forensic Medical Sciences, Department of Health Sciences, University of Firenze, Italy
| | - Giulia Vitale
- Section of Forensic Medical Sciences, Department of Health Sciences, University of Firenze, Italy
| | - Dario Rugo
- Section of Forensic Medical Sciences, Department of Health Sciences, University of Firenze, Italy
| | | | - Gian-Aristide Norelli
- Section of Forensic Medical Sciences, Department of Health Sciences, University of Firenze, Italy
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Cavrić J, Vodanović M, Marušić A, Galić I. Time of mineralization of permanent teeth in children and adolescents in Gaborone, Botswana. Ann Anat 2015; 203:24-32. [PMID: 26342513 DOI: 10.1016/j.aanat.2015.08.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2014] [Revised: 07/29/2015] [Accepted: 08/03/2015] [Indexed: 11/24/2022]
Abstract
The mineralization sequence of permanent dentition can be used to assess the stage of development and age of individuals. The most commonly used methods are based on the assessment of developmental stages of target groups of teeth on one side of the lower jaw. When compared with the rest of the world, fewer studies have been done on dental age in Sub-Saharan Africa, particularly in the region of Southern Africa. The aim of this study was to determine the chronology of mineralization of permanent teeth by the evaluation of developmental stages according to the Demirjian's method from 1973 and to evaluate dental age by using sex-specific self-weighted scores for dental stages and 50th percentile conversion tables of total maturity scores of seven mandibular teeth. We used a sample of panoramic radiographs (OPTs) of black African children and adolescents from the city of Gaborone, Botswana, with the aim of forming an appropriate sample to evaluate the development of the teeth in this socio-geographic environment. The final sample consisted of 1760 OPTs (807 males and 953 females) of individuals aged 6-23 years. The developmental stages of the all permanent teeth in the left side of the maxilla and the mandible were evaluated. Comparing the maxilla and the mandible, we found similar development within different stages for most of the teeth. In comparison to the average age at each stage of development, including the third molars between males and females, it is evident that females are slightly faster in developing permanent teeth, but without statistical significance for most of the developmental stages. Applying 50th percentile conversion tables for calculating the dental age for the first seven mandibular teeth, 616 OPTs of the children (299 males and 317 females), aged 6.08-16.80 years, were evaluated and their dental age was calculated. Mean dental age was overestimated in comparison to chronological age by 1.25±1.11 years and 0.72±1.02 years for males and females, respectively (p<0.001). These findings indicate that Demirjian's method from 1973 is not suitable for routine use and that there is a need for establishing specific standards for Botswana children of black African origin for dental age estimation.
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Affiliation(s)
- Jelena Cavrić
- Department of Oral Health, Princess Marina Hospital, Gaborone & Deborah Retief Memorial Hospital, Mochudi, Botswana; Henry M. Goldman School of Dental Medicine, Boston University, Boston, USA
| | - Marin Vodanović
- Department of Dental Anthropology, School of Dental Medicine, University of Zagreb, Croatia
| | - Ana Marušić
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia; Department of Anatomy, University of Split School of Medicine, Split, Croatia
| | - Ivan Galić
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia; Department of Dental Medicine, University of Split School of Medicine, Split, Croatia.
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25
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Galić I, Lauc T, Brkić H, Vodanović M, Galić E, Biazevic MGH, Brakus I, Badrov J, Cameriere R. Cameriere's third molar maturity index in assessing age of majority. Forensic Sci Int 2015; 252:191.e1-5. [DOI: 10.1016/j.forsciint.2015.04.030] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Revised: 11/15/2014] [Accepted: 04/22/2015] [Indexed: 11/16/2022]
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26
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Cameriere R, Santoro V, Roca R, Lozito P, Introna F, Cingolani M, Galić I, Ferrante L. Assessment of legal adult age of 18 by measurement of open apices of the third molars: Study on the Albanian sample. Forensic Sci Int 2014; 245:205.e1-5. [DOI: 10.1016/j.forsciint.2014.10.013] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2014] [Accepted: 10/05/2014] [Indexed: 11/17/2022]
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27
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Age estimation in children and young adolescents for forensic purposes using fourth cervical vertebra (C4). Int J Legal Med 2014; 129:347-55. [DOI: 10.1007/s00414-014-1112-z] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 11/03/2014] [Indexed: 10/24/2022]
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28
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Brkić H. FORENSIC SCIENCE:: 20 YEARS OF FORENSIC DENTISTRY AT THE UNIVERSITY OF ZAGREB, 1994 - 2014. Acta Stomatol Croat 2014; 48:96-98. [PMID: 27688352 PMCID: PMC4872803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Data from available literature point to an early beginning of Forensic Dentistry in Croatia relating to a post-mortem examination of a female patient after a dental procedure in the 1930s. Later on, there were several mass casualties due to collisions and airplane crashes and a railway accident at the Zagreb Main Railway Station wherein the identity of the victims was established based on dental features. Foreign experts in forensics helped identify those victims, particularly forensic dentists because this specialty was almost unknown in our region at the time. During the twenty-year period of the development of Forensic Dentistry at the University of Zagreb, the School of Dental Medicine, the city of Zagreb and Croatia have become internationally recognised on the forensic map of the world.
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29
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Ambarkova V, Galić I, Vodanović M, Biočina-Lukenda D, Brkić H. Dental age estimation using Demirjian and Willems methods: Cross sectional study on children from the Former Yugoslav Republic of Macedonia. Forensic Sci Int 2014; 234:187.e1-7. [DOI: 10.1016/j.forsciint.2013.10.024] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2013] [Revised: 08/20/2013] [Accepted: 10/17/2013] [Indexed: 11/29/2022]
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30
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Colombo A, Coqueugniot H, Dutailly B, Desbarats P, Tillier AM. Nouvelles données sur l’édification des molaires et l’estimation de l’âge dentaire des enfants par imagerie médicale et 3D : apports et perspectives. ACTA ACUST UNITED AC 2012. [DOI: 10.1007/s13219-012-0076-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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31
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Sasso A, Špalj S, Mady Maričić B, Sasso A, Ćabov T, Legović M. Secular Trend in the Development of Permanent Teeth in a Population of Istria and the Littoral Region of Croatia. J Forensic Sci 2012; 58:673-7. [DOI: 10.1111/j.1556-4029.2012.02301.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2011] [Revised: 12/02/2011] [Accepted: 12/10/2011] [Indexed: 11/28/2022]
Affiliation(s)
- Anja Sasso
- Departament of Endodontics; School of Medicine; University of Rijeka; Kresimirova 40, 51000 Rijeka; Croatia
| | - Stjepan Špalj
- Departament of Orthodontics; School of Medicine; University of Rijeka; Kresimirova 40, 51000 Rijeka; Croatia
| | - Barbara Mady Maričić
- Departament of Orthodontics; School of Medicine; University of Rijeka; Kresimirova 40, 51000 Rijeka; Croatia
| | - Antun Sasso
- Departament of Pediatrics; School of Medicine; University of Rijeka; Istarska 43, 51000 Rijeka; Croatia
| | - Tomislav Ćabov
- Departament of Oral and Maxillofacial Surgery; School of Medicine; University of Rijeka; Tome Strizica 3, 51000 Rijeka; Croatia
| | - Mario Legović
- Departament of Orthodontics; School of Medicine; University of Rijeka; Kresimirova 40, 51000 Rijeka; Croatia
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Van Vlierberghe M, Bołtacz-Rzepkowska E, Van Langenhove L, Laszkiewicz J, Wyns B, Devlaminck D, Boullart L, Thevissen P, Willems G. A comparative study of two different regression methods for radiographs in Polish youngsters estimating chronological age on third molars. Forensic Sci Int 2010; 201:86-94. [PMID: 20452156 DOI: 10.1016/j.forsciint.2010.04.019] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2010] [Accepted: 04/11/2010] [Indexed: 11/29/2022]
Abstract
AIM The aim of this study was to establish a third molar developmental database to model dental age of Polish youngsters, to investigate the rating level of the scores when dividing a year interval into a quarter of a year and to examine sex differences, left-right and upper-lower jaw asymmetry. MATERIAL AND METHODS A cross-sectional sample of 1048 orthopantomograms of 644 females and 404 males aged between 12 and 26 years was investigated using the scoring system of Gleiser and Hunt modified by Köhler. Reference tables according to age were split in a whole year and in quarters of a year using descriptive statistics. The various developmental stages between males and females were analyzed with a paired t-test and the cusum method. Differences in mineralization between the quadrants were analyzed with a two-factor ANOVA and the Duncan post hoc test. The single quadratic and support vector regression were performed to describe the relationship between score and age. RESULTS Dividing age classes in quarters of a year discriminated better between individuals provided that there is a sufficient sampling size for all age classes. The mineralization tempo occurred significantly at a faster rate in males. The maturational events in the upper arch developed significantly at earlier ages for both genders. Obtained chronological age had nearly the same standard error of estimate when calculated with both regression methods. DISCUSSION AND CONCLUSION Comparing the results of the present study with those of other population groups suggests that there are differences in the ageing process of the wisdom tooth. This is the first database of Polish youngsters (15-24 years) with their respective regression equations to yield age estimations.
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Affiliation(s)
- M Van Vlierberghe
- School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Department of Forensic Odontology, Katholieke Universiteit Leuven, Kapucijnenvoer 7, B 3000 Leuven, Belgium
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Dental age estimation in Spanish and Venezuelan children. Comparison of Demirjian and Chaillet's scores. Int J Legal Med 2009; 124:105-12. [PMID: 19859725 DOI: 10.1007/s00414-009-0380-5] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2009] [Accepted: 09/29/2009] [Indexed: 10/20/2022]
Abstract
Orthopantomographs taken from 308 Spanish Caucasian and 200 Venezuelan Amerindian children, aged between 2 and 18 years, were analysed following the Demirjian's method. The aims of this study were to test the applicability of the Demirjian's method to two different sample populations, and to develop age prediction models for both populations using the original French Canadian scores described by Demirjian (1976) and the new multi-ethnic dental scores proposed by Chaillet et al. (2005) when the ethnic origin is unknown. Results showed that despite the good correlation between dental and chronological age, Demirjian's method overestimates the age in the Spanish Caucasian sample using both scores, the mean overestimation being higher when the Demirjian's scores were used than when the Chaillet's scale was applied. In the Venezuelan Amerindian sample, the opposite was found: Demirjian's method underestimates the age using both scores, the underestimation being higher when the Chaillet's scale was applied than when Demirjian's scale was used. New graphs were produced to convert the maturity scores to dental age for Spanish and Venezuelan children. With these graphs, the Demirjian's scores showed to be inadequate after the age of 12 in both populations, while Chaillet's scores offered useful information until 14 years of age.
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Butti AC, Clivio A, Ferraroni M, Spada E, Testa A, Salvato A. Haavikko's method to assess dental age in Italian children. Eur J Orthod 2009; 31:150-5. [DOI: 10.1093/ejo/cjn081] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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