Sex assessment efficacy of permanent maxillary first molar cusp dimensions in Indians

Frequency and variability of nonmetric dental crown traits of primary and permanent molars in a group of orthodontic patients

BACKGROUND

The present study aimed to assess the frequency and variation of 13 nonmetric dental crown traits (NDCT) in permanent and primary molars in German orthodontic patients.

METHODS

Dental records from orthodontic patients were screened and evaluated. First and second permanent and primary upper and lower molars (from left and right sides) were assessed. Teeth with cavitated dental caries, occlusal wear, restorations and obvious dental deformities were not evaluated. The NDCT for permanent molars were identified and scored according to the odontoscopic system developed by Arizona State University Dental Anthropology System (ASUDAS). The NDCT for primary molars were identified and scored according to ASUDAS, Hanihara's method and Sciulli's method. The χ2 test was used to investigate side preference and sexual dimorphism at a significance level of p ≤ 0.050.

RESULTS

A total of 163 orthodontic patients (82 males and 81 females) aged 8-14 years were included. A sexual dimorphism was observed for the hypocone in first upper permanent molar (p = 0.041). The protostylid was observed in lower permanent molars (range 2.1-10%). Males presented more hypoconulid than females (p = 0.019). Only females presented the distal trigonid crest in lower first permanent molars (p = 0.002). The most common groove pattern in primary molars was Y; male presented more Y grade than females in the lower second primary molar (p = 0.039). Asymmetry was observed in some traits, ranging from 0 to 100%.

CONCLUSION

The present study showed the frequency of NDCT of molars in German orthodontic patients and demonstrated that some traits present sexual dimorphism.

Use of dimensions in posterior dentition for sex estimation in forensic contexts: A systematic review and meta-analysis

OBJECTIVE

This study assessed the validity of dimensions in posterior dentition for sex estimation in forensic contexts.

DESIGN

A systematic review was established following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). After assessing the risk of bias and methodological quality with the QUADAS-2 system, the data were subjected to statistical tests for a meta-analysis of diagnostic accuracy and I2 to verify the heterogeneity.

RESULTS

The search resulted in 15 studies that underwent qualitative testing, all were selected for quantitative analysis. The papers included: the mesiodistal of the upper first molar, lower first molar, and upper second molar, and the buccolingual of the upper first molar and upper second molar. The results showed that sensitivity and specificity rates were lower with the mesiodistal diameter, with rates of 0.577 for the lower first molar, 0.674 for the upper first molar, and 0.698 for the upper second molar, while the rates were higher with the buccolingual diameter, with 0.724 for the upper first molar, and 0.743 for the upper second molar. The power to estimate sex is greater for males than for females. High heterogeneity was detected among the studies of almost all dimensions, except sensibility for the lower first molar and specificity for the upper second molar.

CONCLUSIONS

None of the dimensions reached an accuracy of ≥80%, however, so they are not a reliable method for sex estimation in forensic practice.

Cranial and Odontological Methods for Sex Estimation—A Scoping Review

The estimation of sex from osteological and dental records has long been an interdisciplinary field of dentistry, forensic medicine and anthropology alike, as it concerns all the above mentioned specialties. The aim of this article is to review the current literature regarding methods used for sex estimation based on the skull and the teeth, covering articles published between January 2015 and July 2022. New methods and new approaches to old methods are constantly emerging in this field, therefore resulting in the need to summarize the large amount of data available. Morphometric, morphologic and biochemical analysis were reviewed in living populations, autopsy cases and archaeological records. The cranial and odontological sex estimation methods are highly population-specific and there is a great need for these methods to be applied to and verified on more populations. Except for DNA analysis, which has a prediction accuracy of 100%, there is no other single method that can achieve such accuracy in predicting sex from cranial or odontological records.

Three-Dimensional Dental Analysis for Sex Estimation in the Italian Population: A Pilot Study Based on a Geometric Morphometric and Artificial Neural Network Approach

Dental dimorphism can be used for discriminating sex in forensic contexts. Geometric morphometric analysis (GMA) allows the evaluation of the shape and size, separately, of uneven 3D objects. This study presents experiments using a novel combination of GMA and an artificial neural network (ANN) for sex classification, applied to premolars of Caucasian Italian adults (50 females and 50 males). General Procrustes superimposition (GPS) and the partial least square (PLS) method were performed, respectively, to study the shape variance between sexes and to eliminate landmark variations. The “set-aside” approach was used to assess the accuracy of the proposed neural networks. As the main findings of the pilot study, the proposed method applied to the first upper premolar correctly classified 90% of females and 73% of males of the test sample. The accuracy was 0.84 and 0.80 for the training and test samples, respectively. The sexual dimorphism resulting from GMA was low, although statistically significant. GMA combined with the ANN demonstrated better sex classification ability than previous odontometric or dental morphometric methods. Future research could overcome some limitations by considering a larger sample of subjects and other kinds of teeth and experimenting with the use of computer vision for automatic landmark positioning.

Odontometric sex discrimination in young Urhobo adults of South-South Nigeria

The spate of unidentified human remains as a result of kidnapping, killings, and so forth was the reason for this study. The purpose of this study was to measure the crown and cusps of each of the permanent maxillary first two molars to determine discriminant score and functions among Urhobo people of Nigeria. All Undergraduates of the Delta State University, Abraka, who are pure breeds Urhobo, form the study population. Three hundred and six subjects (171 males and 135 females), with mean age 22.88±3.34 years, participated in the study, which is based on the simple random sampling technique. All four crown widths and the four cusps of the maxillary first two molars were measured in millimeter, from a prepared study models of dental stone, and crown area, crown and cusps indices were calculated. The level of sexual dimorphism was also calculated for each parameter. Descriptive statistics was used to summarize the data while inferential statistics were used to ascertain significant sexual differences and to determine discriminant scores and functions. Statistical significance was fixed at P≤0.05. Crown and cusp dimensions of the first two permanent maxillary molars exhibited statistically significant sexual dimorphism. The highest percentage of sexual dimorphism was crown area of maxillary second molar (9.08%), followed by first molar (7.85%). Next, were metacone, paracone, disto-buccomesio-lingual, and mesio-buccodisto-lingual widths. The overall sex discriminatory precisions of the various parameters in the maxillary first two molars are good. The findings of this study are of relevance in forensic anthropology.