Gambier Arsène, Rérolle Camille, Faisant Maxime, Lemarchand Julia, Paré Arnaud, Saint-Martin Pauline
Institut Médico-Légal, CHRU Tours, 37044, Tours cedex 9, France.
Service de Chirurgie Maxillo-Faciale et Stomatologie, CHRU Tours, 37044, Tours cedex 9, France.
Int J Legal Med. 2019 Mar;133(2):625-632. doi: 10.1007/s00414-018-01991-1. Epub 2019 Jan 11.
Forensic age estimation of a living individual is frequently performed in clinical forensic medicine. Medicolegal physicians are usually called upon by the authorities to estimate the age of a living person requesting asylum or to determine whether a suspected offender is subject to juvenile or adult criminal law. Dental age is one of the parameters studied to estimate biological age. Several methods are used, and among these, analysis of the eruption of the third molar (M3) on an orthopantomogram (OPG) is one of the common methods. The objective of the study was to analyse the contribution of M3 eruption to age estimation, in particular with regard to the threshold of 18 years of age, in a sample of individuals examined in a French university hospital. The stage of wisdom tooth eruption of all individuals aged between 15 and 24 years, who had an OPG performed between 1 January 2013 and 31 December 2015, was interpreted using a three-stage scoring system. In total, 557 OPGs (340 males and 217 females) were included. None of the stage scores allowed a distinction between minors and majors, for either sex. Overall, 85% of females and 98% of males with four M3s in stage 3 (complete emergence in the occlusal plane) were majors.
在临床法医学中,对在世个体进行法医年龄估计是常有的事。法医通常会应当局要求,对申请庇护的在世人员进行年龄估计,或确定涉嫌犯罪者应适用少年刑法还是成人刑法。牙齿年龄是用于估计生物年龄的参数之一。人们使用了多种方法,其中,在曲面体层摄影片(OPG)上分析第三磨牙(M3)的萌出情况是常用方法之一。本研究的目的是分析在一家法国大学医院接受检查的个体样本中,M3萌出对年龄估计的贡献,特别是关于18岁这一年龄界限的情况。使用一个三阶段评分系统对2013年1月1日至2015年12月31日期间接受OPG检查的所有15至24岁个体的智齿萌出阶段进行解读。总共纳入了557张OPG(340名男性和217名女性)。对于任何一种性别,没有一个阶段评分能够区分未成年人和成年人。总体而言,第三阶段(完全萌出于咬合平面)有四颗M3的女性中85%为成年人,男性中98%为成年人。