Department of Dentistry, Government Medical college, Nalgonda, India.
Department of Forensic Odontology, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, Telangana, India.
Int J Legal Med. 2020 Sep;134(5):1869-1873. doi: 10.1007/s00414-020-02347-4. Epub 2020 Jun 22.
Forensic odontologists often confront with conceptually simple medicolegal question of whether an individual is a juvenile or an adult. The demand for additional research into extending dental age estimation methods in late adolescence is never the less, especially in those who have passed 15 years and are suspected older than 18 years. The present research investigated the regressive dental characteristic, i.e. radiographic visibility of the root pulp in mandibular second molars for the purpose of age assessment, especially for determining the age over 18 years. Nine hundred thirty-six orthopantomograms comprised of 436 males and 500 females aged from 14 to 22 years were examined. Descriptive statistics were performed for each stage in both sexes. The correlation statistics revealed that there is a strong, positive correlation between the chronological age and root pulp visibility stages. The analysis revealed that stage 0 occurred first at the age of 14 years in both sexes. Stage 1 first occurred at the age of 14.26 years in females and 14.74 years in males. Stage 2 was first achieved at the age of 18.6 and 15.2 years in males and females, respectively. The suitability of the studied characteristics in mandibular second molars for age estimation could be confirmed but of limited value. The presence of this stage 2 root pulp visibility in male subjects represents a potential criterion for indicating the age over 18 years. In future studies, the pattern of secondary dentin formation in other tooth types should be investigated.
法医牙科学者经常面临一个概念上简单的法医问题,即个体是未成年人还是成年人。尽管如此,人们仍然需要进一步研究如何在青春期后期扩展牙齿年龄估计方法,尤其是在那些已经超过 15 岁且被怀疑年龄超过 18 岁的人。本研究调查了回归性牙齿特征,即下颌第二磨牙的牙髓在放射影像中的可见性,以便进行年龄评估,特别是确定 18 岁以上的年龄。检查了 936 张全景片,其中包括 436 名男性和 500 名女性,年龄在 14 至 22 岁之间。对每个阶段的男女数据进行了描述性统计。相关统计显示,年龄和牙髓可见性阶段之间存在强烈的正相关。分析表明,0 期在男女中均于 14 岁时首次出现。1 期在女性中于 14.26 岁首次出现,在男性中于 14.74 岁首次出现。2 期在男性和女性中分别于 18.6 岁和 15.2 岁首次达到。可以证实下颌第二磨牙研究特征在年龄估计中的适用性,但价值有限。男性中出现 2 期牙髓可见性表示年龄超过 18 岁的潜在标准。在未来的研究中,应该研究其他牙齿类型中继发性牙本质形成的模式。