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通过数字放射技术分析下颌骨特征的年龄和性别差异:一项回顾性研究。

Analyzing Mandibular Characteristics for Age and Gender Variation Through Digital Radiographic Techniques: A Retrospective Study.

作者信息

Arthanari Abirami, Sureshbabu Shanmathy, Ramalingam Karthikeyan, Ravindran Vignesh, Prathap Lavanya, Sitaraman Prashanthi

机构信息

Department of Forensic Odontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Department of Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Apr 17;16(4):e58500. doi: 10.7759/cureus.58500. eCollection 2024 Apr.

Abstract

Background Forensic odontology has emerged as a crucial method for identifying skeletal or dental remains. Due to the restricted accuracy of current techniques for estimating age at death, researchers have endeavored to illustrate age-related alterations in dental hard tissues. Bone remodeling constitutes an ongoing and intricate process throughout our lifespan. It is believed that morphological changes in the mandible during an individual's lifetime are influenced by both dental condition and the individual's age. Objectives This study aims to evaluate the efficacy of mandibular parameters such as projective ramus height (PRH), maximum ramus breadth (MaRB), bigonial width (BGW), antegonial depth (Ant.D), and antegonial angle (Ant.A), as a gender-determining tool and compare and analyze the mandibular parameter measurements using digital orthopantomography. Methodology In this study, the total number of samples used was 500 out of which 250 were males and 250 were females. Planmeca software (Version 6.0, Planmeca Romexis, Charlotte, NC) was used and the accuracy test, analysis of variance (ANOVA), multiple regression, and discriminant analysis for gender were performed using SPSS for Windows, Version 16.0 (SPSS Inc., Chicago, IL). Results For age estimation, the least standard error of 0.008 was observed for BGW. A maximum standard error of 0.230 was observed for Ant.D. For sex determination, the coefficient function was positive for PRH, BGW, and Ant.A, with values of 0.202, 0.805, and 0.052, respectively. Ant.D and MaRB both exhibited negative values of -0.204 and -0.379, respectively.  Conclusions Out of all the parameters assessed, BGW is the most preferred parameter for age estimation and Ant.A can be preferred for sex estimation. Age and gender can be estimated using the two parameters in the Indian population.

摘要

背景 法医牙科学已成为识别骨骼或牙齿遗骸的关键方法。由于目前死亡年龄估计技术的准确性有限,研究人员一直致力于阐明牙齿硬组织中与年龄相关的变化。骨重塑是贯穿我们一生的一个持续且复杂的过程。人们认为,个体一生中下颌骨的形态变化受牙齿状况和个体年龄的影响。目的 本研究旨在评估下颌骨参数,如升支投射高度(PRH)、升支最大宽度(MaRB)、下颌角宽度(BGW)、下颌角前切迹深度(Ant.D)和下颌角前切迹角(Ant.A)作为性别判定工具的有效性,并使用数字化曲面断层摄影术对下颌骨参数测量值进行比较和分析。方法 在本研究中,使用的样本总数为500例,其中男性250例,女性250例。使用普兰梅卡软件(版本6.0,普兰梅卡罗马克斯,北卡罗来纳州夏洛特),并使用适用于Windows的SPSS 16.0版(SPSS公司,伊利诺伊州芝加哥)进行准确性测试、方差分析(ANOVA)、多元回归和性别判别分析。结果 对于年龄估计,BGW的标准误差最小,为0.008。Ant.D的标准误差最大,为0.230。对于性别判定,PRH、BGW和Ant.A的系数函数为正,分别为0.202、0.805和0.052。Ant.D和MaRB均显示为负值,分别为-0.204和-0.379。结论 在所有评估参数中,BGW是年龄估计的最优选参数,Ant.A可作为性别估计的优选参数。在印度人群中,可以使用这两个参数估计年龄和性别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/11101763/7d9d4362b7b2/cureus-0016-00000058500-i01.jpg

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