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基于第三磨牙发育阶段和成熟指数的牙龄评估用于法医学目的。

Dental Age Assessment Based on Developmental Stages and Maturity Index of Third Molars for Medico-Legal Purposes.

作者信息

Švábová Petra, Soták Michal, Galis Branislav, Kroupová Patrícia, Bundová Lucia, Vojtušová Adriana, Masnicová Soňa, Beňuš Radoslav

机构信息

Department of Anthropology, Faculty of Natural Sciences, Comenius University, Ilkovičova 6, Mlynská dolina, 842 15 Bratislava, Slovakia.

Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Comenius University and University Hospital Bratislava, Ružinovská 6, 826 06 Bratislava, Slovakia.

出版信息

Diagnostics (Basel). 2024 Jul 18;14(14):1559. doi: 10.3390/diagnostics14141559.

Abstract

As results may vary depending on the method of examination, this paper analyzes methods of age estimation based on the maturation index of third molars (I) and Kohler's developmental stages in living individuals. A total of 1475 orthopantomograms were analyzed. The results showed that the development of third molars tended to be more advanced in males than in females. Regression equations that included the value of the developmental stage of the left third molar most accurately predicted chronologic age in males and females. Using the I method, there were no statistically significant bilateral differences between the mandibular right and left third molars. Overall, 82.92% of males and only 72.82% of females were correctly classified with the cut-off value (0.08) for the left mandibular third molar index. In addition, 81.97% of individuals were correctly classified as minors and adults using the Kohler method, while only 78.62% of individuals were correctly classified as minors and adults using the I method. Based on the misclassification of minors as adults, both methods should be used with caution and overestimation of age should be considered, especially for those close to 18 years of age.

摘要

由于检查方法不同结果可能会有所差异,本文分析了基于第三磨牙成熟指数(I)和科勒发育阶段对活体个体进行年龄估计的方法。共分析了1475张全景X线片。结果显示,男性第三磨牙的发育往往比女性更超前。包含左第三磨牙发育阶段值的回归方程能最准确地预测男性和女性的实际年龄。采用I方法时,下颌左右第三磨牙之间在统计学上没有显著的双侧差异。总体而言,左下颌第三磨牙指数的临界值(0.08)能正确分类82.92%的男性和仅72.82%的女性。此外,使用科勒方法时,81.97%的个体被正确分类为未成年人和成年人,而使用I方法时,只有78.62%的个体被正确分类为未成年人和成年人。基于将未成年人误分类为成年人的情况,两种方法都应谨慎使用,并且应考虑年龄高估的问题,尤其是对于那些接近18岁的人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11276057/d73b19950e9e/diagnostics-14-01559-g001.jpg

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