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28.03.2024 | Original Article

Dental age assessment and dental scoring systems: combined different statistical methods

verfasst von: Cristiana Palmela Pereira, Ana Rodrigues, Diana Augusto, Adriana Santos, Valon Nushic, Rui Santos

Erschienen in: International Journal of Legal Medicine

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Abstract

Introduction

Age Estimation has been considered as a human basic right, carried out through the use of tables for dental age assessment based on the chronology of tooth eruption. As such, the final aim of this investigation is to create tables with applicability to the Portuguese population, for the different scoring systems used and combined different statistical approaches.

Materials and methods

For this purpose, dental age assessment was achieved in all four third molars, using different scoring systems, in a total sample of 626 orthopantomograms (324 females, 302 males), aged between 12 and 25 years old, from the database population of Lisbon North University Hospital Center, approved by the Ethic Committee.

Results

The values of validation showed excellent results both on precision and on reproducibility. Mostly all methods showed statistically significant differences between the estimated age and the chronological age and, therefore, the presence of estimation errors. Kullman’s and Mincer’s methods are the ones with best applicability in the Portuguese population, in the lower third molars. The reliability measures (sensitivity, specificity and accuracy) values decrease as age increases.

Conclusion

A combination of the scoring systems as a protocol for dental age assessment in Portuguese nationality was established. Tables, for all the scoring systems used, were made with applicability in the Portuguese population.

Nur mit Berechtigung zugänglich

Saunders E (1837) The teeth, a test of age, considered with reference to the factory children. Addressed to both Houses of Parliament. Renshaw, London

United Nations Convention On The Rights Of The Child (1989) BMJ 298(6686):1477–1478

Pereira C (2012) Medicina Dentária Forense. Lisboa, Portugal

Goldman AD (1982) The scope of forensic dentistry. In: Cottone JA, Standish SM (eds) Outline of forensic Dentistry. Yearbook Medical, Chicago

Pereira CP, Rodrigues A, Augusto D, Santos A, Salvado F, Santos R, Cameriere R (2021) Forensic age estimation using new models of mathematical regression formula constructed with molar indexes: dental age assessment. J Stomatology 74,2:95–100. https://doi.org/10.5114/jos.2021.106540CrossRef

Pereira CP, Rodrigues A, Santos A, Salvado F, Santos R, Cameriere R (2021) Cut-off for the legal ages in the Portuguese Population by Third Maturity Index: measures of Accuracy. Archieves Oral Biology 125:105089. https://doi.org/10.1016/j.archoralbio.2021.105089CrossRef

Augusto D, Pereira CP, Rodrigues A, Cameriere R, Salvado F, Santos R (2021) Dental Age Assessment by I2M and I3M: Portuguese legal age thresholds of 12 and 14 Years Old. Acta Stomatol Croatica 55(1):46–56. https://doi.org/10.15644/asc55/1/6CrossRef

Decreto Lei nº 147 de 1 de Setembro (1999) Diário da República: I-A Série, No 204.

Decreto Lei nº 166 de 14 de Setembro (1999) Diário da República: I-A Série, No 215.

10.

Decreto Lei n.º 401/82, de 23 de Setembro

11.

Decreto Lei nº 48 de 15 de Março (1995a) Diário da República: I-A Série, No 63. artigo 19&#186

12.

Decreto Lei nº 496 de 25 de Novembro (1977) Diário da República: I Série, No 273. Artigo 178&#186

13.

Fracasso T, Wirth I, Pfeiffer H, Schmeling A (2023) From Deutsche Zeitschrift to International journal of legal medicine – 100 years of legal medicine through the lens of journal articles, part 4: International journal of legal medicine from 1990 to 2022. Int J Legal Med. https://doi.org/10.1007/s00414-023-03107-wCrossRefPubMedPubMedCentral

14.

European Asylum Support Office (EASO) (2018) EASO practical guide on age assessment. https://doi.org/10.2847/292263. Second edition

15.

European Parliamentary Research Service (EPRS). Online age verification methods for children. PE 739.350 (2023) https://www.europarl.europa.eu/RegData/etudes/ATAG/2023/739350/EPRS_ATA(2023)739350_EN.pdf

16.

Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122(6):457–460. https://doi.org/10.1007/s00414-008-0254-2CrossRefPubMed

17.

International Organization of Standardization (ISO) (2023) DIS 5365. Dentistry — Designation system for tooth developmental stages

18.

Mincer HH, Harris EF, Berryman HE (1993) The A.B.F.O. study of third molar development and its use as an estimator of chronological age. J Forensic Sci 38(2):379–390CrossRefPubMed

19.

Kullman L, Johanson G, Akesson L (1992) Root development of the lower third molar and its relation to chronological age. Swed Dent J 16:161–167PubMed

20.

Demirjian A (1973) A new system of dental age assessment. Human Biology 45 – 2

21.

Kohler S, Schmelzle R, Loitz C, Puschel K (1994) Die Entwicklung Des Weisheitszahnes als Kriterium Der Lebensaltersbestimmung. Annals Anat 176:339–345CrossRef

22.

Haavikko K (1970) The formation and the alveolar and clinical eruption of the permanent teeth. An orthopantomographic study. Suom Hammaslaak Toim 66(3):103–170 PMID: 4917152PubMed

23.

Moorees CFA, Fanning EA, Hunt EE (1963) Age variation of formation stages for permanent teeth. J Dent Res 42(6):1490–1502CrossRef

24.

Gleiser I, Hunt E (1955) The permanent mandibular first molar: its calcification, eruption and decay

25.

IBM Corp, Released (2022) IBM SPSS statistics for Windows, Version 29.0. IBM Corp, Armonk, NY

26.

Fleiss J (1986) The design and analysis of clinical experiments. John Wiley Sons, New York

27.

ADA Technical Report (2020) No. 1077. Human Age Assessment by Dental Analysis

28.

Rath H, Rath R, Mahapatra S, Debta T (2017) Assessment of Demirjian’s 8-teeth technique of age estimation and indian-specific formulas in an east Indian population: a cross-sectional study. J Forensic Dent Sci 9(1):45. https://doi.org/10.4103/jfo.jfds_84_15CrossRefPubMedPubMedCentral

29.

Brkić H, Galić I, Vodanović M, Dumančić J, Mehdi F, Anić Milošević S (2022) The Cameriere, Haavikko, Demirjian, and Willems methods for the assessment of dental age in Croatian children. Int J Legal Med 136(6):1685–1696. https://doi.org/10.1007/s00414-022-02891-1CrossRefPubMed

30.

Gupta S, Verma AK, Patil R, Singh US, Kumar N, Bhattacharya S (2023) Comparison of Demirjian and Cameriere methods and development of modified Cameriere and Demirjian formula more efficient for north Indian population. J oral Maxillofacial Pathol 27(1):138–147. https://doi.org/10.4103/jomfp.jomfp_228_22CrossRef

31.

Hostiuc S, Edison SE, Diaconescu I, Negoi I, Isaila OM (2021) Accuracy of the Demirjian’s method for assessing the age in children, from 1973 to 2020. A meta-analysis. Leg Med (Tokyo) Sep 52:101901. https://doi.org/10.1016/j.legalmed.2021.101901CrossRef

32.

Pires AC, Vargas de Sousa Santos RF, Pereira CP (2021) Dental age assessment by the pulp/tooth area proportion in cone beam computed tomography: is medico-legal application for age estimation reliable? J Forensic Odontostomatol 39(2):2–14PubMedPubMedCentral

33.

Bagherpour A, Imanimoghadda M, Bagherpour M, Einolghozati M (2010) Dental age assessment among Iranian children aged 6–13 years using the Demirjian method. Forensic Sci Int 197(1–3):121e1–121e4

34.

Boaz K, Nagesh K, Srikant N, Gupta N, Nandita K, Manaktala N, Lewis A (2015) Demirjian′s method in the estimation of age: a study on human third molars. J Forensic Dent Sci 7(2):153–157CrossRefPubMedPubMedCentral

35.

Ramaswami T, Rosa G, Fernandes M, Oliveira R, Tinoco R (2020) Third molar development by Demirjian’s stages and age estimation among brazilians. Forensic Imaging 20(200353). https://doi.org/10.1016/j.fri.2020.200353

36.

Pereira CP, Santos R, Nushi V, Lameiro MV, Antunes P, Carvalho R, Major T, AlQahtani SJ (2023) Dental age assessment: scoring systems and models from the past until the present-how is it presented in the court? Int J Legal Med. 2023;137(5):1497–1504

37.

Santos R, Martins JP, Felgueiras M, Ferreira L (2019) Accuracy measures for binary classification based on a quantitative variable. REVSTAT - Stat J 17(2):223–244. https://doi.org/10.57805/revstat.v17i2.266CrossRef

38.

Antunovic M, Galic I, Zelic K, Nedeljkovic N, Lazic E, Djuric M et al (2018) The third molars for indicating legal adult age in Montenegro. Leg Med 33:55–61. https://doi.org/10.1016/j.legalmed.2018.05.006CrossRef

39.

Balla SB, Banda TR, Galic I, Naishadham PP (2019) Validation of Cameriere’s third molar maturity index alone and in combination with apical maturity of permanent mandibular second molar for indicating legal age of 14 years in a sample of South Indian children. Forensic Sci Int 297:243–248. https://doi.org/10.1016/j.forsciint.2019.02.009CrossRefPubMed

40.

Balla SB, Chinni SS, Galic I, Alwala AM, Machani P, Cameriere R (2019) A cut-off value of third molar maturity index for indicating a minimum age of criminal responsibility: older or younger than 16 years? J Forensic Leg Med 65:108–122https://doi.org/10.1016/j.jflm.2019.05.014CrossRefPubMed

Titel: Dental age assessment and dental scoring systems: combined different statistical methods
verfasst von: Cristiana Palmela Pereira
Ana Rodrigues
Diana Augusto
Adriana Santos
Valon Nushic
Rui Santos
Publikationsdatum: 28.03.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-024-03216-0

Springer Medizin

Dental age assessment and dental scoring systems: combined different statistical methods

Abstract

Introduction

Materials and methods

Results

Conclusion

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusion

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Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie