Age Estimation Based on Pulp–Tooth Volume Ratio of Anterior Teeth in Cone-Beam Computed Tomographic Images in a Selected Population: A Cross-Sectional Study
Abstract
:Featured Application
Abstract
1. Introduction
2. Materials and Methods
2.1. Patients and Data Collection
2.2. Image Analysis
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Rathod, V.; Desai, V.; Pundir, S.; Dixit, S.; Chandraker, R. Role of forensic dentistry for dental practitioners: A comprehensive study. J. Forensic Dent. Sci. 2017, 9, 108. [Google Scholar] [PubMed]
- Mansour, H.; Fuhrmann, A.; Paradowski, I.; van Well, E.J.; Püschel, K. The role of forensic medicine and forensic dentistry in estimating the chronological age of living individuals in Hamburg, Germany. Int. J. Leg. Med. 2017, 131, 593–601. [Google Scholar] [CrossRef] [PubMed]
- Cameriere, R.; De Luca, S.; Alemán, I.; Ferrante, L.; Cingolani, M. Age estimation by pulp/tooth ratio in lower premolars by orthopantomography. Forensic Sci. Int. 2012, 214, 105–112. [Google Scholar] [CrossRef] [PubMed]
- Fulton, A.J.; Liversidge, H.M. A radiographic study of estimating age by deciduous mandibular canine and molar root resorption. Ann. Anat. 2016, 203, 33–37. [Google Scholar] [CrossRef]
- Panchbhai, A. Dental radiographic indicators, a key to age estimation. Dentomaxillofacial Radiol. 2011, 40, 199–212. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ge, Z.-P.; Ma, R.-H.; Li, G.; Zhang, J.-Z.; Ma, X.-C. Age estimation based on pulp chamber volume of first molars from cone-beam computed tomography images. Forensic Sci. Int. 2015, 253, 133.e131–133.e137. [Google Scholar] [CrossRef] [PubMed]
- De Micco, F.; Martino, F.; Campobasso, C.P. Ethical issues in age assessment by the third molar development. Aust. J. Forensic Sci. 2020, 1–12. [Google Scholar] [CrossRef]
- De Tobel, J.; Hillewig, E.; Verstraete, K. Forensic age estimation based on magnetic resonance imaging of third molars: Converting 2D staging into 3D staging. Ann. Hum. Biol. 2017, 44, 121–129. [Google Scholar] [CrossRef] [PubMed]
- Bedek, I.; Dumančić, J.; Lauc, T.; Marušić, M.; Čuković-Bagić, I. New model for dental age estimation: Willems method applied on fewer than seven mandibular teeth. Int. J. Leg. Med. 2020, 134, 735–743. [Google Scholar] [CrossRef] [PubMed]
- Hostiuc, S.; Edison, S.-E.; Diaconescu, I.; Negoi, I.; Isaila, O.-M. Accuracy of the Demirjian’s method for assessing the age in children, from 1973 to 2020. A meta-analysis. Leg. Med. 2021, 52, 101901. [Google Scholar] [CrossRef]
- Andrade, V.M.; Fontenele, R.C.; de Souza, A.C.; Almeida, C.A.d.; Vieira, A.C.; Groppo, F.C.; Freitas, D.Q.; Junior, E.D. Age and sex estimation based on pulp cavity volume using cone beam computed tomography: Development and validation of formulas in a Brazilian sample. Dentomaxillofacial Radiol. 2019, 48, 20190053. [Google Scholar] [CrossRef] [PubMed]
- Gulsahi, A.; Kulah, C.K.; Bakirarar, B.; Gulen, O.; Kamburoglu, K. Age estimation based on pulp/tooth volume ratio measured on cone-beam CT images. Dentomaxillofacial Radiol. 2018, 47, 20170239. [Google Scholar] [CrossRef]
- Litsas, G.; Lucchese, A. Dental and chronological ages as determinants of peak growth period and its relationship with dental calcification stages. Open Dent. J. 2016, 10, 99. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lamendin, H.; Baccino, E.; Humbert, J.; Tavernier, J.; Nossintchouk, R.; Zerilli, A. A simple technique for age estimation in adult corpses: The two criteria dental method. J. Forensic Sci. 1992, 37, 1373–1379. [Google Scholar]
- Dehghani, M.; Shadkam, E.; Ahrari, F.; Dehghani, M. Age estimation by canines’ pulp/tooth ratio in an Iranian population using digital panoramic radiography. Forensic Sci. Int. 2018, 285, 44–49. [Google Scholar] [CrossRef]
- Rajpal, P.S.; Krishnamurthy, V.; Pagare, S.S.; Sachdev, G.D. Age estimation using intraoral periapical radiographs. J. Forensic Dent. Sci. 2016, 8, 56. [Google Scholar] [CrossRef] [Green Version]
- Cameriere, R.; De Luca, S.; Vázquez, I.S.; Kiş, H.; Pigolkin, Y.; Kumagai, A.; Ferrante, L. A full Bayesian calibration model for assessing age in adults by means of pulp/tooth area ratio in periapical radiography. Int. J. Leg. Med. 2021, 135, 677–685. [Google Scholar] [CrossRef] [PubMed]
- Fontana, M.; Fastuca, R.; Zecca, P.A.; Nucera, R.; Militi, A.; Lucchese, A.; Portelli, M.; Caprioglio, A. Correlation between Mesio-Distal Angulation and Bucco.-Lingual Inclination of First and Second Maxillary Premolars Evaluated with Panoramic Radiography and Cone-Beam Computed Tomography. Appl. Sci. 2021, 11, 2374. [Google Scholar] [CrossRef]
- Molina, A.; Bravo, M.; Fonseca, G.M.; Márquez-Grant, N.; Martín-de-Las-Heras, S. Dental age estimation based on pulp chamber/crown volume ratio measured on CBCT images in a Spanish population. Int. J. Leg. Med. 2021, 135, 359–364. [Google Scholar] [CrossRef] [PubMed]
- Mehdizadeh, M.; Booshehri, S.G.; Kazemzadeh, F.; Soltani, P.; Motamedi, M.R.K. Level of knowledge of dental practitioners in Isfahan, Iran about cone-beam computed tomography and digital radiography. Imaging Sci. Dent. 2015, 45, 133–135. [Google Scholar] [CrossRef] [Green Version]
- Yang, F.; Jacobs, R.; Willems, G. Dental age estimation through volume matching of teeth imaged by cone-beam CT. Forensic Sci. Int. 2006, 159, S78–S83. [Google Scholar] [CrossRef] [PubMed]
- Asif, M.K.; Nambiar, P.; Mani, S.A.; Ibrahim, N.B.; Khan, I.M.; Lokman, N.B. Dental age estimation in Malaysian adults based on volumetric analysis of pulp/tooth ratio using CBCT data. Leg. Med. 2019, 36, 50–58. [Google Scholar] [CrossRef]
- Moshfeghi, M.; Nikneshan, S.; Safi, Y.; Kheirkhahi, M.; Manouchehri, M.E.; Baghban, A.A. Age Estimation by Kvaal’s Method Using CBCT Scans of Mandibular Canine Teeth in an Iranian Population. Regen Reconstr. Restor. 2018, 4, 33–40. [Google Scholar]
- Biuki, N.; Razi, T.; Faramarzi, M. Relationship between pulp-tooth volume ratios and chronological age in different anterior teeth on CBCT. J. Clin. Exp. Dent. 2017, 9, e688. [Google Scholar] [CrossRef] [Green Version]
- Martins, J.N.R.; Ordinola-Zapata, R.; Marques, D.; Francisco, H.; Caramês, J. Differences in root canal system configuration in human permanent teeth within different age groups. Int. Endod. J. 2018, 51, 931–941. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Thomas, R.P.; Moule, A.J.; Bryant, R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int. Endod. J. 1993, 26, 257–267. [Google Scholar] [CrossRef] [Green Version]
- Spagnuolo, G.; Ametrano, G.; D’Antò, V.; Formisano, A.; Simeone, M.; Riccitiello, F.; Amato, M.; Rengo, S. Microcomputed tomography analysis of mesiobuccal orifices and major apical foramen in first maxillary molars. Open Dent. J. 2012, 6, 118. [Google Scholar] [CrossRef] [Green Version]
- Gustafson, G. Age determinations on teeth. J. Am. Dent. Assoc. 1950, 41, 45–54. [Google Scholar] [CrossRef] [PubMed]
- Kvaal, S.I.; Kolltveit, K.M.; Thomsen, I.O.; Solheim, T. Age estimation of adults from dental radiographs. Forensic Sci. Int. 1995, 74, 175–185. [Google Scholar] [CrossRef]
- Saxena, S. Age estimation of Indian adults from orthopantomographs. Braz. Oral Res. 2011, 25, 225–229. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Tardivo, D.; Sastre, J.; Ruquet, M.; Thollon, L.; Adalian, P.; Leonetti, G.; Foti, B. Three-dimensional modeling of the various volumes of canines to determine age and sex: A preliminary study. J. Forensic Sci. 2011, 56, 766–770. [Google Scholar] [CrossRef] [PubMed]
- Sakhdari, S.; Mehralizadeh, S.; Zolfaghari, M.; Madadi, M. Age estimation from pulp/tooth area ratio using digital panoramic radiography. J. Islam Dent. Assoc. Iran 2015, 27, 19–23. [Google Scholar]
- Star, H.; Thevissen, P.; Jacobs, R.; Fieuws, S.; Solheim, T.; Willems, G. Human dental age estimation by calculation of pulp–tooth volume ratios yielded on clinically acquired cone beam computed tomography images of monoradicular teeth. J. Forensic Sci. 2011, 56, S77–S82. [Google Scholar] [CrossRef] [PubMed]
Sex | Number | Mean Age (SD) | Minimum Age | Maximum Age | p-Value |
---|---|---|---|---|---|
Male | 152 | 40.16 (12.47) | 17 | 69 | 0.550 |
Female | 160 | 41.01 (13.01) | 16 | 48 | |
Total | 312 | 40.60 (12.74) | 16 | 69 |
Tooth Type | Number | Mean (SD) | Minimum | Maximum |
---|---|---|---|---|
Maxillary central incisor | 66 | 0.046 (0.010) | 0.024 | 0.067 |
Mandibular central incisor | 46 | 0.042 (0.010) | 0.024 | 0.069 |
Maxillary lateral incisor | 58 | 0.054 (0.015) | 0.025 | 0.089 |
Mandibular lateral incisor | 46 | 0.053 (0.014) | 0.028 | 0.089 |
Maxillary canine | 57 | 0.052 (0.014) | 0.023 | 0.079 |
Mandibular canine | 39 | 0.048 (0.012) | 0.033 | 0.075 |
Tooth Type | Number | Pearson Correlation Coefficient | p-Value |
---|---|---|---|
Maxillary central incisor | 66 | −0.46 | <0.001 |
Mandibular central incisor | 46 | −0.58 | <0.001 |
Maxillary lateral incisor | 58 | −0.42 | 0.001 |
Mandibular lateral incisor | 46 | −0.36 | 0.012 |
Maxillary canine | 57 | −0.53 | <0.001 |
Mandibular canine | 39 | −0.38 | 0.017 |
Total | 312 | −0.43 | <0.001 |
Tooth Type | Males | Females | ||
---|---|---|---|---|
Pearson Correlation Coefficient | p-Value | Pearson Correlation Coefficient | p-Value | |
Maxillary central incisor | −0.27 | 0.18 | −0.67 | <0.001 |
Mandibular central incisor | −0.59 | 0.003 | −0.60 | 0.002 |
Maxillary lateral incisor | −0.41 | 0.026 | −0.14 | 0.027 |
Mandibular lateral incisor | −0.37 | 0.08 | −0.37 | 0.070 |
Maxillary canine | −0.53 | 0.003 | −0.55 | 0.002 |
Mandibular canine | −0.11 | 0.67 | −0.47 | 0.027 |
Total | −0.38 | <0.001 | −0.47 | <0.001 |
Tooth Type | Correlation Coefficient (R) | Coefficient of Determination (R2) | Adjusted Coefficient of Determination (Adjusted R2) | Standard Error of the Estimate | p-Value |
---|---|---|---|---|---|
Maxillary central incisor | −0.46 | 0.21 | 0.20 | 11.98 | <0.001 |
Mandibular central incisor | −0.58 | 0.34 | 0.32 | 9.6 | <0.001 |
Maxillary lateral incisor | −0.42 | 0.18 | 0.16 | 10.99 | 0.001 |
Mandibular lateral incisor | −0.36 | 0.13 | 0.11 | 11.01 | 0.012 |
Maxillary canine | −0.53 | 0.28 | 0.26 | 12.27 | <0.001 |
Mandibular canine | −0.38 | 0.14 | 0.12 | 12.02 | 0.017 |
Total | −0.43 | 0.19 | 0.18 | 11.49 | 0.001 |
Tooth Type | Equation for Estimating Age |
---|---|
Maxillary central incisor | Y = 68.65 − 581.75 X |
Mandibular central incisor | Y = 66.48 − 625.91 X |
Maxillary lateral incisor | Y = 57.57 − 336.43 X |
Mandibular lateral incisor | Y = 55.21 − 287.34 X |
Maxillary canine | Y = 69.26 − 517.23 X |
Mandibular canine | Y = 60.32 − 405.65 X |
Tooth Type | Males | Females | ||
---|---|---|---|---|
Equation for Estimating Age | p-Value | Equation for Estimating Age | p-Value | |
Maxillary central incisor | - | 0.180 | Y = 76.18 − 770.15X | <0.001 |
Mandibular central incisor | Y = 60.84 − 511.91X | 0.003 | Y = 73.36 − 762.76X | 0.002 |
Maxillary lateral incisor | Y = 56.62 − 350.20X | 0.026 | Y = 57.49 − 301.78X | 0.027 |
Mandibular lateral incisor | - | 0.080 | - | 0.070 |
Maxillary canine | Y = 72.51 − 543.26X | 0.003 | Y = 72.01 − 614.28X | 0.002 |
Mandibular canine | - | 0.670 | Y = 63.90 − 481.76X | 0.027 |
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Abdinian, M.; Katiraei, M.; Zahedi, H.; Rengo, C.; Soltani, P.; Spagnuolo, G. Age Estimation Based on Pulp–Tooth Volume Ratio of Anterior Teeth in Cone-Beam Computed Tomographic Images in a Selected Population: A Cross-Sectional Study. Appl. Sci. 2021, 11, 9984. https://doi.org/10.3390/app11219984
Abdinian M, Katiraei M, Zahedi H, Rengo C, Soltani P, Spagnuolo G. Age Estimation Based on Pulp–Tooth Volume Ratio of Anterior Teeth in Cone-Beam Computed Tomographic Images in a Selected Population: A Cross-Sectional Study. Applied Sciences. 2021; 11(21):9984. https://doi.org/10.3390/app11219984
Chicago/Turabian StyleAbdinian, Mehrdad, Mehdi Katiraei, Hosein Zahedi, Carlo Rengo, Parisa Soltani, and Gianrico Spagnuolo. 2021. "Age Estimation Based on Pulp–Tooth Volume Ratio of Anterior Teeth in Cone-Beam Computed Tomographic Images in a Selected Population: A Cross-Sectional Study" Applied Sciences 11, no. 21: 9984. https://doi.org/10.3390/app11219984
APA StyleAbdinian, M., Katiraei, M., Zahedi, H., Rengo, C., Soltani, P., & Spagnuolo, G. (2021). Age Estimation Based on Pulp–Tooth Volume Ratio of Anterior Teeth in Cone-Beam Computed Tomographic Images in a Selected Population: A Cross-Sectional Study. Applied Sciences, 11(21), 9984. https://doi.org/10.3390/app11219984