Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study

Introduction: Age-at-death estimation is an essential part of the identification process of individuals in many forensic dentistry cases where identity of the individual cannot be resolved by visual recognition or other means. Dental age estimation in adults is more of a challenge as most teeth comp...

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Autores principales: Salah A. Al-Omoush, Abeer Alhadidi, Awni Al-Kayed, Hamza Saoud, Firas Alsoleihat
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:d64233101ab943059d4dd0dbaf0e2a762021-11-10T04:18:36ZDo upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study1013-905210.1016/j.sdentj.2020.04.006https://doaj.org/article/d64233101ab943059d4dd0dbaf0e2a762021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1013905220300900https://doaj.org/toc/1013-9052Introduction: Age-at-death estimation is an essential part of the identification process of individuals in many forensic dentistry cases where identity of the individual cannot be resolved by visual recognition or other means. Dental age estimation in adults is more of a challenge as most teeth complete their development by the age of 18 years. Aim: This study aims at using the mesio-distal (MD) pulp-to-tooth ratio taken at the cervix of upper third molars (UM3) to estimate age at the time of radiographic imaging. Materials and Methods: A set of 135 Cone-beam computed tomography (CBCT) radiographs of UM3s for a random sample of 135 Jordanian adults (65 females, 70 males; age range = 18–63 years, mean age = 34.4 years, SD = 11.2 years) were used. Both pulp and tooth MD diameters were measured at the cervix. MD pulp-to-tooth ratios for UM3s were correlated with age. Results: Statistically significant negative moderate correlation was found between the age of the individual and the cervix MD pulp/tooth ratio (r = −0.516). This indicates that only 26.6% of the variation in age can be explained by the cervix MD pulp-to-tooth ratio. Conclusions: This study concludes that cervix MD pulp-to-tooth ratio of UM3s, although apparently stronger than that of lower M3s (r = −0.361), is not a sufficiently reliable estimator of age in adults, and this is perhaps attributed to the greater variability in the time line of third molars development.Salah A. Al-OmoushAbeer AlhadidiAwni Al-KayedHamza SaoudFiras AlsoleihatElsevierarticleAge-at-death estimationForensic dentistrySecondary dentinCone-beam computed tomographyThird molarsMedicineRDentistryRK1-715ENSaudi Dental Journal, Vol 33, Iss 7, Pp 702-706 (2021)
institution DOAJ
collection DOAJ
language EN
topic Age-at-death estimation
Forensic dentistry
Secondary dentin
Cone-beam computed tomography
Third molars
Medicine
R
Dentistry
RK1-715
spellingShingle Age-at-death estimation
Forensic dentistry
Secondary dentin
Cone-beam computed tomography
Third molars
Medicine
R
Dentistry
RK1-715
Salah A. Al-Omoush
Abeer Alhadidi
Awni Al-Kayed
Hamza Saoud
Firas Alsoleihat
Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
description Introduction: Age-at-death estimation is an essential part of the identification process of individuals in many forensic dentistry cases where identity of the individual cannot be resolved by visual recognition or other means. Dental age estimation in adults is more of a challenge as most teeth complete their development by the age of 18 years. Aim: This study aims at using the mesio-distal (MD) pulp-to-tooth ratio taken at the cervix of upper third molars (UM3) to estimate age at the time of radiographic imaging. Materials and Methods: A set of 135 Cone-beam computed tomography (CBCT) radiographs of UM3s for a random sample of 135 Jordanian adults (65 females, 70 males; age range = 18–63 years, mean age = 34.4 years, SD = 11.2 years) were used. Both pulp and tooth MD diameters were measured at the cervix. MD pulp-to-tooth ratios for UM3s were correlated with age. Results: Statistically significant negative moderate correlation was found between the age of the individual and the cervix MD pulp/tooth ratio (r = −0.516). This indicates that only 26.6% of the variation in age can be explained by the cervix MD pulp-to-tooth ratio. Conclusions: This study concludes that cervix MD pulp-to-tooth ratio of UM3s, although apparently stronger than that of lower M3s (r = −0.361), is not a sufficiently reliable estimator of age in adults, and this is perhaps attributed to the greater variability in the time line of third molars development.
format article
author Salah A. Al-Omoush
Abeer Alhadidi
Awni Al-Kayed
Hamza Saoud
Firas Alsoleihat
author_facet Salah A. Al-Omoush
Abeer Alhadidi
Awni Al-Kayed
Hamza Saoud
Firas Alsoleihat
author_sort Salah A. Al-Omoush
title Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
title_short Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
title_full Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
title_fullStr Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
title_full_unstemmed Do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? A cone-beam CT study
title_sort do upper third molars provide more accurate age estimation in the adult based on the pulp-to-tooth ratio than lower third molars? a cone-beam ct study
publisher Elsevier
publishDate 2021
url https://doaj.org/article/d64233101ab943059d4dd0dbaf0e2a76
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