Age Estimation Using the Tooth Coronal Index on Mandibular First Premolars on Digital Panoramic Radiographs in an Indian Population
Age Estimation Using the Tooth Coronal Index
Abstract
Objectives: Age estimation is a crucial aspect of forensic odontology, and the Tooth Coronal Index (TCI) has been widely used for forensic purposes in determining age. The aim of this research was to evaluate the effectiveness of TCI in age estimation.
Materials and Methods: A retrospective study was conducted, and TCI was calculated for the mandibular first premolar in 700 digital panoramic radiographs. Age was divided into five groups: 20-30 years, 31-40 years, 41-50 years, 51-60 years, and >61 years. Bivariate correlation was used to establish the relationship between TCI and age. Linear regression was calculated for the different age groups and genders. Inter-observer reliability and agreement were assessed using one-way ANOVA. P-values less than 0.05 were considered statistically significant.
Results: Comparison of the mean difference from actual age showed underestimation in males aged 20-30 years and overestimation in males over 60 years of age. The least difference between actual and calculated age was found in females aged 31-40 years. Inter-age comparison using ANOVA for females demonstrated a statistically highly significant difference from actual age in all age groups (P<0.01), with the highest mean in females aged 51-60 years and the lowest in females aged 31-40 years. Inter-group comparison of mean TCI revealed statistically non-significant differences in males and statistically highly significant differences in females (P<0.01).
Conclusion: Age estimation using TCI on mandibular first premolars can be recommended as an easy, non-invasive, and less time-consuming method. This study suggests that regression formulas were more accurate for males aged 31-40 years
2. Willems G, Moulin-Romsee C, Solheim T. Non-destructive dental-age calculation methods in adults: intra- and inter-observer effects. Forensic Sci Int. 2002 May 23;126(3):221-6.
3. González-Colmenares G, Botella-López MC, Moreno-Rueda G, Fernández-Cardenete JR. Age estimation by a dental method: a comparison of Lamendin's and Prince & Ubelaker's technique. J Forensic Sci. 2007 Sep;52(5):1156-60.
4. Black S, Aggrawal A, Payne-James J, editors. Age estimation in the living: the practitioner's guide. John Wiley & Sons: Hoboken, NJ, USA, 2011.
5. Cameriere R, Ferrante L, Belcastro MG, Bonfiglioli B, Rastelli E, Cingolani M. Age estimation by pulp/tooth ratio in canines by peri-apical X-rays. J Forensic Sci. 2007 Jan;52(1):166-70.
6. Nanci A. Ten Cate’s oral histology: development, structure, and function. 9th ed. St. Louis (MO), Elsevier, 2018.
7. Kvaal SI, Kolltveit KM, Thomsen IO, Solheim T. Age estimation of adults from dental radiographs. Forensic Sci Int. 1995 Jul 28;74(3):175-85.
8. Bosmans N, Ann P, Aly M, Willems G. The application of Kvaal's dental age calculation technique on panoramic dental radiographs. Forensic science international. 2005; 153(2-3):208-212.
9. Maber M, Liversidge HM, Hector MP. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int. 2006 May 15;159 Suppl 1:S68-73.
10. Willems G. A review of the most commonly used dental age estimation techniques. J Forensic Odontostomatol. 2001 Jun;19(1):9-17.
11. Yang F, Jacobs R, Willems G. Dental age estimation through volume matching of teeth imaged by cone-beam CT. Forensic Sci Int. 2006 May 15;159 Suppl 1:S78-83.
12. Ikeda N, Umetsu K, Kashimura S, Suzuki T, Oumi M. [Estimation of age from teeth with their soft X-ray findings]. Nihon Hoigaku Zasshi. 1985 Jun;39(3):244-50. Japanese.
13. Drusini AG, Toso O, Ranzato C. The coronal pulp cavity index: a biomarker for age determination in human adults. Am J Phys Anthropol. 1997 Jul;103(3):353-63.
14. Koranne VV, Mhapuskar AA, Marathe SP, Joshi SA, Saddiwal RS, Nisa SU. Age estimation in Indian adults by the coronal pulp cavity index. J Forensic Dent Sci. 2017 Sep-Dec;9(3):177.
15. Jain S, Nagi R, Daga M, Shandilya A, Shukla A, Parakh A, et all. Tooth coronal index and pulp/tooth ratio in dental age estimation on digital panoramic radiographs-A comparative study. Forensic Sci Int. 2017 Aug;277:115-121.
16. Talabani RM, Baban MT, Mahmood MA. Age estimation using lower permanent first molars on a panoramic radiograph: A digital image analysis. J Forensic Dent Sci. 2015 May-Aug;7(2):158-62.
17. Moss ML, Chase PS, Howes Jr RI. Comparative odontometry of the permanent post‐canine dentition of American Whites and Negroes. American Journal of Physical Anthropology. 1967 Sep;27(2):125-42.
18. Drusini AG. Age estimation from teeth using soft X-ray findings. Anthropol Anz. 1993 Mar;51(1):41-6.
19. Igbigbi PS, Nyirenda SK. Age estimation of Malawian adults from dental radiographs. West Afr J Med. 2005 Oct-Dec;24(4):329-33.
20. Kumar NN, Panchaksharappa MG, Annigeri RG. Digitized morphometric analysis of dental pulp of permanent mandibular second molar for age estimation of Davangere population. J Forensic Leg Med. 2016 Apr;39:85-90.
21. Nawaya FR, Burhan AS. Use of the Tooth Coronal Pulp Index for Recognition of the Pubertal Growth Period. J Contemp Dent Pract. 2016 Nov 1;17(11):884-889.
22. 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 Jan 10;214(1-3):105-12.
23. Drusini AG. The coronal pulp cavity index: A forensic tool for age determination in human adults. Cuad Med Forense. 2008 Jul;14(53-54):235-49.
24. Badar SB, Ghafoor R, Khan FR, Hameed MH. Age estimation of a sample of Pakistani population using Coronal Pulp Cavity Index in molars and premolars on Orthopantomogram. J Pak Med Assoc. 2016 Oct;66(Suppl 3)(10):S39-S41.
25. Hatice BD, Nihal A, Nursel A, Humeyra Ozge Y, Goksuluk D. Applicability of Cameriere's and Drusini's age estimation methods to a sample of Turkish adults. Dentomaxillofac Radiol. 2017 Oct;46(7):20170026.
26. Paewinsky E, Pfeiffer H, Brinkmann B. Quantification of secondary dentine formation from orthopantomograms--a contribution to forensic age estimation methods in adults. Int J Legal Med. 2005 Jan;119(1):27-30.
27. Cederberg RA, Frederiksen NL, Benson BW, Shulman JD. Influence of the digital image display monitor on observer performance. Dentomaxillofac Radiol. 1999 Jul;28(4):203-7.
Issue | Vol 20 (Continuously Published Article-Based) | |
Section | Original Article | |
DOI | https://doi.org/10.18502/fid.v20i6.12465 | |
Keywords | ||
Forensic Dentistry Age Determination by Teeth Radiography, Panoramic Forensic Medicine |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |