Dental Age Estimation with Special Emphasis on Age Limits of 12/15 and 18 Years: Detailed Analysis According to Governing Law

Year 2023, Volume: 13 Issue: 3, 630 - 637, 11.09.2023

Enver Alper Sinanoğlu , Feyza Akalın Kunuk , Seval Bayrak , Handan Ankaralı

https://doi.org/10.33808/clinexphealthsci.1180280

Abstract

Objective: The aim of this study is to investigate the potential of Demirjian method in estimation of age groups with limits of 12, 15, and 18 years, according to ages of legal responsibilities.
Methods: The panoramic radiographs of the study population aged between 6 to 22 were assessed for third molar (3M) mineralization with Demirjian method with four subgroups. Group 1 consisted of individuals aged between 6 to and 12 years of age, Group 2 were aged between 12 to 15 (Group 2, ≥12, <15), Group 3 were aged between 15-18 years (Group 3, ≥15, <18) and Group 4 were aged over-18s (Group 4, ≥18). Chronological age, developmental stages of 3Ms, differences between bilateral 3M stages and their relations between age groups were evaluated.
Results: Regarding all 3M mineralization evaluations, stages 0 and A for Group 1; stages C and D for Group 2; stages E and F for Group 3; stage H for Group 4 was found to be high in percent (p<.05). Regarding the bilateral evaluations, the most variations were in readings of stages B, C, E and G as two stages below and one stage above the concordance.
Conclusion: Use of Demirjian method facilitated discrimination of specific age groups with 12, 15, and 18 age thresholds in a sample of a young Turkish subpopulation from the Northwest Anatolia. Regarding the staging assessment in Demirjian method, independent evaluation of each side must be considered for bilateral 3Ms.

Keywords

Age Estimation, demirjian method, legal responsibilitiy, governing law

References

• Yan J, Lou X, Xie L, Yu D , Shen G, Wang Y. Assessment of dental age of children aged 3.5 to 16.9 years using Demirjian's method: A meta-analysis based on 26 studies. PLoS One 2013; 8 (12) :e84672. DOI: 10.1371/journal.pone.0084672
• Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973; 45 (2):211-227.
• Ashifa N, Parakh MK, Ulaganambi S. Estimation of Age Using Third Molar Development: A Radiological Cross-Sectional Study. Am J Forensic Med Pathol. 2020;41 (2):115-118. DOI: 10.1097/PAF.0000000000000540
• Lewis JM, Senn DR. Dental age estimation utilizing third molar development: A review of principles, methods, and population studies used in the United States. Forensic Sci Int. 2010; 201(1-3):79-83. DOI: 10.1016/j.forsciint.2010.04.042
• Bérgamo AL dQC, Sakamoto HE, Alves da Silva RH Dental Age Estimation Methods in Forensic Dentistry: Literature Review. Forensic Sci Today. 2016; 2(1):4-9. DOI: 10.17352/fst.000005
• Olze A, Taniguchi M, Schmeling A, Zhu BL, Yamada Y, Maeda H, Geserick G. Studies on the chronology of third molar mineralization in a Japanese population. Leg Med (Tokyo). 2004;6 (2):73-79. DOI: 10.17352/fst.000005
• Saka NE, Budak, H, Temel G. Forensic Psychiatry Practice in Turkey. Sabuncuoglu Serefeddin Health Science 2020; 2(1): 31-39. DOI: 52641/655045
• Büken B, Safak AA, Yazici B, Büken E, Mayda AS. Is the assessment of bone age by the Greulich-Pyle method reliable at forensic age estimation for Turkish children? Forensic Sci Int. 2007; 173 (2-3):146-153. DOI: 10.1016/j.forsciint.2007.02.023
• Kvaal SI, Kolltveit KM, Thomsen IO, Solheim T. Age estimation of adults from dental radiographs. Forensic Sci Int. 1995;74 (3):175-185. DOI: 10.1016/0379-0738(95)01760-G
• Orhan K, Ozer L, Orhan AI, Dogan S, Paksoy CS. Radiographic evaluation of third molar development in relation to chronological age among Turkish children and youth. Forensic Sci Int. 2007;165(1):46-51. DOI: 10.1016/j.forsciint.2006.02.046
• Cantekin K, Yilmaz Y, Demirci T, Celikoglu M. Morphologic analysis of third-molar mineralization for eastern Turkish children and youth. J Forensic Sci. 2012;57(2):531-534. DOI: 10.1111/j.1556-4029.2011.02011.x
• Sisman Y, Uysal T, Yagmur F, Ramoglu SI. Third-molar development in relation to chronologic age in Turkish children and young adults. Angle Orthod. 2007;77(6):1040-1045. DOI: 10.2319/101906-430.1
• Kasper KA, Austin D, Kvanli AH, Rios TR, Senn DR. Reliability of third molar development for age estimation in a Texas Hispanic population: A comparison study. J Forensic Sci. 2009;54(3):651-657. DOI: 10.1111/j.1556-4029.2009.01031.x
• Naik SB, Patil SN, Kamble SD, Mowade T, Motghare P. Reliability of third molar development for age estimation by radiographic examination (Demirjian's Method). J Clin Diagn Res. 2014;8(5):25-28. DOI: 10.7860/JCDR/2014/8160.4361
• Maled V, Vishwanath SB. The chronology of third molar mineralization by digital orthopantomography. J Forensic Leg Med. 2016;43:70-75. DOI: 0.1016/j.jflm.2016.07.010 [16] Prieto JL, Barbería E, Ortega R, Magaña C. Evaluation of chronological age based on third molar development in the Spanish population. Int J Legal Med. 2005;119(6):349-354. DOI: 10.1007/s00414-005-0530-3
• Kanchan T, Chugh V, Chugh A, Meshram V, Shedge R, Patnana AK, Krishan K. Age estimation using third molar maturation based on Demirjian's criteria. Leg Med (Tokyo) 2021; 53:101959. DOI: 10.1016/j.legalmed.2021.101959
• Demirturk Kocasarac H, Sinanoglu A, Noujeim M, Helvacioglu Yigit D, Baydemir C. Radiologic assessment of third molar tooth and spheno-occipital synchondrosis for age estimation: a multiple regression analysis study. Int J Legal Med. 2016;130(3):799-808. DOI: 10.1007/s00414-015-1298-8
• Bassed RB, Briggs C, Drummer OH. Age estimation using CT imaging of the third molar tooth, the medial clavicular epiphysis, and the spheno-occipital synchondrosis: A multifactorial approach. Forensic Sci Int. 2011;212(1-3):273.1-5. DOI: 10.1016/j.forsciint.2011.06.007