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Examination of mandibular radiomorphometry in pediatric population according to age and gender

Year 2025, Volume: 50 Issue: 3, 693 - 701, 30.09.2025
https://doi.org/10.17826/cumj.1666171

Abstract

Purpose: This study aimed to compare and evaluate mandibular measurements obtained from digital panoramic radiographs in a pediatric population according to age and gender.
Materials and Methods: This retrospective cross-sectional study analysed 100 digital panoramic radiographs of individuals aged 6-13 years (59 females, 41 males). A series of measurements was recorded for specific mandibular structures, including the gonial angle, ramus height and width, corpus length, and anterior corpus height.
Results: Statistically significant differences were observed in mandibular ramus height (R2;53.96, L2;53.61) and mandibular corpus length (R4;81.64, L4;81) parameters across age groups in females, with the lowest values noted in the 6-7 age group. In males, significant differences were found in mandibular ramus height (R2: 45.62, L2: 245.19) parameters according to age, with the 6-year age group exhibiting the lowest mean values (48 ± 0). However, no statistically significant difference was observed in the measured parameters between genders across the age groups.
Conclusion: This investigation revealed no statistically significant differences in the measured mandibular parameters between the sexes. Nevertheless, the observed parameters consistently increased with advancing age, aligning with findings reported in similar studies. Further research employing diverse methodologies in subadult populations is warranted to establish robust standards for sex and age estimation.

References

  • Direk F, Uysal II, Kivrak AS, Unver Dogan N, Fazliogullari Z, Karabulut AK. Reevaluation of mandibular morphometry according to age, gender, and side. J Craniofac Surg. 2018;29:1054–9.
  • Damera A, Mohanalakhsmi J, Yellarthi PK, & Rezwana BM. Radiographic evaluation of mandibular ramus for gender estimation: Retrospective study. J Forensic Dent Sci. 2016;8:74–8.
  • Motawei SM, Helaly AMN, Aboelmaaty WM, Elmahdy K, Shabka OA, Liu H. Length of the ramus of the mandible as an indicator of chronological age and sex: A study in a group of Egyptians. Forensic Sci. Int Rep. 2020;2:100066.
  • Franklin D, Cardini A. Mandibular morphology as an indicator of human subadult age: interlandmark approaches. J. Forensic Sci. 2007;52:1015–9.
  • Coquerelle M, Bookstein FL, Braga J, Halazonetis DJ, Weber GW, Mitteroecker P. Sexual dimorphism of the human mandible and its association with dental development. Am J Phys Anthropol. 2011;145:192–202.
  • Jacob HB, Buschang PH. Mandibular growth comparisons of class I and class II division 1 skeletofacial patterns. Angle Orthod. 2014;84:755–61.
  • Kelly MP, Vorperian HK, Wang Y, Tillman KK, Werner HM, Chung MK, Gentry LR. Characterising mandibular growth using three-dimensional imaging techniques and anatomic landmarks. Arch Oral Biol. 2017;77:27–38.
  • Hazari P, Hazari RS, Mishra SK, Agrawal S, Yadav M. Is there enough evidence so that the mandible can be used as a tool for sex dimorphism? a systematic review. J Forensic Dent Sci. 2016;8:174.
  • Aparna N, Dhanasekar B, Gupta L, Lingeshwar D. Medial mandibular flexure: A review of concepts and consequences. Int J Oral Implantol Clin Res. 2011;2:67‑71.
  • Ramesh A, Velpula N, Tandon R, Zardi FT, Kanakagiri M. Determination of age and gender using condylar height and coronoid height- an orthopantomographic study. Int J Oral Maxillofac Surg. 2020;4:87-90.
  • Ulusoy AT, Ozkara E. Radiographic evaluation of the mandible to predict age and sex in subadults. Acta Odontol Scand. 2022;80:419–26.
  • Zulkifli NAF, Mohd Saaid NAS, Alias A, Mohamed Ibrahim N, Woon CK, Kurniawan A et al. Age estimation from mandibles in Malay: a 2d geometric morphometric analysis. J Taibah Univ Med Sci. 2023;18:1435–45.
  • Singh S, Bavle R, Konda P, Venugopal R, Bopaiah S, Kumar S. Assessment of the most reliable sites in mandibular bone for the best deoxyribonucleic acid yield for expeditive human identification in forensics. J Oral Maxillofac Pathol 2017;21:447e-53.
  • Chole RH, Patil RN, Balsaraf Chole S, Gondivkar S, Gadbail AR, Yuwanati MB. Association of mandible anatomy with age, gender, and dental status: a radiographic study. ISRN Radiol. 2013;2013:453763..
  • Datta A, Siddappa SC, Gowda VK, Channabasappa SR, Shivalingappa SBB, Srijith Dey D. A study of gender determination from human mandible using various morphometrical parameters. Indian Journal of Forensic and Community Medicine. 2015;2:158-66.
  • Astuti ER, Iskandar HB, Nasutianto H, Pramatika B, Saputra D, Putra RH. Radiomorphometric of the jaw for gender prediction: a digital panoramic study. Acta Med Philipp. 2022;56:113-21.
  • Taleb NSA, Beshlawy ME. Mandibular ramus and gonial angle measurements as predictors of sex and age in an Egyptian population sample: a digital panoramic study. J Forensic Res. 2015;6:2-7.
  • Sandeepa NC, Ganem AA, Alqhtani WA, Mousa YM, Abdullah EK, Alkhayri AH. Mandibular indices for gender prediction: a retrospective radiographic study in a Saudi population. Journal of Dental and Oral Health. 2017;3:095.
  • Leversha J, McKeough G, Myrteza A, Skjellrup-Wakefield H, Welsh J, Sholapurkar A. Age and gender correlation of gonial angle, ramus height, and bigonial width in dentate subjects in a dental school in Far North Queensland. J Clin Exp Dent. 2016;8:49-54.

Pediatrik populasyonda mandibular radyomorfometrisinin yaş ve cinsiyete göre araştırılması

Year 2025, Volume: 50 Issue: 3, 693 - 701, 30.09.2025
https://doi.org/10.17826/cumj.1666171

Abstract

Amaç: Bu çalışmanın amacı, dijital panoramik radyograflarda gözlenen mandibular noktaların ölçümlerini yaparak cinsiyete göre karşılaştırmak ve değerlendirmektir.
Gereç ve Yöntem: Bu retrospektif kesitsel çalışmada, 6-13 yaş arası bireylerin (59 kız, 46 erkek) 100 dijital panoramik radyografisi değerlendirildi. Gonial açı, ramus yüksekliği ve genişliği, korpus uzunluğu ve anterior korpus yüksekliği gibi mandibular yapıların ölçümleri yapıldı.
Bulgular: Kadınlarda mandibular ramus yüksekliği (R2;53,96, L2;53,61) ve mandibular korpus uzunluğu (R4;81,64, L4;81) parametrelerinde yaşa göre istatistiksel olarak anlamlı farklılıklar gözlenmiştir; bu değerler 6-7 yaş grubunda daha düşüktür. Erkeklerde, mandibular ramus yüksekliği (R2;45,62, L245,19) parametrelerinde yaşa göre anlamlı farklılıklar bulundu; 6 yaş grubu en düşük ortalama değerlere (48 ±0) sahipti. Yaş gruplarına göre cinsiyetler arasındaki değerlerde ise istatistiksel olarak anlamlı bir fark gözlenmedi.
Sonuç: Bu araştırma, ölçülen mandibular parametrelerde cinsiyetler arasında istatistiksel olarak anlamlı bir fark olmadığını ortaya koymuştur. Bununla birlikte, gözlemlenen parametreler yaşın ilerlemesiyle tutarlı bir şekilde artmıştır ve bu durum benzer çalışmalarda bildirilen bulgularla uyumludur. Cinsiyet ve yaş tahmini için sağlam standartlar oluşturmak amacıyla, ergenlik çağındaki popülasyonlarda çeşitli yöntemler kullanılarak daha fazla araştırma yapılması gerekmektedir.

References

  • Direk F, Uysal II, Kivrak AS, Unver Dogan N, Fazliogullari Z, Karabulut AK. Reevaluation of mandibular morphometry according to age, gender, and side. J Craniofac Surg. 2018;29:1054–9.
  • Damera A, Mohanalakhsmi J, Yellarthi PK, & Rezwana BM. Radiographic evaluation of mandibular ramus for gender estimation: Retrospective study. J Forensic Dent Sci. 2016;8:74–8.
  • Motawei SM, Helaly AMN, Aboelmaaty WM, Elmahdy K, Shabka OA, Liu H. Length of the ramus of the mandible as an indicator of chronological age and sex: A study in a group of Egyptians. Forensic Sci. Int Rep. 2020;2:100066.
  • Franklin D, Cardini A. Mandibular morphology as an indicator of human subadult age: interlandmark approaches. J. Forensic Sci. 2007;52:1015–9.
  • Coquerelle M, Bookstein FL, Braga J, Halazonetis DJ, Weber GW, Mitteroecker P. Sexual dimorphism of the human mandible and its association with dental development. Am J Phys Anthropol. 2011;145:192–202.
  • Jacob HB, Buschang PH. Mandibular growth comparisons of class I and class II division 1 skeletofacial patterns. Angle Orthod. 2014;84:755–61.
  • Kelly MP, Vorperian HK, Wang Y, Tillman KK, Werner HM, Chung MK, Gentry LR. Characterising mandibular growth using three-dimensional imaging techniques and anatomic landmarks. Arch Oral Biol. 2017;77:27–38.
  • Hazari P, Hazari RS, Mishra SK, Agrawal S, Yadav M. Is there enough evidence so that the mandible can be used as a tool for sex dimorphism? a systematic review. J Forensic Dent Sci. 2016;8:174.
  • Aparna N, Dhanasekar B, Gupta L, Lingeshwar D. Medial mandibular flexure: A review of concepts and consequences. Int J Oral Implantol Clin Res. 2011;2:67‑71.
  • Ramesh A, Velpula N, Tandon R, Zardi FT, Kanakagiri M. Determination of age and gender using condylar height and coronoid height- an orthopantomographic study. Int J Oral Maxillofac Surg. 2020;4:87-90.
  • Ulusoy AT, Ozkara E. Radiographic evaluation of the mandible to predict age and sex in subadults. Acta Odontol Scand. 2022;80:419–26.
  • Zulkifli NAF, Mohd Saaid NAS, Alias A, Mohamed Ibrahim N, Woon CK, Kurniawan A et al. Age estimation from mandibles in Malay: a 2d geometric morphometric analysis. J Taibah Univ Med Sci. 2023;18:1435–45.
  • Singh S, Bavle R, Konda P, Venugopal R, Bopaiah S, Kumar S. Assessment of the most reliable sites in mandibular bone for the best deoxyribonucleic acid yield for expeditive human identification in forensics. J Oral Maxillofac Pathol 2017;21:447e-53.
  • Chole RH, Patil RN, Balsaraf Chole S, Gondivkar S, Gadbail AR, Yuwanati MB. Association of mandible anatomy with age, gender, and dental status: a radiographic study. ISRN Radiol. 2013;2013:453763..
  • Datta A, Siddappa SC, Gowda VK, Channabasappa SR, Shivalingappa SBB, Srijith Dey D. A study of gender determination from human mandible using various morphometrical parameters. Indian Journal of Forensic and Community Medicine. 2015;2:158-66.
  • Astuti ER, Iskandar HB, Nasutianto H, Pramatika B, Saputra D, Putra RH. Radiomorphometric of the jaw for gender prediction: a digital panoramic study. Acta Med Philipp. 2022;56:113-21.
  • Taleb NSA, Beshlawy ME. Mandibular ramus and gonial angle measurements as predictors of sex and age in an Egyptian population sample: a digital panoramic study. J Forensic Res. 2015;6:2-7.
  • Sandeepa NC, Ganem AA, Alqhtani WA, Mousa YM, Abdullah EK, Alkhayri AH. Mandibular indices for gender prediction: a retrospective radiographic study in a Saudi population. Journal of Dental and Oral Health. 2017;3:095.
  • Leversha J, McKeough G, Myrteza A, Skjellrup-Wakefield H, Welsh J, Sholapurkar A. Age and gender correlation of gonial angle, ramus height, and bigonial width in dentate subjects in a dental school in Far North Queensland. J Clin Exp Dent. 2016;8:49-54.
There are 19 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging, Diagnostic Radiography
Journal Section Research
Authors

Mehmet Ünal 0000-0001-9111-6962

Ozan Turamanlar 0000-0002-0785-483X

Hüma Kaçar 0000-0003-4804-3678

Rumeysa Çakırcalı 0009-0006-3480-6266

Publication Date September 30, 2025
Submission Date March 27, 2025
Acceptance Date August 6, 2025
Published in Issue Year 2025 Volume: 50 Issue: 3

Cite

MLA Ünal, Mehmet et al. “Examination of Mandibular Radiomorphometry in Pediatric Population According to Age and Gender”. Cukurova Medical Journal, vol. 50, no. 3, 2025, pp. 693-01, doi:10.17826/cumj.1666171.