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Cameriere'nin üçüncü molar olgunluk indeksi ile Olze ve ark.'nın kök pulpasının radyografik görünürlük aşamalarının Türk popülasyonunda karşılaştırılması

Year 2024, Volume: 58 Issue: 2, 88 - 94, 08.05.2024
https://doi.org/10.26650/eor.20241231589

Abstract

Amaç: Reşit olma yaşı, bireyin çocukluktan yetişkinliğe geçiş yaşı olup, hukuki öneme sahiptir. Türkiye'de reşit olma yaşı 18'dir. Yasal yetişkinlik yaşı olan 18 yaşında halen gelişmekte olan üçüncü azı dişleri diş yaşını tahmin etmek için kullanılabilir. Bu çalışmanın amacı, Türk popülasyonunda olgunluk yaşını tahmin etmek için Cameriere'nin üçüncü molar olgunluk indeksini ve Olze ve ark.'nın kök pulpunun radyografik görünürlük aşamalarını karşılaştırmaktı.
Gereç ve Yöntem: Bu çalışma, 15-22 yaş arası çocuk ve yetişkin hastalardan alınan 705 panoramik radyografi üzerinde yapılmıştır.
Bulgular: Cameriere üçüncü molar olgunluk indeksi erkeklerde %0,77 duyarlılık ve %0,96 özgüllük, kadınlarda %0,57 duyarlılık ve %0,92 özgüllük gösterdi. Olze ve ark.’nın evre 0'ının duyarlılık ve özgüllük sonuçları erkeklerde sırasıyla %0,86 ve %0,79, kadınlarda %0,85 ve %0,75 olarak bulundu.
Sonuç: Her iki yöntem de 18 yaş altı ve üstü bireyleri ayırt etmek için uygulanabilse de, Cameriere tarafından önerilen cut-off değeri daha yüksek oranda tip 2 hata (yanlış negatiflik) üretmiştir. Bu nedenle, Olze ve ark.'nın kök pulpasının radyografik görünürlülüğü yöntemi, Türk popülasyonunda yetişkinler ve küçükler arasında ayrım yapmak için kullanılabilir.

References

  • 1. Balla SB, Chinni SSGopalaiah H. Examination of the radiographic visibility of the root pulp of the mandibular second molars as an age marker. Int J Legal Med 2020; 134: 1869-73. google scholar
  • 2. Akkaya N, Yılancı HÖ, Boyacıoğlu H, Göksülük DÖzkan G. Accuracy of the use of radiographic visibility of root pulp in the mandibular third molar as a maturity marker at age thresholds of 18 and 21. Int J Legal Med 2019; 133: 1507-15. google scholar
  • 3. AlQahtani S. Dental age assessment. Forensic Odontology: An Essential Guide 2014137-66. google scholar
  • 4. Al Qattan F, Alzoubi EE, Lucas V, Roberts G, McDonald FCamilleri S. Root Pulp Visibility as a mandibular maturity marker at the 18-year threshold in the Maltese population. Int J Legal Med 2020; 134: 363-8. google scholar
  • 5. Thevissen P, Kvaal SI, Dierickx KWillems G. Ethics in age estimation of unaccompanied minors. J Forensic Odonto-Stomatol 2012; 30: 85-102. google scholar
  • 6. Jayaraman J, Roberts GJ, Wong HM, McDonald FKing NM. Ages of legal importance: implications in relation to birth registration and age assessment practices. Med Sci Law 2016; 56: 77-82.^" google scholar
  • 7. Schmeling A, Grundmann C, Fuhrmann A, Kaatsch H-J, Knell B, Ramsthaler F, Reisinger W, Riepert T, Ritz-Timme SRösing F. Criteria for age estimation in living individuals. Int J Legal Med 2008; 122: 457-60. google scholar
  • 8. Sisman Y, Uysal T, Yagmur FRamoglu SI. Third-molar development in relation to chronologic age in Turkish children and young adults. Angle Orthod 2007; 77: 1040-^5. google scholar
  • 9. Kanmani R, Srinivasan SDaniel MJ. Mandibular Third Molar Development As An Indicator of Chronological Age for A Pondicherry Population of Southern India. E-J Dent 2012; 2. google scholar
  • 10. Mincer HH, Harris EFBerryman HE. The ABFO study of third molar development and its use as an estimator of chronological age. J Forensic Sci 1993; 38: 379. google scholar
  • 11. Akkaya N, Yilanci HÖ. Assessment of third molar maturity index for legal age threshold of 18 in a sample of Turkish individuals. Aust J Forensic Sci 2021; 53: 31424. google scholar
  • 12. Cameriere R, Ferrante L, De Angelis D, Scarpino FGalli F. The comparison between measurement of open apices of third molars and Demirjian stages to test chronological age of over 18 year olds in living subjects. Int J Legal Med 2008; 122: 493-7. google scholar
  • 13. Galic I, Lauc T, Brkic H, Vodanovic M, Galic E, Biazevic MGH, Brakus I, Badrov JCameriere R. Cameriere's third molar maturity index in assessing age of majority. Forensic Sci Int 2015; 252: 191. google scholar
  • 14. da Nobrega JBM, Protasio APL, Ribeiro ILA, Valença AMG, Santiago BMCameriere R. Validation of the Third Molar Maturation Index to estimate the age of criminal responsibility in Northeastern Brazil. Forensic Sci Int 2019; 304: 109917. google scholar
  • 15. Deitos AR, Costa C, Michel-Crosato E, Galic I, Cameriere RBiazevic MGH. Age estimation among Brazilians: younger or older than 18? J Forensic Leg Med 2015; 33: 111-5. google scholar
  • 16. Spinas E, De Luca S, Lampis L, Velandia Palacio LCameriere R. Is the third molar maturity index (I3M) useful for a genetic isolate population? Study of a Sardinian sample of children and young adults. Int J Legal Med 2018; 132: 1787-94. google scholar
  • 17. Olze A, Solheim T, Schulz R, Kupfer MSchmeling A. Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Legal Med 2010; 124: 183-6. google scholar
  • 18. Perez-Mongiovi D, Teixeira ACaldas IM. The radiographic visibility of the root pulp of the third lower molar as an age marker. Forensic Sci Med Pathol 2015; 11: 339-44. google scholar
  • 19. Lucas VS, McDonald F, Andiappan MRoberts G. Dental age estimation—Root Pulp Visibility (RPV) patterns: A reliable Mandibular Maturity Marker at the 18 year threshold. Forensic Sci Int 2017; 270: 98-102. google scholar
  • 20. Guo Y-c, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen TSchmeling A. Application of age assessment based on the radiographic visibility of the root pulp of lower third molars in a northern Chinese population. Int J Legal Med 2018; 132: 825-9. google scholar
  • 21. Chu G, Wang Y-h, Li M-j, Han M-q, Zhang Z-y, Chen T, Zhou HGuo Y-c. Third molar maturity index (I 3M) for assessing age of majority in northern Chinese population. Int J Legal Med 2018; 132: 1759-68. google scholar
  • 22. De Luca S, Biagi R, Begnoni G, Farronato G, Cingolani M, Merelli V, Ferrante LCameriere R. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age. Forensic Sci Int 2014; 235: 102. google scholar
  • 23. Ribier L, Saint-Martin P, Seignier M, Pare A, Brunereau LRerolle C. Cameriere’s third molar maturity index in assessing age of majority: a study of a French sample. Int J Legal Med 2020; 134: 783-92. google scholar
  • 24. Cameriere R, Santoro V, Roca R, Lozito P, Introna F, Cingolani M, Galic IFerrante L. Assessment of legal adult age of 18 by measurement of open apices of the third molars: study on the Albanian sample. Forensic Sci Int 2014; 245: 205. google scholar
  • 25. Franklin D, Karkhanis S, Flavel A, Collini F, DeLuca SCameriere R. Accuracy of a cut-off value based on the third molar index: validation in an Australian population. Forensic Sci Int 2016; 266: 575. google scholar
  • 26. AlQahtani S, Kawthar A, AlAraik AAlShalan A. Third molar cut-off value in assessing the legal age of 18 in Saudi population. Forensic Sci Int 2017; 272: 64-7. google scholar
  • 27. Sharma P, Wadhwan V, Prakash SR, Aggarwal PSharma N. Assessment of age of majority by measurement of open apices of the third molars using Cameriere's third molar maturity index. J Forensic Dent Sci 2017; 9: 96. google scholar
  • 28. Gulsahi A, De Luca S, Cehreli SB, Tirali RECameriere R. Accuracy of the third molar index for assessing the legal majority of 18 years in Turkish population. Forensic Sci <nt 2016; 266: 584. google scholar
  • 29. Levesque G-Y, Demiıjian ATanguay R. Sexual dimorphism in the development, emergence, and agenesis of the mandibular third molar. J Dent Res 1981; 60: 1735-41. google scholar
  • 30. Timme M, Timme W, Olze A, Ottow C, Ribbecke S, Pfeiffer H, Dettmeyer RSchmeling A. The chronology of the radiographic visibility of the periodontal ligament and the root pulp in the lower third molars. Sci Justice 2017; 57: 257-61. google scholar
  • 31. Kumar GK, Kumar DS, Kulkarni G, Balla SB, Shyam NNaishadham Y. Olze et al. stages of radiographic visibility of root pulp and cameriere's third molar maturity index to estimate legal adult age in Hyderabad population. J Forensic Dent Sci 2019; 11: 84. google scholar
  • 32. Gunacar DN, Bayrak SSinanoglu EA. Three-dimensional verification of the radiographic visibility of the root pulp used for forensic age estimation in mandibular third molars. Dentomaxillofac Radiol 2022; 51: 20210368. google scholar
  • 33. Pinchi V, Norelli G-ABartolini V. Ethical implications of Italian legislation on ‘epilepsy and driving’. Journal of medical ethics 2014; 40: 552-7. google scholar
  • 34. Garamendi P, Landa M, Ballesteros JSolano M. Reliability of the met assess age minority in living subjects around 18 years old: a surve origin population. Forensic Sci Int 2005; 154: 3-12. google scholar
  • 35. Smith TBrownlees L. Age assessment practices: a lit bibliography. United Nations Children’s Fund (UNICEF), New York 2011. google scholar

Comparison of the Cameriere's third molar maturity index and Olze et al.’s stages of radiographic visibility of the root pulp in a Turkish population

Year 2024, Volume: 58 Issue: 2, 88 - 94, 08.05.2024
https://doi.org/10.26650/eor.20241231589

Abstract

Purpose: The purpose of this study was to compare the Cameriere's third molar maturity index and Olze et al.'s stages of radiographic visibility of the root pulp in estimating the age of maturity in the Turkish population. The age of majority, which is legally significant, marks the transition from childhood to adulthood. In Turkey, the age of majority is set at 18 years. As the third molars continue to develop at this age, they can serve as an indicator of dental age.
Materials and Methods: A total of 705 panoramic radiographs obtained from individuals aged 15 to 22 years, including children and adults, were included in this study. The left mandibular third molars were evaluated on panoramic radiographs using Cameriere's third molar maturity index and Olze's method of radiographic root pulp visibility (RPV) stages. Minimum and maximum values were noted for each stage, and a median with upper and lower quartiles, as well as mean and standard deviation were calculated. Sensitivity and specificity values were calculated.
Results: In males, Cameriere's third molar maturity index demonstrated a sensitivity of 0.77% and specificity of 0.96%, while in females, it showed a sensitivity of 0.57% and specificity of 0.92%. Regarding Olze et al.'s stage 0, the sensitivity and specificity values were 0.86% and 0.79% in males, and 0.85% and 0.75% in females, respectively.
Conclusion: Although both methods can be used to distinguish individuals below or above the age of 18, the cut-off value suggested by Cameriere's method resulted in a higher rate of type 2 error (false negativity). Therefore, the method proposed by Olze et al., based on the radiographic visibility of the root pulp, can be employed to differentiate between adults and minors in the Turkish population.

References

  • 1. Balla SB, Chinni SSGopalaiah H. Examination of the radiographic visibility of the root pulp of the mandibular second molars as an age marker. Int J Legal Med 2020; 134: 1869-73. google scholar
  • 2. Akkaya N, Yılancı HÖ, Boyacıoğlu H, Göksülük DÖzkan G. Accuracy of the use of radiographic visibility of root pulp in the mandibular third molar as a maturity marker at age thresholds of 18 and 21. Int J Legal Med 2019; 133: 1507-15. google scholar
  • 3. AlQahtani S. Dental age assessment. Forensic Odontology: An Essential Guide 2014137-66. google scholar
  • 4. Al Qattan F, Alzoubi EE, Lucas V, Roberts G, McDonald FCamilleri S. Root Pulp Visibility as a mandibular maturity marker at the 18-year threshold in the Maltese population. Int J Legal Med 2020; 134: 363-8. google scholar
  • 5. Thevissen P, Kvaal SI, Dierickx KWillems G. Ethics in age estimation of unaccompanied minors. J Forensic Odonto-Stomatol 2012; 30: 85-102. google scholar
  • 6. Jayaraman J, Roberts GJ, Wong HM, McDonald FKing NM. Ages of legal importance: implications in relation to birth registration and age assessment practices. Med Sci Law 2016; 56: 77-82.^" google scholar
  • 7. Schmeling A, Grundmann C, Fuhrmann A, Kaatsch H-J, Knell B, Ramsthaler F, Reisinger W, Riepert T, Ritz-Timme SRösing F. Criteria for age estimation in living individuals. Int J Legal Med 2008; 122: 457-60. google scholar
  • 8. Sisman Y, Uysal T, Yagmur FRamoglu SI. Third-molar development in relation to chronologic age in Turkish children and young adults. Angle Orthod 2007; 77: 1040-^5. google scholar
  • 9. Kanmani R, Srinivasan SDaniel MJ. Mandibular Third Molar Development As An Indicator of Chronological Age for A Pondicherry Population of Southern India. E-J Dent 2012; 2. google scholar
  • 10. Mincer HH, Harris EFBerryman HE. The ABFO study of third molar development and its use as an estimator of chronological age. J Forensic Sci 1993; 38: 379. google scholar
  • 11. Akkaya N, Yilanci HÖ. Assessment of third molar maturity index for legal age threshold of 18 in a sample of Turkish individuals. Aust J Forensic Sci 2021; 53: 31424. google scholar
  • 12. Cameriere R, Ferrante L, De Angelis D, Scarpino FGalli F. The comparison between measurement of open apices of third molars and Demirjian stages to test chronological age of over 18 year olds in living subjects. Int J Legal Med 2008; 122: 493-7. google scholar
  • 13. Galic I, Lauc T, Brkic H, Vodanovic M, Galic E, Biazevic MGH, Brakus I, Badrov JCameriere R. Cameriere's third molar maturity index in assessing age of majority. Forensic Sci Int 2015; 252: 191. google scholar
  • 14. da Nobrega JBM, Protasio APL, Ribeiro ILA, Valença AMG, Santiago BMCameriere R. Validation of the Third Molar Maturation Index to estimate the age of criminal responsibility in Northeastern Brazil. Forensic Sci Int 2019; 304: 109917. google scholar
  • 15. Deitos AR, Costa C, Michel-Crosato E, Galic I, Cameriere RBiazevic MGH. Age estimation among Brazilians: younger or older than 18? J Forensic Leg Med 2015; 33: 111-5. google scholar
  • 16. Spinas E, De Luca S, Lampis L, Velandia Palacio LCameriere R. Is the third molar maturity index (I3M) useful for a genetic isolate population? Study of a Sardinian sample of children and young adults. Int J Legal Med 2018; 132: 1787-94. google scholar
  • 17. Olze A, Solheim T, Schulz R, Kupfer MSchmeling A. Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Legal Med 2010; 124: 183-6. google scholar
  • 18. Perez-Mongiovi D, Teixeira ACaldas IM. The radiographic visibility of the root pulp of the third lower molar as an age marker. Forensic Sci Med Pathol 2015; 11: 339-44. google scholar
  • 19. Lucas VS, McDonald F, Andiappan MRoberts G. Dental age estimation—Root Pulp Visibility (RPV) patterns: A reliable Mandibular Maturity Marker at the 18 year threshold. Forensic Sci Int 2017; 270: 98-102. google scholar
  • 20. Guo Y-c, Chu G, Olze A, Schmidt S, Schulz R, Ottow C, Pfeiffer H, Chen TSchmeling A. Application of age assessment based on the radiographic visibility of the root pulp of lower third molars in a northern Chinese population. Int J Legal Med 2018; 132: 825-9. google scholar
  • 21. Chu G, Wang Y-h, Li M-j, Han M-q, Zhang Z-y, Chen T, Zhou HGuo Y-c. Third molar maturity index (I 3M) for assessing age of majority in northern Chinese population. Int J Legal Med 2018; 132: 1759-68. google scholar
  • 22. De Luca S, Biagi R, Begnoni G, Farronato G, Cingolani M, Merelli V, Ferrante LCameriere R. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age. Forensic Sci Int 2014; 235: 102. google scholar
  • 23. Ribier L, Saint-Martin P, Seignier M, Pare A, Brunereau LRerolle C. Cameriere’s third molar maturity index in assessing age of majority: a study of a French sample. Int J Legal Med 2020; 134: 783-92. google scholar
  • 24. Cameriere R, Santoro V, Roca R, Lozito P, Introna F, Cingolani M, Galic IFerrante L. Assessment of legal adult age of 18 by measurement of open apices of the third molars: study on the Albanian sample. Forensic Sci Int 2014; 245: 205. google scholar
  • 25. Franklin D, Karkhanis S, Flavel A, Collini F, DeLuca SCameriere R. Accuracy of a cut-off value based on the third molar index: validation in an Australian population. Forensic Sci Int 2016; 266: 575. google scholar
  • 26. AlQahtani S, Kawthar A, AlAraik AAlShalan A. Third molar cut-off value in assessing the legal age of 18 in Saudi population. Forensic Sci Int 2017; 272: 64-7. google scholar
  • 27. Sharma P, Wadhwan V, Prakash SR, Aggarwal PSharma N. Assessment of age of majority by measurement of open apices of the third molars using Cameriere's third molar maturity index. J Forensic Dent Sci 2017; 9: 96. google scholar
  • 28. Gulsahi A, De Luca S, Cehreli SB, Tirali RECameriere R. Accuracy of the third molar index for assessing the legal majority of 18 years in Turkish population. Forensic Sci <nt 2016; 266: 584. google scholar
  • 29. Levesque G-Y, Demiıjian ATanguay R. Sexual dimorphism in the development, emergence, and agenesis of the mandibular third molar. J Dent Res 1981; 60: 1735-41. google scholar
  • 30. Timme M, Timme W, Olze A, Ottow C, Ribbecke S, Pfeiffer H, Dettmeyer RSchmeling A. The chronology of the radiographic visibility of the periodontal ligament and the root pulp in the lower third molars. Sci Justice 2017; 57: 257-61. google scholar
  • 31. Kumar GK, Kumar DS, Kulkarni G, Balla SB, Shyam NNaishadham Y. Olze et al. stages of radiographic visibility of root pulp and cameriere's third molar maturity index to estimate legal adult age in Hyderabad population. J Forensic Dent Sci 2019; 11: 84. google scholar
  • 32. Gunacar DN, Bayrak SSinanoglu EA. Three-dimensional verification of the radiographic visibility of the root pulp used for forensic age estimation in mandibular third molars. Dentomaxillofac Radiol 2022; 51: 20210368. google scholar
  • 33. Pinchi V, Norelli G-ABartolini V. Ethical implications of Italian legislation on ‘epilepsy and driving’. Journal of medical ethics 2014; 40: 552-7. google scholar
  • 34. Garamendi P, Landa M, Ballesteros JSolano M. Reliability of the met assess age minority in living subjects around 18 years old: a surve origin population. Forensic Sci Int 2005; 154: 3-12. google scholar
  • 35. Smith TBrownlees L. Age assessment practices: a lit bibliography. United Nations Children’s Fund (UNICEF), New York 2011. google scholar
There are 35 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Original Research Articles
Authors

Kübra Nur Çakan 0000-0003-1749-9293

Publication Date May 8, 2024
Submission Date January 9, 2023
Published in Issue Year 2024 Volume: 58 Issue: 2

Cite

EndNote Çakan KN (May 1, 2024) Comparison of the Cameriere’s third molar maturity index and Olze et al.’s stages of radiographic visibility of the root pulp in a Turkish population. European Oral Research 58 2 88–94.