Radiographic Assessment of Periodontal Ligament and Root Pulp Visibility in Lower Third Molars as a Tool for Chronological Age Estimation
Keywords:
periodontal ligament, dental radiographs, radiography, age estimation, orthopantomogram, dental pulpAbstract
OBJECTIVE: To assess chronological age by radiographic assessment of root pulp visibility and periodontal ligament visibility of lower third molar teeth through stage classification in a subset of the Pakistani population.
METHODOLOGY: A cross-sectional study was conducted using digital orthopantomograms (OPGs) of 260 lower third molar teeth aged 18-40 years, using a non-probability consecutive sampling technique from the Department of Orthodontics, Ziauddin University Hospital and Karachi X-rays Center taken between the year 2020 to 2022. The OPGs were studied using Clear Canvas software. The OPGs with good contrast, good quality image and good morphology with complete root formation were included; OPGs with missing required teeth, teeth with fillings, inflammation or anomaly were excluded.
RESULTS: A significant association was seen between stages of RPV and PLV with chronological ages. For both sexes, the mean ages for RPV at stages 0, stage 1 and stage 2 were found to be 24.26 years, 29.71 years and 32 years, respectively and mean ages for PLV at stages 0, stage 1 and stage 2 were found to 24.16 years, 28.31 years and 32.44 years respectively.
CONCLUSION: The individuals found at stages 0 and 1 for radiographic RPV were at least 18 years of age, and for stage 2, individuals were 28 years and above. For radiographic PLV, the minimum age for stage 0 and stage 1 were at least 18 years, and for stage 2, the individuals were at least 20. Hence, RPV and PLV methods can be used to estimate age.
References
Tangkabutra S, Alzoubi E, Roberts G, Lucas V, Camilleri S. Root canal width as a mandibular maturity marker at the 18-year threshold in the Maltese population. Int J Legal Med. 2022; 136(6): 1667-74. doi: 10.1007/s00414-022-02868-0. Epub 2022 Jul 19.
Helmy MA, Osama M, Elhindawy MM, Mowafey B, Taalab YM, Abd ElRahman HA. Volume analysis of second molar pulp chamber using cone beam computed tomography for age estimation in Egyptian adults. J Forensic Odontostomatol. 2020; 38(3): 25-34.
Olze A, Solheim T, Schulz R, Kupfer M, Schmeling 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(3): 183-6. doi: 10.1007/s00414-009-0415-y. Epub 2010 Jan 29.
Olze A, Solheim T, Schulz R, Kupfer M, Pfeiffer H, Schmeling A. Assessment of the radiographic visibility of the periodontal ligament in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Legal Med. 2010; 124(5): 445-8. doi: 10.1007/s00414-010-0488-7. Epub 2010 Jul 11.
Akkaya N, Y?lanc? HÖ, Boyac?o?lu H, Göksülük D, Özkan 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(5): 1507-15. doi: 10.1007/s00414-019-02036-x. Epub 2019 Mar 13.
Olze A, Solheim T, Schulz R, Kupfer M, Schmeling 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(3): 183-6. doi: 10.1007/s00414-009-0415-y. Epub 2010 Jan 29.
Verma M, Verma N, Sharma R, Sharma A. Dental age estimation methods in adult dentitions: An overview. J Forensic Dent Sci. 2019; 11(2): 57-63. doi: 10.4103/jfo.jfds_64_19. Epub 2020 Jan 24.
Guo Y-c, Li M-j, Olze A, Schmidt S, Schulz R, Zhou H et al. Studies on the radiographic visibility of the periodontal ligament in lower third molars: can the Olze method be used in the Chinese population? Int J Legal Med. 2018; 132(6): 617-22. doi: 10.1007/s00414-017-1664-9. Epub 2017 Aug 15.
Patil K, VG M, Chandran P, Penumatsa B, Doggalli N, CJ S. Age Estimation Using the Radiographic Visibility of the Periodontal Ligament in Mandibular Third Molars in Mysore Population-A Retrospective Study. Indian J Forensic Med Toxicol. 2021; 15(3): 269-275. doi: 10.37506/ijfmt.v1513.15316.
Tantanapornkul W, Kaomongkolgit R, Tohnak S, Deepho C, Chansamat R. Chronological age assessment, based on the radiographic visibility of the periodontal ligament in lower third molars in a group of Thai sample. J Forensic Odonto-Stomatol. 2021; 39(2): 32-37.
Gok E, Fedakar R, Kafa IM. Usability of dental pulp visibility and tooth coronal index in digital panoramic radiography in age estimation in the forensic medicine. Int J Legal Med. 2020; 134(1): 381-92. doi: 10.1007/s00414-019-02188-w. Epub 2019 Nov 13.
Suvarna M, Balla SB, Chinni SS, Reddy SP, Gopalaiah H, Pujita C et al. Examination of the radiographic visibility of the root pulp of the mandibular second molars as an age marker. Int J Legal Med. 2020; 134(5): 1869-73. doi: 10.1007/s00414-020-02347-4. Epub 2020 Jun 22.
Gunacar DN, Bayrak S, Sinanoglu 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(3): 20210368. doi: 10.1259/dmfr.20210368. Epub 2021 Nov 17.
Canpolat SS, Bayrak S. Evaluation of radiographic visibility of root pulp in mandibular second molars using cone beam computed tomography images for age estimation. Forensic Sci Med Pathol. 2024: 20(1): 8-13. doi: 10.1007/s12024-023-00594-6. Epub 2023 Feb 28.
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