Radiographic study of the rhizogenesis in Brazilian adolescents and its contribution to dental age estimation

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27391

Keywords:

Age; Anatomy; Forensic dentistry; Teeth.

Abstract

When applied to the examination of the living, methods for dental age estimation are based on clinical (visual or direct) or radiographic (radiographic or indirect) analyses. Two-dimensional (2D) techniques, such as panoramic radiography, or three-dimensional (3D) imaging modalities, such as cone-beam computed tomography, enable the visualization of multiple anatomical structures simultaneously. The development of each structure contributes to the age estimation process by providing age information. This study tested the performance of age information from rhizogenesis for age estimation. The sample consisted of panoramic radiographs of 568 female (n = 284) and male (n = 284) individuals, aged between 12 and 17.99 years. Tooth development was classified according to Demirjian et al. (1973) technique, and the age was calculated with the method of Willems et al. (2001). The average chronological age of each individual was compared with the estimated dental age, allowing the quantification of the error of the method for each age group at intervals of one year each. For both sexes, there was an overestimation of the chronological age in the age group of 12 |— 14.99 years, while age was underestimated in the age group of 16 |— 17.99 years (p < 0.0001). Statistically significant differences between sexes were observed in the age group of 15 |— 17.99 years (p < 0.05). The increasing error of the method in the late stages of root formation suggests that age information from the scarce remaining apical development of the permanent dentition may not be appropriate enough for sufficiently accurate forensic examinations.

References

Adserias-Garriga, J., Thomas, C., Ubelaker, D. H., & Zapico, S. C. (2018). When forensic odontology met biochemistry: Multidisciplinary approach in forensic human identification. Arch. Oral Biol., 87, 7-14. https://doi.org/10.1016/j.archoralbio.2017.12.001

Augusto, D., Pereira, C. P., Rodrigues, A., Cameriere, R., Salvado, F., & Santos, R. (2021). Dental age assessment by I2M and I3M: Portuguese legal age thresholds of 12 and 14 year olds. Acta Stomatol. Croat., 55, 45-55. https://doi.org/10.15644%2Fasc55%2F1%2F6

Brazil. (1990). Lei n. 8.069 de 13 de Julho de 1990. http://www.planalto.gov.br/ccivil_03/leis/l8069.htm

Cameriere, R., Ferrante, L., & Cingolani, M. (2006). Age estimation in children by measurement of open apices in teeth. Int. J. Legal Med., 120, 49-52. https://doi.org/10.1007/s00414-005-0047-9

Demirjian, A., Goldstein, H., & Tanner, J. M. (1973). A new system of dental age assessment. Hum. Biol., 45, 211-227.

Dezem, T. U., Franco, A., Palhares, C. E. P. M., Deitos, A. R., Silva, R. H. A., Santiago, B. M., et al. (2021). Testing the Olze and Timme methods for dental age estimation in radiographs of Brazilian subadults and adults. Acta Odontol. Croat., 55, 390-396. https://doi.org/10.15644/asc55/4/6

Elamin, F., & Liversidge, H. (2013). Malnutrition has no effect on the timing of human tooth formation. PLoS One, 8, e72274. https://doi.org/10.1371/journal.pone.0072274

Franco, A., De Oliveira, M. N., Vidigal, M. T. C., Blumenberg, C., Pinheiro, A. A., & Paranhos, L. R. (2021). Assessment of dental age estimation methods applied to Brazilian children: a systematic review and meta-analysis. Dentomaxillofac. Radiol., 50, 20200128. https://doi.org/10.1259/dmfr.20200128

Franco, A., Thevissen, P., Fieuws, S., Souza, P. H. C., & Willems, G. (2013). Applicability of Willems model for dental age estimations in Brazilian children. Forensic Sci. Int., 231(1-3):401.e1-4. https://doi.org/10.1016/j.forsciint.2013.05.030

Franco, A., Vetter, F., Coimbra, E. F., Fernandes, Â., & Thevissen, P. (2020). Comparing third molar root development staging in panoramic radiography, extracted teeth, and cone beam computed tomography. Int. J. Leg. Med., 134, 347-353. https://doi.org/10.1007/s00414-019-02206-x

Franco, R. P. A. V., Franco, A., Turkina, A., Arakelyan, M., Arzukanyan, A., Velenko, P. et al. (2021). Third molar classification using Gleiser and Hunt system modified by Kholer in Russian adolescents – Age threshold of 14 and 16. Forensic Imag., 25, 200443. https://doi.org/10.1016/j.fri.2021.200443

Frítola, M., Fujikawa, A. S., Ferreira, F. M., Franco, A., & Fernandes, A. (2015). Estimativa de idade dental em crianças e adolescentes brasileiros comparando os métodos de Demirjian e Willems. Rrev Bras de Odont Legal RBOL, 2, 26-34. http://dx.doi.org/10.21117/rbol.v2i1.18

Gabardo, G., Maciel, J. V. B., Franco, A., Lima, A. A. S., Costa, T. R. F., & Fernandes, A. (2020). Radiographic analysis of dental maturation in children with amelogenesis imperfecta: A case-control study. Spec. Care Dent., 40, 267-272. https://doi.org/10.1111/scd.12456

Goetten, I. F. S., Silva, R. F. S., Franco, A. (2021). Skeletal and dental age estimation of the living in a criminal scenario – case report. Roman. J. Leg. Med., 29, 105-108. https://doi.org/10.4323/rjlm.2021.105

Gonçalves, L. S., Machado, A. L. R., Gaêta-Araujo, A., Recalde, T. S. F., Oliveira-Santos, C., & Silva, R. H. A. (2021). A comparison of Demirjian and Willems age estimation methods in a sample of Brazilian non-adult individuals. Forensic Imag, 25, 200456. https://doi.org/10.1016/j.fri.2021.200456

Fleiss, J. L., Levin, B., & Paik, M.C. Statistical methods for raters and proportions. 3rd ed. Hoboken: Wiley & Sons, 2003.

Machado, A. L. R., Borges, B. S., Cameriere, R., Machado, C. E. P., & Silva, R. E. A. (2020). Evaluation of Cameriere and Willems age estimation methods in panoramic radiographs of Brazilian children. J. Forensic Odontostomatol. 2020, 3, 8-15.

Moorrees, C. F. A., Fanning, E. A., & Hunt Jr, E. E. (1963). Age variation of formation stages for ten permanent teeth. J. Dent. Res., 42, 1490-1502. https://doi.org/10.1177/00220345630420062701

Oenning, A. C. C, Jacobs, R., Salmon, B., & DIMITRA Research Group. (2021). ALADAIP, beyond ALARA and towards personalized optimization for paediatric cone-beam CT. Int. J. Paediatr. Dent., 31, 676-678. https://doi.org/10.1111/ipd.12797

Ramanan, N., Thevissen, P., & Willems, G. (2012). Dental age estimation in Japanese individuals combining permanent teeth and third molars. J. Forensic. Odontostomatol., 30, 34-9.

Roberts, G. J., Lucas, V. S., Andiappan, M., & McDonald, F. (2017). Dental age estimation: pattern recognition of root canal widths of mandibular molars. A novel mandibular maturity marker at the 18-year threshold. J. Forensic Leg. Med., 62, 351-354. https://doi.org/10.1111/1556-4029.13287

Roberts, G. J., Parekh, S., Petrie, A., & Lucas, V. S. (2007). Dental age assessment (DAA): a simple method for children and emerging adults. Br. Dent. J., 204, e1-7. https://doi.org/10.1038/bdj.2008.21

Rocha, L. T., Ingold, M. S., Panzarella, F. K., Santiago, B. M., Oliveira, R. N., Bernardino, I. M. et al. (2022). Applicability of Willems method for age estimation in Brazilian children: performance of multiple linear regression and artificial neural network. Egypt. J. Forensic Sci., 12, 9. https://doi.org/10.1186/s41935-022-00271-9

San Martin, A. S., Chisini, L. A., Martelli, S., Sartori, L. R. M., Ramos, E. C., & Demarco, F. F. (2018). Distribuição dos cursos de Odontologia e de cirurgiões-dentistas no Brasil: uma visão do mercado de trabalho. Rev. ABENO, 18, 63-73. https://doi.org/10.30979/rev.abeno.v18i1.399

Santos, C. P., Possagno, L. P., Franco, A., Bezerra, I. S. Q., Zanon, L. R. A., & Fernandes, A. (2017). Radiographic assessment of the dental development in patients with diabetes mellitus type 1 – clinical and forensic approach. Rev. Bras. Odontol. Leg. RBOL, 4, 22-33. http://dx.doi.org/10.21117/rbol.v4i2.109

Sartori, V., Franco, A., Linden, M. S., Cardoso, M., De Castro D., & Sartori, A. (2021). Testing international techniques for the radiographic assessment of third molar maturation. J. Clin. Exp. Dent., 13, e1182–1188. https://doi.org/10.4317/jced.58916

Sehrawat, J. S., & Singh, M. (2017). Willems method of dental age estimation in children: A systematic review and meta-analysis. J. Forensic Leg. Med., 52, 122-129. https://doi.org/10.1016/j.jflm.2017.08.017

Silva, R. F., Mendes, S. D. S. C., Rosario-Junior, A. F., Dias, P. E. M., & Martirell, L. B. (2013). Documental vs biological evidence for age estimation – forensic case report. ROBRAC, 21, 6-10.

Silva, R. F., Rodrigues, L. G., Felter, M., Araujo, M. G. B., Tolentino, P. H. M. P., & Franco, A. (2018). The interface between forensic dentistry and sports dentistry. Rev. Bras. Odontol. Leg. RBOL, 5, 69-84. https://doi.org/10.21117/rbol.v5i2.190

Souza, R. B., Assunção, L. R. S., Franco, A., Zaroni, F. M., Holderbaum, R. M., & Fernandes, Â. (2015). Dental age estimation in Brazilian HIV children using Willems' method. Forensic Sci. Int., 257, 510.e1-510.e4. https://doi.org/10.1016/j.forsciint.2015.07.044 2015

Swetha, G., Kattappagari, K. K., Poosarla, C. S., Chandra, L. P., Gontu, S. R., & Badam, V. R. R. (2018). Quantitative analysis of dental age estimation by incremental line of cementum. J. Oral Maxillofac. Pathol., 22, 138-142. https://doi.org/10.4103/jomfp.JOMFP_175_17

Thevissen, P. W., Fieuws, S., & Willems, G. (2010). Human third molars development: Comparison of 9 country specific populations. Forensic Sci. Int., 201, 102-105.

Topolski, F., Souza, R. B., Franco, A., Cuoghi, O. A., Assunção, L. R. S., & Fernandes, A. (2014). Dental development of children and adolescents with cleft lip and palate. Braz. J. Oral Sci., 13, 319-324. https://doi.org/10.1590/1677-3225v13n4a15

Von Elm, E., Altman, D. G., Egger, M., Pocock, S., Gotzsche, P. C., Vandenbroucke, J. P., et al. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J. Clin. Epidemiol., 61, 344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008

Wang, J., Ji, F., Zhai, Y., Park, H., & Tao, J. (2017). Is Willems method universal for age estimation: A systematic review and meta-analysis. J. Forensic Leg. Med., 52, 130-136. https://doi.org/10.1016/j.jflm.2017.09.003

Willems, G., Van Olmen, A., Spiessens, B., & Carels, C. (2001). Dental age estimation in Belgian children: Demirjian’s technique revisited. J. Forensic Sci., 46, 893-895.

Yang, Z., Geng, K., Liu, Y., Sun, S., Wen, D., Xiao, J., et al. (2019). Accuracy of the Demirjian and Willems methods of dental age estimation for children from central southern China. Int. J. Legal Med. 133, 593–601.

Yusof, M. Y. P. M., Mokhtar, I. W., Rajasekharan, S., Overholser, R., & Martens, L. (2017). Performance of Willem's dental age estimation method in children: A systematic review and meta-analysis. Forensic Sci. Int., 280, 245.e1-245.e10. https://doi.org/10.1016/j.forsciint.2017.08.032

Downloads

Published

16/03/2022

How to Cite

PONTES, M. de A. .; BORTOLAMI, P. B. .; OLIVEIRA, G. B. de; SANTANA, V. F. G. .; FRANCO, R. P. A. V.; SILVA, E. V. C. da .; FIGUEIREDO, F. K. P. de; JUNQUEIRA, J. L. C.; FRANCO, A. Radiographic study of the rhizogenesis in Brazilian adolescents and its contribution to dental age estimation. Research, Society and Development, [S. l.], v. 11, n. 4, p. e19311427391, 2022. DOI: 10.33448/rsd-v11i4.27391. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27391. Acesso em: 17 nov. 2024.

Issue

Section

Health Sciences